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PW 1488 Temporal and epidemiologic trends in fatal injury reporting: an initial report from the qatar injury death study group
  1. Rafael Consunji1,
  2. Soughra Mouemel1,
  3. Adham Ammar2,
  4. Ayman El-Menyar1,
  5. Ruben Peralta1
  1. 1Hamad Trauma Center, Hamad Medical Corporation, Doha, Qatar
  2. 2Clinical Pathology, Laboratory Department, Hamad Medical Corporation, Doha, Qatar


Death certificates, mortuary registries, hospital and police records are known to be data sources on injury fatalities. However, underreporting, misreporting and a lack of well-trained registers are some of the challenges faced by these systems. This study will describe the injury deaths reported in Qatar national vital statistics annual reports [NVSAR] and compare them with the national mortuary of the Hamad Medical Corporation [NMHMC] in Doha,Qatar.

This retrospective study extracted all injury deaths recorded in the NHMC and compared them with those in NVSAR, from 1 January 2007 to 31 December 2015. Characteristics of injury deaths included: age, sex, mechanism of injury and the proportionate contribution to all injury deaths.

The study extracted 20 870 deaths, from all causes, from NMHMC, from 1 Jan, 2007 to 31 Dec 2015. There was an annual average of 279 more deaths, from all causes; this trend was consistent throughout the study period. Of these deaths, 3391 (16.2%) were due to injuries in NMHMC, this differed significantly from NVSAR, with 4054 reported injury deaths [22.1%]. The difference between the reported injury deaths from the Mortuary and the NSVAR followed a sigmoidal curve, from 2007–2015 with a nadir in 2012 and a peak in 2015. Comparisons by mechanism of injury did not reveal a consistent pattern of difference. The average proportionate mortality [PM] from Mortuary pre-hospital injury deaths was 44.1% [range 21.5%–54.0%] while that for in-hospital deaths was 53.3% [range 46.2%–68.1%].

The differential reporting pattern of deaths between the NSVAR and NMHMC was unique for injury deaths, with more deaths reported in the NSVAR and opposite was for all-cause deaths. No relationship was noted when analyzed by mechanism of injury. Further analysis must be done to better elucidate the cause/s of these differences.

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