TY - JOUR PY - 2015// TI - Injury prevalence and causality in developing nations: results from a countrywide population-based survey in Nepal JO - Surgery A1 - Gupta, Shailvi A1 - Wong, Evan G. A1 - Nepal, Sarthak A1 - Shrestha, Sunil A1 - Kushner, Adam L. A1 - Nwomeh, Benedict C. A1 - Wren, Sherry M. SP - 843 EP - 849 VL - 157 IS - 5 N2 - BACKGROUND: Traumatic injury affects nearly 5.8 million people annually and causes 10% of the world's deaths. In this study we aimed to estimate injury prevalence, to describe risk-factors and mechanisms of injury, and to estimate the number of injury-related deaths in Nepal, a low-income South Asian country.

METHODS: A cluster randomized, cross-sectional nationwide survey using the Surgeons OverSeas Assessment of Surgical Need tool was conducted in Nepal in 2014. Questions were structured anatomically and designed around a representative spectrum of operative conditions. Two-stage cluster sampling was performed: 15 of 75 districts were chosen randomly proportional to population; within each district, after stratification for urban and rural populations, 3 clusters were randomly chosen. Injury-related results were analyzed.

RESULTS: A total of 1,350 households and 2,695 individuals were surveyed verbally, with a response rate of 97%. A total of 379 injuries were reported in 354 individuals (13.1%, 95% confidence interval 11.9-14.5%), mean age of 32.6. The most common mechanism of injury was falls (37.5%), road traffic injuries (19.8%), and burns (14.2%). The most commonly affected anatomic site was the upper extremity (42.0%). Of the deaths reported in the previous year, 16.3% were injury-related; 10% of total deaths may have been averted with access to operative care.

CONCLUSION: This study provides baseline data on the epidemiology of traumatic injuries in Nepal and is the first household-based countrywide assessment of injuries in Nepal. These data provide valuable information to help advise policymakers and government officials for allocation of resources toward trauma care.

Language: en

LA - en SN - 0039-6060 UR - http://dx.doi.org/10.1016/j.surg.2014.12.020 ID - ref1 ER -