Trauma and Related Factors in Iranian Children and Adolescents: A Systematic Review


1 MSc Pediatric Nursing, Ilam University of Medical Science, Ilam, Iran.

2 Student Research committee, kermanshah University of Medical Sciences, kermanshah, IR Iran.

3 Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Science, Ilam, Iran.

4 Università degli Studi "La Sapienza" di Roma, Public Health and Infectious Diseases, Undergraduate, Italy.

5 Assistant Professor of Pediatrics, Department of Pediatrics, Ilam University of Medical sciences, Ilam, Iran.



Introduction: Childhood and adolescence is one of the most sensitive periods of life, and attention to the health of children and adolescents is very important in this period.  We aimed to determine the prevalence rate of trauma types and its effective factors by systematic review.
Methods: This study is a systematic review of published articles in April 2000 to March 2020.The search on trauma and its related factors in people under the age of 18 years old were carried out. We tried to identify all the factors affecting the trauma and design the key words of the paper based on them. Search and data extraction were based on the PRISMA checklist. All the extracted articles were imported into the EndNote X8 software and the studies that were extracted several times were deleted. Then, the data extraction and quality analysis of the articles was done by two researchers separately and the data was reported through a descriptive report and use of systematic review tables.
Results: In the search, finally 89 articles entered the next steps. After reviewing the complete file of articles, 43 articles were removed and finally 20 articles were entered into the systematic review stage. The causes of the created trauma were fall, collapse, direct hit, sports accidents, vehicle accidents, cycling, poisoning, animal attack, inanimate mechanical (cut and hit by object), burn and drowning. The most important places of trauma can be found on the street. and then the house, school and public places.
Conclusions: It is recommended that proper interventions and appropriate preventive measures be taken to reduce trauma due to factors affecting the trauma.