TY  - JOUR
PY  - 2021//
TI  - The epidemiology of injuries in adults in Nepal: findings from a hospital-based injury surveillance study
JO  - International journal of environmental research and public health
A1  - Bhatta, Santosh
A1  - Magnus, Dan
A1  - Mytton, Julie
A1  - Joshi, Elisha
A1  - Bhatta, Sumiksha
A1  - Adhikari, Dhruba
A1  - Manandhar, Sunil Raja
A1  - Joshi, Sunil Kumar
SP  - e12701
EP  - e12701
VL  - 18
IS  - 23
N2  - This study aimed to develop and evaluate a model of hospital-based injury surveillance and describe the epidemiology of injuries in adults. One-year prospective surveillance was conducted in two hospitals in Hetauda, Nepal. Data were collected electronically for patients presenting to emergency departments (EDs) with injuries between April 2019 and March 2020. To evaluate the model's sustainability, clinical leaders, senior managers, data collectors, and study coordinators were interviewed. The total number of patients with injuries over one year was 10,154, representing 30.7% of all patients visiting the EDs. Of patients with injuries, 7458 (73.4%) were adults aged 18 years and over. Most injuries (6434, 86%) were unintentional, with smaller proportions due to assault (616, 8.2%) and self-harm (408, 5.5%). The median age of adult patients was 33 years (IQR 25-47). Males had twice the rate of ED presentation compared with females (40.4 vs. 20.9/1000). The most common causes were road traffic accidents (32.8%), falls (25.4%), and animal/insect related injuries (20.1%). Most injured patients were discharged after treatment (80%) with 9.1% admitted to hospital, 8.1% transferred to other hospitals, and 2.1% died. In Nepal, hospital-based injury surveillance is feasible, and rich injury data can be obtained by embedding data collectors in EDs.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph182312701
ID  - ref1
ER  -