熊爪伤患者就诊于一家三级医疗中心外科的描述性横断面研究。
Bear Maul Injury among Patients Presenting to the Department of Surgery in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
机构信息
Department of General Surgery, Karnali Academy of Health Sciences, Chandannath, Jumla, Nepal.
Department of Orthopaedics, Karnali Academy of Health Sciences, Chandannath, Jumla, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2022 Dec 1;60(256):995-999. doi: 10.31729/jnma.7907.
INTRODUCTION
Bears are robust and agile wild creatures that can potentially inflict injuries. Black bears (Ursus thibetanus) are an inhabitant of the mountainous part of Nepal. Encounters between humans and bears generally occur in the bear-prevalent areas of Nepal and the world inflicting complex categorical injuries. The aim of the study was to find the prevalence of bear maul injury among patients presenting to the Department of Surgery in a tertiary care centre.
METHODS
A descriptive cross-sectional study was done in the Department of Surgery in a tertiary care centre from 1 August 2017 to 1 September 2022. Data was collected from the records of the Department of Surgery after receiving ethical approval from the Institutional Review Committee (Reference number: 078/79/38). The collected data included time of arrival in the hospital, type of bear, types of laceration, wound type, and demographic of patients. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.
RESULTS
Among 2980 patients presenting to the Department of Surgery, the prevalence of bear maul injury was 15 (0.50%) (0.25-0.75, 95% Confidence Interval). Of which, all had laceration injury, with the face and scalp 9 (60%) being the highest injured site. Autumn was the season attacked most in daytime.
CONCLUSIONS
The prevalence of bear maul injury was lower than in other studies done in similar settings.
KEYWORDS
bears; injuries; lacerations; Nepal; prevalence.
简介
熊是强壮而灵活的野生动物，它们可能会造成伤害。黑熊（Ursus thibetanus）是尼泊尔山区的一种动物。人类与熊的相遇通常发生在尼泊尔和世界上熊类出没的地区，造成复杂的分类伤害。本研究的目的是确定在一家三级保健中心的外科部门就诊的患者中熊爪伤的患病率。
方法
这是一项在一家三级保健中心的外科部门进行的描述性横断面研究，时间为 2017 年 8 月 1 日至 2022 年 9 月 1 日。在获得机构审查委员会的伦理批准（编号：078/79/38）后，从外科部门的记录中收集数据。收集的数据包括到达医院的时间、熊的类型、撕裂伤的类型、伤口类型和患者的人口统计学特征。使用方便抽样法。计算了点估计值和 95%置信区间。
结果
在 2980 名就诊于外科部门的患者中，熊爪伤的患病率为 15 例（0.50%）（0.25-0.75，95%置信区间）。其中，所有人都有撕裂伤，面部和头皮 9 例（60%）是受伤最高的部位。秋季是白天受攻击最多的季节。
结论
熊爪伤的患病率低于在类似环境中进行的其他研究。
关键词
熊；损伤；撕裂伤；尼泊尔；患病率。
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