尼泊尔一家三级护理医院急诊就诊损伤谱：描述性横断面研究。

Spectrum of Injury Presenting to Emergency Department in A Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study.

机构信息

Department of Emergency Medicine and General Practice, Nepal Medical College and Teaching Hospital, Attarkhel, Kathmandu, Nepal.

Clinical Pharmacist, Nepal Medical College and Teaching Hospital, Attarkhel, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2020 Sep 27;58(229):664-667. doi: 10.31729/jnma.5248.

DOI:10.31729/jnma.5248

PMID:33068087

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7580327/

Abstract

INTRODUCTION

Injury is one of the major global public health problems causing significant number of death and disability. The study aims to study the epidemiological and clinical profile of patients presented in emergency department with injury.

METHODS

This was a descriptive cross-sectional study conducted in a tertiary care hospital from September 2019 to February 2020 after obtaining ethical approval from Institutional review board (reference number 007-076/077). A convenient sampling method was applied. Epidemiological factors, chronological factors, causes of injury, anatomical distribution, pattern of injury were studied. Statistical analysis was done using statistical package for the social sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

RESULTS

Out of 197 patients, 72 (36.5%) patients had fall followed by road traffic accident 57 (28.9%). Of total, 80 (40.6%) had injury at home and 80 (40.6%) had cut injury. Head and neck accounted for 66 (33.5%) of total injury followed by upper Extremities 50 (25.4%) and lower extremities 47 (23.9%). Eighty-seven (44.2%) of the patients visited emergency within 30 minutes of sustained injury.

CONCLUSIONS

The top three leading causes of injuries visiting emergency department were: fall, Road Traffic Accident and physical assaults respectively. The most common mode was fall being cut as most common pattern. Head and neck was the most commonest site of injury. The common place of injury was home.

摘要

简介

损伤是全球主要公共卫生问题之一，导致大量死亡和残疾。本研究旨在研究因损伤就诊于急诊科的患者的流行病学和临床特征。

方法

这是一项在获得机构审查委员会（参考号 007-076/077）伦理批准后，于 2019 年 9 月至 2020 年 2 月在一家三级护理医院进行的描述性横断面研究。应用便利抽样法。研究了流行病学因素、时间因素、损伤原因、解剖分布、损伤类型。使用社会科学统计软件包 20 进行统计分析。计算了 95%置信区间的点估计值以及二项数据的频率和比例。

结果

在 197 名患者中，有 72 名（36.5%）患者因跌倒，其次是道路交通意外 57 名（28.9%）。在所有患者中，有 80 名（40.6%）在受伤在家，有 80 名（40.6%）有切割伤。头部和颈部占总损伤的 66 例（33.5%），其次是上肢 50 例（25.4%）和下肢 47 例（23.9%）。87 名（44.2%）患者在受伤后 30 分钟内就诊于急诊科。