Abstract
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. 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. 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. 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.
Highlights
Injury is one of the major global public health problems causing significant number of death and disability
We have attempted to study about the demographic variables along with distribution, mode and patterns of injury of patients presented in emergency department
This descriptive cross-sectional study was conducted in Nepal Medical College Private Limited and Teaching Hospital (NMCTH) for a period of six months (September 2019 to February 2020)
Summary
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. Injuries is a most important global public health challenges causing significant mortality and permanent disability.. Rising trends of Injuries due to violence and accident accounts for about 8% of death in Nepal.. Thapa et al Spectrum of Injury Presenting to Emergency Department in A Tertiary Care Hospital in Nepal. Of injured patients presenting to emergency department support to develop and promote preventive measures and formulate clinical guidelines in the management of injured patient. We have attempted to study about the demographic variables along with distribution, mode and patterns of injury of patients presented in emergency department Injuries is a most important global public health challenges causing significant mortality and permanent disability. The burden of injuries is gradually rising and more devastating in developing countries due to rapid urbanization,industrialization,changing in life style, poorly built infrastructure, non maintained road system and limited prehospital and emergency care.
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