Epidemiology of physical trauma at Dhulikhel hospital in Nepal - a 10 week survey
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Background: Dhulikhel Hospital (DH) is a Nepalese community hospital serving approximately 1 million people in the district of Kavre and its neighbouring areas. DH also provides services to outreach centres all over Nepal. Trauma is one of the commonest reasons to seek healthcare in this region. Objective: Analyze the epidemiology of trauma at Dhulikhel Hospital. Materials and methods: This is a descriptive study including all trauma patients who arrived at the emergency room in DH between 04.02.2011 and 02.04.2011. The demographics, clinical history, mechanism and severity of injury, treatment, length of hospital stay and mortality was recorded. Results: 369 patients were included in the study. The mean age was 30 years and 47% of the patients were ≤25 years. The male to female ratio was 2,1:1. The major mechanism of accidents were falls 42%, followed by road traffic accidents 34%. 22,5% of the patients were admitted, out of these 72% had surgery. 8% of the patients were transferred to another hospital. The mortality was 0,3%. Conclusion: In the Kavre region of Nepal trauma related injury is an important cause for morbidity among the young population, as almost half of the patients were ≤25 years old . The care received at Dhulikhel seems expedient and of high quality, with a low mortality rate. However the lack of diagnostic tools like a functioning CT scanner forces the doctors at Dhulikhel hospital to transfer patients to hospitals in Kathmandu, causing delay in treatment.