Usefulness of hospital emergency department records to explore access to injury care in Nepal

Bhatta, Santosh; Pant, Puspa Raj; Mytton, Julie

doi:10.1186/s12245-016-0120-9

Cited by 8 publications

(8 citation statements)

References 9 publications

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“…They also reported that there was a higher proportion of Tamang and Brahmin ethnic groups who attended EDs with an injury. 23 However, when rates of injury were calculated, we found that the Brahmin and Rai ethnicities had the highest rates of home and work-related injury, respectively. The previous study looked at ED attendance and reported frequencies whereas our study was a population survey and we report rates of injury.…”

Section: Discussionmentioning

confidence: 79%

Home-related and work-related injuries in Makwanpur district, Nepal: a household survey

Pant¹,

Deave

Banstola

et al. 2020

Inj Prev

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ObjectiveTo describe the epidemiology of home-related and work-related injuries, their mechanisms, inequalities and costs associated with these injuries.MethodsA household survey was undertaken in three palikas of Makwanpur district between April and June 2019. Data were collected electronically on non-fatal injuries that occurred in the previous 3 months and fatal injuries that occurred in the previous 5 years.Findings17 593 individuals were surveyed from 3327 households. Injury rates were 8.0 per 1000 population for home injuries and 6.4 per 1000 for work-related injuries; 61.0% of home injuries were among women and 69.9% of work-related injuries among men. Falls were the cause of 48% home injuries, affecting 50.9% of men and 46.5% of women. Burns/scalds were higher in women than men, affecting 17.4% of women reporting home injuries. Cuts and piercings accounted for 39.8% of all work-related injuries and 36.3% were falls. Injury incidence varied by ethnic group: home injuries were highest in Brahmin (12.0 per 1000) and work-related injuries highest in Rai groups (21.0 per 1000). The total mean costs (transport and treatment) of work-related injury was US$143.3 (SD 276.7), higher than for home injuries (US$130.4, SD 347.6). The number of home (n=74, 64.9%) and work-related (n=67, 77.9%) injuries were higher in families below the poverty line than families in the next income bracket (home: n=22, 19.3%; work: n=11, 12.8%).ConclusionsHome-related and work-related fall injuries are common. The inequalities in injury identified in our study by rurality, age, sex, income level and ethnic group can help target injury prevention interventions for vulnerable groups.

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Section: Discussionmentioning

confidence: 79%

Home-related and work-related injuries in Makwanpur district, Nepal: a household survey

Pant¹,

Deave

Banstola

et al. 2020

Inj Prev

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“…In the absence of robust death registration and injury surveillance systems, the burden of injury in Nepal has not been measured comprehensively. Household surveys and hospital data suggest that home injuries (eg, falls, burns, poisoning and animal related injuries) are common among young children in Nepal 17 18. No studies have quantified the injury hazards in their homes or assessed the association between home hazards and injuries in children under 5 years.…”

Section: Introductionmentioning

confidence: 99%

Assessment of home hazards for non-fatal childhood injuries in rural Nepal: a community survey

2020

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BackgroundUnintentional injuries in and around the home are important causes of preventable death and disability among young children globally. In Nepal, there is a lack of data regarding home injuries and home hazards to guide the development of effective interventions for preventing childhood home injuries. This study aimed to determine the burden of unintentional home injuries in children <5 years in rural Nepal and quantify the injury hazards in their homes.MethodsA survey was conducted in 740 households in rural areas of the Makwanpur district during February and March 2015. The primary carer reported home injuries which occurred in the previous 3 months and data collector observation identified the injury hazards. Injury incidence, mechanism and the proportion of households with different hazards were described. Multivariable logistic regression explored associations between the number and type of home hazards and injuries.ResultsInjuries severe enough to need treatment, or resulting in non-participation in usual activities for at least a day, were reported in 242/1042 (23.2%) children <5 years. The mean number of injury hazards per household was 14.98 (SD=4.48), range of 3–31. Regression analysis found an estimated increase of 31% in the odds of injury occurrence associated with each additional injury hazard found in the home (adjusted OR 1.31; 95% CI 1.20 to 1.42).ConclusionsA high proportion of young children in rural Nepal sustained injuries severe enough to miss a day of usual activities. Increased frequency of hazards was associated with an increased injury risk.

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“…The patterns for injuries is more consistent: several studies have shown that the proportion of injured pediatric patients is higher in males than in females. 22 , 24 , 26 , 33 It is likely that higher injury numbers in boys is at least partly due to physical activity outside the household. On the contrary, girls are typically kept in more safe environments and are involved in household chores from the young age.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Patients in a Local Nepali Emergency Department: Presenting Complaints, Triage and Post-Discharge Mortality

Giri

Halvas-Svendsen

Rogne

et al. 2020

Global Pediatric Health

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Background. In low-income countries, pediatric emergency care is largely underdeveloped although child mortality in emergency care is more than twice that of adults, and mortality after discharge is high. Aim. We aimed at describing characteristics, triage categories, and post-discharge mortality in a pediatric emergency population in Nepal. Methods. We prospectively assessed characteristics and triage categories of pediatric patients who entered the emergency department (ED) in a local hospital. Patient households were followed-up by telephone interviews at 90 days. Results. The majority of pediatric emergency patients presented with injuries and infections (~40% each). Girls attended ED less frequent than boys. High triage priority categories (orange and red) were strong indicators for intensive care need and for mortality after discharge. Conclusion. The study supports the use and development of a pediatric triage systems in a low-resource general ED setting. We identify a need for interventions that can reduce mortality after pediatric emergency care. Interventions to reduce pediatric emergency disease burden in this setting should emphasize prevention and effective treatment of infections and injuries.

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Usefulness of hospital emergency department records to explore access to injury care in Nepal

Cited by 8 publications

References 9 publications

Home-related and work-related injuries in Makwanpur district, Nepal: a household survey

Home-related and work-related injuries in Makwanpur district, Nepal: a household survey

Assessment of home hazards for non-fatal childhood injuries in rural Nepal: a community survey

Pediatric Patients in a Local Nepali Emergency Department: Presenting Complaints, Triage and Post-Discharge Mortality

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