Shrestha S K, Jacobson C, Dahal S, Shrestha R, Weiner Y, Sheridan A
Department of General Practice and Emergency Medicine, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.
Haas Center for Public Service, Stanford University, USA.
Kathmandu Univ Med J (KUMJ). 2019 Apr-Jun;17(66):141-144.
Background Nepal lacks a unified and countrywide emergency medical services system as other developing countries. However, the emergence of ambulance service initiatives in the past decade shows a promising future for pre-hospital care. Nepal Ambulance Service (Est. 2011) and Dhulikhel Emergency Medical Services (Est. 2013) are the existing emergency medical services initiatives in Nepal. Objective To describe the reason for summoning ambulance services and demographics of the patients who were transported by Dhulikhel Emergency Medical Services at Dhulikhel hospital, hilly region of Nepal. Method One thousand three hundred and ninety three patient records at Dhulikhel hospital transported by Dhulikhel Emergency Medical Services during the five-year period (2013 - 2018) were included in the study. Chief complaints and demographic data were collected and categorized into overarching systemic categories. Result Among 1393 patients, majority were female (60.4%) and the most common age group was 20-29 years. The most common reason for calling ambulances was gastrointestinal problem (22.6%). Similarly, respiratory (17%), obstetric and gynecological (15.2%), trauma (12.7%) and neurological (9.6%) problems were other common reasons. The number of respiratory problem was increased during the winter season. The overall percentage of patients arriving at hospital with trauma problems was increased steadily, but it was not statistically significant. Conclusion Gastrointestinal problem was the most common reason, followed by respiratory and obstetric and gynecological problems for summoning ambulances services in the hilly regions of Nepal. The incidence of respiratory problem significantly increased during the winter season.
与其他发展中国家一样，尼泊尔缺乏统一的全国性紧急医疗服务系统。然而，过去十年中救护车服务举措的出现为院前护理展现了光明的前景。尼泊尔救护车服务（成立于2011年）和杜利凯尔紧急医疗服务（成立于2013年）是尼泊尔现有的紧急医疗服务举措。目的：描述尼泊尔山区杜利凯尔医院中，杜利凯尔紧急医疗服务所运送患者呼叫救护车的原因及患者的人口统计学特征。方法：本研究纳入了杜利凯尔紧急医疗服务在2013年至2018年这五年间在杜利凯尔医院运送的1393份患者记录。收集主要症状和人口统计学数据，并将其归类为总体系统类别。结果：在1393名患者中，大多数为女性（60.4%），最常见的年龄组为20至29岁。呼叫救护车最常见的原因是胃肠道问题（22.6%）。同样，呼吸问题（17%）、妇产科问题（15.2%）、创伤问题（12.7%）和神经问题（9.6%）是其他常见原因。冬季呼吸问题的数量有所增加。因创伤问题入院的患者总体百分比稳步上升，但无统计学意义。结论：在尼泊尔山区，胃肠道问题是呼叫救护车服务最常见的原因，其次是呼吸问题和妇产科问题。冬季呼吸问题的发病率显著增加。
