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Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance

BACKGROUND: Globally, injuries cause >5 million deaths annually and children and young people are particularly vulnerable. Injuries are the leading cause of death in people aged 5–24 years and a leading cause of disability. In most low-income and middle-income countries where the majority of glob...

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Autores principales: Magnus, Dan, Bhatta, Santosh, Mytton, Julie, Joshi, Elisha, Bhatta, Sumiksha, Manandhar, Sunil, Joshi, Sunil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543225/
https://www.ncbi.nlm.nih.gov/pubmed/34462264
http://dx.doi.org/10.1136/archdischild-2020-321198
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author Magnus, Dan
Bhatta, Santosh
Mytton, Julie
Joshi, Elisha
Bhatta, Sumiksha
Manandhar, Sunil
Joshi, Sunil
author_facet Magnus, Dan
Bhatta, Santosh
Mytton, Julie
Joshi, Elisha
Bhatta, Sumiksha
Manandhar, Sunil
Joshi, Sunil
author_sort Magnus, Dan
collection PubMed
description BACKGROUND: Globally, injuries cause >5 million deaths annually and children and young people are particularly vulnerable. Injuries are the leading cause of death in people aged 5–24 years and a leading cause of disability. In most low-income and middle-income countries where the majority of global child injury burden occurs, systems for routinely collecting injury data are limited. METHODS: A new model of injury surveillance for use in emergency departments in Nepal was designed and piloted. Data from patients presenting with injuries were collected prospectively over 12 months and used to describe the epidemiology of paediatric injury presentations. RESULTS: The total number of children <18 years of age presenting with injury was 2696, representing 27% of all patients presenting with injuries enrolled. Most injuries in children presenting to the emergency departments in this study were unintentional and over half of children were <10 years of age. Falls, animal bites/stings and road traffic injuries accounted for nearly 75% of all injuries with poisonings, burns and drownings presenting proportionately less often. Over half of injuries were cuts, bites and open wounds. In-hospital child mortality from injury was 1%. CONCLUSION: Injuries affecting children in Nepal represent a significant burden. The data on injuries observed from falls, road traffic injuries and injuries related to animals suggest potential areas for injury prevention. This is the biggest prospective injury surveillance study in Nepal in recent years and supports the case for using injury surveillance to monitor child morbidity and mortality through improved data.
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spelling pubmed-85432252021-11-10 Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance Magnus, Dan Bhatta, Santosh Mytton, Julie Joshi, Elisha Bhatta, Sumiksha Manandhar, Sunil Joshi, Sunil Arch Dis Child Global Child Health BACKGROUND: Globally, injuries cause >5 million deaths annually and children and young people are particularly vulnerable. Injuries are the leading cause of death in people aged 5–24 years and a leading cause of disability. In most low-income and middle-income countries where the majority of global child injury burden occurs, systems for routinely collecting injury data are limited. METHODS: A new model of injury surveillance for use in emergency departments in Nepal was designed and piloted. Data from patients presenting with injuries were collected prospectively over 12 months and used to describe the epidemiology of paediatric injury presentations. RESULTS: The total number of children <18 years of age presenting with injury was 2696, representing 27% of all patients presenting with injuries enrolled. Most injuries in children presenting to the emergency departments in this study were unintentional and over half of children were <10 years of age. Falls, animal bites/stings and road traffic injuries accounted for nearly 75% of all injuries with poisonings, burns and drownings presenting proportionately less often. Over half of injuries were cuts, bites and open wounds. In-hospital child mortality from injury was 1%. CONCLUSION: Injuries affecting children in Nepal represent a significant burden. The data on injuries observed from falls, road traffic injuries and injuries related to animals suggest potential areas for injury prevention. This is the biggest prospective injury surveillance study in Nepal in recent years and supports the case for using injury surveillance to monitor child morbidity and mortality through improved data. BMJ Publishing Group 2021-11 2021-08-30 /pmc/articles/PMC8543225/ /pubmed/34462264 http://dx.doi.org/10.1136/archdischild-2020-321198 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Global Child Health
Magnus, Dan
Bhatta, Santosh
Mytton, Julie
Joshi, Elisha
Bhatta, Sumiksha
Manandhar, Sunil
Joshi, Sunil
Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance
title Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance
title_full Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance
title_fullStr Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance
title_full_unstemmed Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance
title_short Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance
title_sort epidemiology of paediatric injuries in nepal: evidence from emergency department injury surveillance
topic Global Child Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543225/
https://www.ncbi.nlm.nih.gov/pubmed/34462264
http://dx.doi.org/10.1136/archdischild-2020-321198
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