Top

International Journal of Emergency Medicine

Published in:

Open Access 01-12-2016 | Original Research

Usefulness of hospital emergency department records to explore access to injury care in Nepal

Authors: Santosh Bhatta, Puspa Raj Pant, Julie Mytton

Published in: International Journal of Emergency Medicine | Issue 1/2016

Abstract

Background

Injuries are a major public health problem worldwide. Despite increasing morbidity and mortality from injuries in Nepal, it is not recognised in the government’s policy and programmes and few population-based studies have been published. This study describes the usefulness of hospital emergency department records to explore access to injury care in Nepal.

Methods

A retrospective ED-based study was conducted at a governmental hospital in Nepal to review the routinely collected data for 1 year (1 January 2010 to 31 December 2010). The study was designed to provide cross-sectional data to describe the distribution of injuries by age, gender, ethnic group and injury mechanism.

Results

Results showed that twice as many males as females attended the emergency department (14.6 vs. 7.0 per 1000), attendance varied by age with most (39.8 %) attendances in young adults of working age and over half of attendances were from just two ethnic groups (Brahmin (26 %) and Tamang (25.5 %). Road traffic injuries were the most common cause of injury (37.6 %).

Conclusions

This study therefore showed the feasibility of using routinely collected hospital emergency department data to monitor injury inequalities in Nepal.

Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman AF, Rivara F, Bartolomeos K. World report on child injury prevention 2008. Geneva: World Health Organization; 2008. p. 203.

Nepal country overview 2011 [http://go.worldbank.org/4IZG6P9JI0].

Global burden of disease cause patterns [http://vizhub.healthdata.org/gbd-cause-patterns/].

Ministry of Health and Population. Nepal health sector programme—implementation plan (NHSP-IP). Kathmandu: Ministry of Health and Population; 2004.

Joshi SK, Shrestha S. A study of injuries and violence related articles in Nepal. JNMA; journal of the Nepal Medical Association. 2009;48(175):209–16.PubMed

Towner E, Towner J. Child injury in a changing world. Global Public Health. 2009;4(4):402–13.CrossRefPubMed

Ministry of Health and Population. The annual report of the Department of Health Services (2010/11). Kathmandu: Ministry of Health and Population; 2012.

Council NHR. Epidemiological study on injury and violence in Nepal. Nepal Health Research Council: Kathmandu; 2009.

Sharma G, Shrestha PK, Wasti H, Kadel T, Ghimire P, Dhungana S. A review of violent and traumatic deaths in Kathmandu, Nepal. Int J Inj Contr Saf Promot. 2006;13(3):197–9.CrossRefPubMed

10.

Sharma GK. Leading causes of mortality from diseases and injury in Nepal: a report from national census sample survey. Journal of Institute of Medicine. 2006;28(1):7–11.

11.

Jha N. Road traffic injuries: and emerging problem in Nepal. JNMA; journal of the Nepal Medical Association. 2005;44(160):156–9.PubMed

12.

Pant P, Towner E, Ellis M, Pilkington P. Inequalities in child injuries in Nepal: findings of a community based survey in Makwanpur [abstract]. Injury Prevention. 2012;18 Suppl 1:A99.CrossRef

13.

Statistical information [http://ddcmakwanpur.gov.np/].

14.

Central Bureau of Statistics. District profile of Makwanpur district. Hetauda: District Statistics Office for Makwanpur and Dhading; 2005. p. 66.

15.

Hetauda Community Eye Hospital [http://www.tilganga.org/index.php/programs/hetauda-community-eye-hospital].

16.

Government of Nepal. Initial environmental examination (IEE) report on sanitation and sewerage subproject of Hetauda municipality. Hetauda: Urban and Environmental Improvement Project IUEIP; 2007.

17.

Gellner DN. Caste, ethnicity and inequality in Nepal. Econ Polit Wkly. 2007;42:1823–8.

18.

Ogendi J, Ayisi J. Causes of injuries resulting in a visit to the emergency department of a Provincial General Hospital, Nyanza, western Kenya. Afr Health Sci. 2012;11:2.

19.

Joshi SK, Shrestha S. Economic and social burden due to injuries and violence in Nepal: a cross-sectional study. Kathmandu University medical journal. 2009;7(28):344–50.

20.

Nantulya VM, Reich MR. Equity dimensions of road traffic injuries in low- and middle-income countries. Inj Control Saf Promot. 2003;10(1–2):13–20.CrossRefPubMed

21.

Nantulya VM, Sleet DA, Reich MR, Rosenberg M, Peden M, Waxweiler R. Introduction: the global challenge of road traffic injuries: can we achieve equity in safety? Inj Control Saf Promot. 2003;10(1–2):3–7.CrossRefPubMed

22.

Banthia P, Koirala B, Rauniyar A, Chaudhary D, Kharel T, Khadka SB. An epidemiological study of road traffic accident cases attending emergency department of teaching hospital. JNMA; journal of the Nepal Medical Association. 2006;45(162):238–43.PubMed

23.

Khadka SB. A study of poisoning cases in emergency Kathmandu medical college teaching hospital. Kathmandu Univ Med J (KUMJ). 2005;3(4):388–91.

24.

Liu EH, Khatri B, Shakya YM, Richard BM. A 3 year prospective audit of burns patients treated at the Western Regional Hospital of Nepal. Burns. 1998;24(2):129–33.CrossRefPubMed

Title: Usefulness of hospital emergency department records to explore access to injury care in Nepal
Authors: Santosh Bhatta
Puspa Raj Pant
Julie Mytton
Publication date: 01-12-2016
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Emergency Medicine / Issue 1/2016
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI: https://doi.org/10.1186/s12245-016-0120-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Usefulness of hospital emergency department records to explore access to injury care in Nepal

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2016

Cross-cultural challenges in assessing medical professionalism among emergency physicians in a Middle Eastern Country (Bahrain): feasibility and psychometric properties of multisource feedback

Unusual side effect of cannabis use: acute abdomen due to duodenal perforation

Funding global emergency medicine research—from seed grants to NIH support

The readiness of emergency and trauma care in low- and middle-income countries: a cross-sectional descriptive study of 42 public hospitals in Albania

Bifrontal brain abscesses secondary to orbital cellulitis and sinusitis extension

Analysis of trauma admission data at an urban hospital in Maputo, Mozambique