Aetioepidemiological profile of spinal injury patients in Eastern Nepal

2005 ◽  
Vol 35 (4) ◽  
pp. 231-233 ◽  
Author(s):  
S Lakhey ◽  
N Jha ◽  
B P Shrestha ◽  
S Niraula

This is a retrospective case series of 233 spinal injury patients admitted to the orthopaedic ward of BPKIHS from May 1997 to April 2001. The inpatient records were analysed. In all, 40.3% of spinal injuries resulted from falls from trees while cutting leaves for fodder, and 27.9% resulted from falls from first/second floors. More than 75% of total spinal injuries are largely preventable. Overall, 46.8% of our spinal injury patients had complete cord transection at the level of injury. All adolescents and adults, irrespective of age or sex, should be the target groups for community education and intervention programmes for prevention of spinal injury.

2018 ◽  
Vol 6 (2) ◽  
pp. 53-57
Author(s):  
Suraj Bajracharya

Background : Farm related and wild animals inflicted injuries in Orthopaedics is one of the major concern in developing countries like ours. As we don’t know much about such injuries, it would be landmark study for our country. Therefore, the study helps us know better about its epidemiological aspects.Materials & Methods: This prospective case series of farm related and wild animals inflicted injuries related to Orthopaedics, conducted from May 2006 to April 2008 at Department of Orthopaedics of B P Koirala Institute of Health Sciences, consisting of 87 patients admitted to the Orthopaedic ward, is presented. The preformed structured proforma were used to record the data and, later those records were analyzed.Results : 78 domestic related injuries and 9 wild animal related injuries were recorded in the recruitment period of two year. 23 femoral fractures, 14 humeral fractures, 11 Cervical spine injuries, 10 leg bone fractures, 9 forearm fractures were found. Fall from buffalo, Hit by buffalo were common cause of injuries in domestic related injuries whereas Hit / kick by elephant, attack by bear were causes of wild animal related injuries.Conclusion : This study concluded that all adolescents and adults, of all age group and sex, should be included in community education and intervention programmes for prevention of such injuries. The prevention of this type was necessary.Journal of Nobel Medical CollegeVolume 6, Number 2, Issue 11, July-December 2017, 53-57


2020 ◽  
Vol 173 ◽  
pp. 106163
Author(s):  
Malcolm Wilson ◽  
Bridget O'Connor ◽  
Nicholas Matigian ◽  
Geoffrey Eather

Author(s):  
Ahmed Fathy Sadek ◽  
Ezzat Hassan Fouly ◽  
Ahmad Fouad Abdelbaki Allam ◽  
Alaa Zenhom Mahmoud

2021 ◽  
pp. 175114372110121
Author(s):  
Stephen A Spencer ◽  
Joanna S Gumley ◽  
Marcin Pachucki

Background Critically ill children presenting to district general hospitals (DGH) are admitted to adult intensive care units (AICUs) for stabilisation prior to transfer to paediatric intensive care units (PICUs). Current training in PICU for adult intensive care physicians is only three months. This single centre retrospective case series examines the case mix of children presenting to a DGH AICU and a multidisciplinary survey assesses confidence and previous experience, highlighting continued training needs for DGH AICU staff. Methods all paediatric admissions to AICU and paediatric retrievals were reviewed over a 6-year period (2014-2019). Cases were identified from the Electronic Patient Record (EPR) and from data provided by the regional paediatric retrieval service. A questionnaire survey was sent to AICU doctors and nurses to assess confidence and competence in paediatric critical care. Results Between 2014-2019, 284 children were managed by AICU. In total 35% of cases were <1 y, 48% of cases were <2 y and 64% of cases were <5 y, and 166/284 (58%) children were retrieved. Retrieval reduced with increasing age (OR 0.49 [0.40-0.60], p < 0.0001). The survey had an 82% response rate, and highlighted that only 13% of AICU nurses and 50% of doctors had received prior PICU training. Conclusion At least one critically unwell child presents to the AICU each week. Assessment, stabilisation and management of critically unwell children are vital skills for DGH AICU staff, but confidence and competence are lacking. Formalised strategies are required to develop and maintain paediatric competencies for AICU doctors and nurses.


Author(s):  
C. Osborne ◽  
Y. A. Elce ◽  
L. Meehan ◽  
A. J. Davern ◽  
T. B. Lescun

Sign in / Sign up

Export Citation Format

Share Document