fa بررسی روند و علل اصلی مرگ و میر کودکان زیر 5 سال در استان گیلان در سال‌های 1397 تا 1401: یک گزارش کوتاه آمار و اپيدميولوژي Statistics& Epidemiology پژوهشي Research <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">تأمین، حفظ و ارتقاء سطح سلامت کودکان زیر پنج سـال، اهمیت دارد. ﺑﻨﺎﺑﺮایﻦ، ﻫﺪف از ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ تعیین روند و علل اصلی مرگ و میر کودکان زیر 5 سال در استان گیلان بود.</span></span></span></span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">مواد و روش&shy;ها:</span></span></span></b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> در این مطالعه توصیفی، 343 مورد مرگ&shy; و میر زیر 5 سال در دانشگاه علوم پزشکی گیلان طی سال‌های 1397 تا 1401 بررسی شد. اطلاعات دموگرافیک کودک و والدین و علت فوت جمع‌آوری شد. داده&shy;ها به صورت آمار توصیفی (درصد و فراوانی) گزارش شدند.</span></span></span></span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">یافته&shy;ها:</span></span></span></b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> بیشترین فراوانی مرگ و میر کودکان زیر 5 سال در 191 کودک پسر (6/55 درصد) بود. بیشترین فراوانی سنی مرگ و میر در کودکان زیر یک سال 177 کودک (6/51 درصد) بود. تعداد 218 کودک (5/63 درصد) ساکن شهر، 124 کودک (35 درصد) ساکن روستا و 1 کودک (5/1 درصد) عشایر بودند. بیشترین علل مرگ، نقص مادرزادی 62 مورد (18 درصد) بود.</span></span></span></span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">نتیجه&shy;گیری:</span></span></span></b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> تعداد قابل توجهی از موارد مرگ &shy;و میر کودکان به علت نقص مادرزادی بود. شاید بتوان گفت عدم آگاهی مادران از تست&shy;های غربالگری جهت پیش&shy;گیری از نواقص مادرزادی باعث این اتفاق باشد. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">واژه&shy;های کلیدی:</span></span></span></b><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> مرگ و میر، کودکان زیر 5 سال، وضعیت بهداشتی، استان گیلان</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:135%">Background and Objectives:</span></span></b></a> <span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Providing, maintaining, and improving the health level of children under 5 years old is important. Therefore, the aim of this study was to investigate the trend and main causes of death of children under the age of five years in Guilan Province.</span></span><b><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Materials and Methods:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> In this descriptive study, 343 of children under 5 years old in Guilan University of Medical Sciences</span></span> <span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">have been investigated in 2018 to 2022. The demographic information of the child and parents and the cause of death were collected. The data was reported descriptively (percentage and frequency).</span></span><b><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Results:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> The highest frequency of deaths of children under 5 years old was in 191 male children (55.6%). The highest age frequency of death was children under one year, 177 children (51.6%).</span></span> <span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Two hundred and eighteen children (63.5%) lived in the city, 124 children (35%) lived in the village, and 1 child (1.5%) was nomad. The most common causes of death were </span></span><span style="font-size:9.0pt"><span style="line-height:135%">congenital disorders, </span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">62 cases (18%).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Conclusion:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> A significant number of children&#39;s deaths were due to </span></span><span style="font-size:9.0pt"><span style="line-height:135%">congenital disorders</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">. Perhaps it can be said that it is caused by mothers&#39; lack of knowledge about screening tests to prevent </span></span><span style="font-size:9.0pt"><span style="line-height:135%">congenital disorders</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">. It is also recommended to increase hospital equipment and facilities.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Mortality, Children under 5 years old, Health status, Guilan Province</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> This study did not have any funds.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> None declared.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Ethical considerations:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The Ethics Committee of Guilan University of Medical Sciences approved the study (IR.GUMS.REC.1402.205).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Authors&rsquo; contributions</span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Kourosh Delpsand</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Kourosh Delpsand</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:9.0pt"><span style="line-height:135%">&nbsp;<b>- Data collection: </b>Armin Abaspour, Hamed Mohammad Arazi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Zahra Ahmadnia</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Kourosh Delpsand</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Kourosh Delpsand</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing &ndash; original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Kourosh Delpsand, Armin Abaspour, Hamed Mohammad Arazi, Zahra Ahmadnia</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing &ndash; review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Kourosh Delpsand, Zahra Ahmadnia.</span></span><b><span dir="RTL" lang="FA" 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Investigating the Trend and Main Causes of Death of Children Under 5 Years Old in Guilan Province in 2018 to 2022: A Short Report</span></span><span style="font-size:9.0pt"><span style="line-height:140%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:140%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:140%"> <i>Univ Med Sci</i> 2024; 23 (5): 371-77. [Farsi]</span></span> <span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br> &nbsp; Mortality, Children under 5 years old, Health status, Guilan Province 471 477 http://journal.rums.ac.ir/browse.php?a_code=A-10-6785-1&slc_lang=fa&sid=1 Armin Abaspour آرمین عباس پور armin.abbaspour97@gmail.com 6900319475328460058396 6900319475328460058396 No Guilan University of Medical Sciences دانشگاه علوم پزشکی گیلان Hamed Mohammad Arazi حامد محمد عرازی hamed.m.arazi@outlook.com 6900319475328460058397 0009-0003-6449-0643 No Guilan University of Medical Sciences دانشگاه علوم پزشکی گیلان Zahra Ahmadnia زهرا احمدنیا zahmadnia1365@gmail.com 6900319475328460058398 6900319475328460058398 No Guilan University of Medical Sciences دانشگاه علوم پزشکی گیلان Kourosh Delpsand کورش دل پسند kd388@yahoo.com 6900319475328460058399 6900319475328460058399 Yes Guilan University of Medical Sciences دانشگاه علوم پزشکی گیلان