Department of Orthopaedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Nepal.
Department of Medical Records, National Trauma Center, Nepal.
J Nepal Health Res Counc. 2021 Apr 23;19(1):158-161. doi: 10.33314/jnhrc.v19i1.3425.
Emergency Department of National Trauma Center Nepal Center is the only specialized trauma care hospital in Nepal, in operation since 2012. Traumatic injury is one of the major causes for mortality worldwide. This study aims to see the epidemiology, pattern of injuries and outcome of the patients presenting to the emergency room.
After getting ethical approval, we included all patients presenting to the Emergency Department with at least one injury, between Jan 2018 to Dec 2020. Informations on age, gender, mechanism of injury and outcome was abstracted for all patients presenting to the emergency department. Data were extracted from hospital database with the permission of hospital authority.
Total of 49991 patients presented to emergency department with different types of injuries. Among them 7792 (14.0%) needed hospital admission. Fall and road crashes comprised almost 80% of admitted cases. Mortality was 2.1% of admitted patients, mostly with head injuries followed by multiple injuries.
Among the patient visiting the trauma center during the study period most common mechanism of the injury were fall and road crash with head and neck injury. Majority of the patients were only managed in the ward without surgery.
尼泊尔国家创伤中心急救科是尼泊尔唯一一家专门的创伤治疗医院，自 2012 年以来一直在运营。创伤是全球范围内导致死亡的主要原因之一。本研究旨在观察到急诊室就诊患者的流行病学、损伤模式和结果。
获得伦理批准后，我们纳入了 2018 年 1 月至 2020 年 12 月期间至少有一处损伤到急诊就诊的所有患者。我们从医院数据库中提取了所有到急诊就诊的患者的年龄、性别、损伤机制和结果等信息，获得了医院当局的许可。
共有 49991 名患者因不同类型的损伤到急诊就诊。其中 7792 名（14.0%）需要住院治疗。跌倒和道路交通碰撞占住院病例的近 80%。住院患者的死亡率为 2.1%，主要死于头部损伤和多发伤。
在研究期间访问创伤中心的患者中，最常见的损伤机制是跌倒和道路交通碰撞，主要损伤部位是头颈部。大多数患者仅在病房接受治疗，而无需手术。
