Department of General Practice and Emergency Medicine, Patan Academy of Health Sciences, Lagankhel, Kathmandu, Nepal.
Departments of Global Health and Emergency Medicine, Icahn School of Medicine at Mount Sinai, Gustave L. Levy Pl, New York, United States of America.
JNMA J Nepal Med Assoc. 2024 Feb 24;62(270):72-75. doi: 10.31729/jnma.8423.
The majority of trauma-related deaths occur in low- and middle-income countries; however, limited data exists in these settings related to injury types and severity. The prevalence of trauma similar to our setting was less estimated. This study aimed to find the prevalence of traumatic injury among patients presented to the department of emergency medicine of a tertiary care centre.
This is a descriptive cross-sectional study conducted among patients presented to the Department of Emergency Medicine from 15 September 2021 to 14 September 2022. Ethical approval was taken from the Institutional Review Committee. World Health Organization trauma minimum data set, injury mechanism, types and patient disposition data were collected and injury severity scores were calculated. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Among 47,825 patients, 1,524 (3.19%) (3.03-3.34, 95% Confidence Interval) patients presented with a traumatic injury. A total of 967 (63.45%) were males and had a median age of 30 years (Interquartile range: 25). Most injuries were caused by falls 650 (42.65%), followed by road traffic accidents 411 (26.97%). A majority had minor Injury Severity Scores 1280 (83.99%).
The prevalence of traumatic injury among patients presenting to emergency was found to be lower than other studies done in similar settings.
emergency care; injuries and wounds; injury severity score; trauma unit.
大多数与创伤相关的死亡发生在中低收入国家；然而，这些环境中与伤害类型和严重程度相关的数据有限。类似我们环境中的创伤患病率估计较低。本研究旨在确定在三级保健中心的急诊部就诊的患者创伤性损伤的患病率。
这是一项描述性的横断面研究，在 2021 年 9 月 15 日至 2022 年 9 月 14 日期间在急诊部就诊的患者中进行。伦理批准来自机构审查委员会。收集了世界卫生组织创伤最小数据集、损伤机制、类型和患者处置数据，并计算了损伤严重程度评分。使用便利抽样法。点估计是在 95%置信区间计算的。
在 47825 名患者中，有 1524 名（3.19%）（3.03-3.34，95%置信区间）患者患有创伤性损伤。共有 967 名（63.45%）为男性，中位年龄为 30 岁（四分位间距：25）。大多数损伤是由跌倒引起的 650 例（42.65%），其次是道路交通伤害 411 例（26.97%）。大多数患者的伤害严重程度评分较低，为 1280 例（83.99%）。
在急诊就诊的患者中，创伤性损伤的患病率低于其他类似环境中的研究。
急救护理；伤害和创伤；损伤严重程度评分；创伤单位。
