Fall Injuries in Nepal: A Countrywide Population-based Survey

Background: An estimated 424,000 fatal falls occur globally each year, making falls the second leading cause of unintentional injury-related deaths after road traffic injuries. More than 80% of fall-related fatalities occur in low- and middle-income countries. Data from low-income South Asian countr...

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Autores principales:	Shailvi Gupta, Shyam Kumar Gupta, Sagar Devkota, Anju Ranjit, Mamta Swaroop, Adam L. Kushner, Benedict C. Nwomeh, Gregory P. Victorino
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2015
Materias:	global surgery falls trauma developing countries Nepal Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/abca06d20a1c44819f44586a31417949
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spelling	oai:doaj.org-article:abca06d20a1c44819f44586a314179492021-12-02T02:20:29ZFall Injuries in Nepal: A Countrywide Population-based Survey2214-999610.1016/j.aogh.2015.07.004https://doaj.org/article/abca06d20a1c44819f44586a314179492015-12-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1485https://doaj.org/toc/2214-9996Background: An estimated 424,000 fatal falls occur globally each year, making falls the second leading cause of unintentional injury-related deaths after road traffic injuries. More than 80% of fall-related fatalities occur in low- and middle-income countries. Data from low-income South Asian countries like Nepal are lacking, particularly at the population level. The aim of this study was to provide an estimate of fall-injury prevalence and the number of fall injury-related deaths countrywide in Nepal and to describe the epidemiology of fall injuries in Nepal at the community level. Methods: A countrywide <a title="Learn more about Cross Sectional Study" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cross-sectional-study">cross-sectional study</a> was performed in 15 of the 75 districts in Nepal using the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey tool. The SOSAS survey gathers data in 2 sections: demographic data, including the household’s access to health care and recent deaths in the household, and assessment of a representative spectrum of surgical conditions, including injuries. Data was collected regarding an individuals’ experience of injury including road traffic injuries, falls, <a title="Learn more about Penetrating trauma" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/penetrating-trauma">penetrating trauma</a>, and burns. Data included anatomic location, timing of injury, and whether health care was sought. If health care was not sought, the reason for barrier to care was included. Descriptive statistics were used to analyze the data. Results: Of 2695 individuals from 1350 households interviewed, 141 reported injuries secondary to falls (5.2%; 95% confidence interval [CI], 4.4%–6.1%), with a mean age of 30.7 years; 58% were male. Falls represented 37.2% of total injuries (n = 379) reported (95% CI, 32.3%–42.3%). Twelve individuals who suffered from a fall injury were unable to access <a title="Learn more about Surgical Care" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/surgical-care">surgical care</a> (8.5%; 95% CI, 4.5%–14.4%). Reasons for barrier to care included no money for health care (n = 3), facility/personnel not available (n = 7), and fear/no trust (n = 2).</p><p id="abspara0025">Of the 80 recent deaths reported, 7 were due to fall injury (8.8%; 95% CI, 3.6%–17.2%), and patients had a mean age of 46 years (SD 22.8). Surgical care was not delivered to those who died for the following reasons: no time (n = 4), facility/personnel not available (n = 1), fear/no trust (n = 1), and no need (n = 1). Conclusion: The Nepal SOSAS study provides countrywide, population-based data on fall-injury prevalence in Nepal and has identified falls as a crucial public health concern. These data highlight persistent barriers to access to care for the injured and the need to improve trauma care systems in developing countries such as Nepal.Shailvi GuptaShyam Kumar GuptaSagar DevkotaAnju RanjitMamta SwaroopAdam L. KushnerBenedict C. NwomehGregory P. VictorinoUbiquity Pressarticleglobal surgeryfallstraumadeveloping countriesNepalInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 4, Pp 487-494 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	global surgery falls trauma developing countries Nepal Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	global surgery falls trauma developing countries Nepal Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Shailvi Gupta Shyam Kumar Gupta Sagar Devkota Anju Ranjit Mamta Swaroop Adam L. Kushner Benedict C. Nwomeh Gregory P. Victorino Fall Injuries in Nepal: A Countrywide Population-based Survey
description	Background: An estimated 424,000 fatal falls occur globally each year, making falls the second leading cause of unintentional injury-related deaths after road traffic injuries. More than 80% of fall-related fatalities occur in low- and middle-income countries. Data from low-income South Asian countries like Nepal are lacking, particularly at the population level. The aim of this study was to provide an estimate of fall-injury prevalence and the number of fall injury-related deaths countrywide in Nepal and to describe the epidemiology of fall injuries in Nepal at the community level. Methods: A countrywide <a title="Learn more about Cross Sectional Study" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cross-sectional-study">cross-sectional study</a> was performed in 15 of the 75 districts in Nepal using the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey tool. The SOSAS survey gathers data in 2 sections: demographic data, including the household’s access to health care and recent deaths in the household, and assessment of a representative spectrum of surgical conditions, including injuries. Data was collected regarding an individuals’ experience of injury including road traffic injuries, falls, <a title="Learn more about Penetrating trauma" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/penetrating-trauma">penetrating trauma</a>, and burns. Data included anatomic location, timing of injury, and whether health care was sought. If health care was not sought, the reason for barrier to care was included. Descriptive statistics were used to analyze the data. Results: Of 2695 individuals from 1350 households interviewed, 141 reported injuries secondary to falls (5.2%; 95% confidence interval [CI], 4.4%–6.1%), with a mean age of 30.7 years; 58% were male. Falls represented 37.2% of total injuries (n = 379) reported (95% CI, 32.3%–42.3%). Twelve individuals who suffered from a fall injury were unable to access <a title="Learn more about Surgical Care" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/surgical-care">surgical care</a> (8.5%; 95% CI, 4.5%–14.4%). Reasons for barrier to care included no money for health care (n = 3), facility/personnel not available (n = 7), and fear/no trust (n = 2).</p><p id="abspara0025">Of the 80 recent deaths reported, 7 were due to fall injury (8.8%; 95% CI, 3.6%–17.2%), and patients had a mean age of 46 years (SD 22.8). Surgical care was not delivered to those who died for the following reasons: no time (n = 4), facility/personnel not available (n = 1), fear/no trust (n = 1), and no need (n = 1). Conclusion: The Nepal SOSAS study provides countrywide, population-based data on fall-injury prevalence in Nepal and has identified falls as a crucial public health concern. These data highlight persistent barriers to access to care for the injured and the need to improve trauma care systems in developing countries such as Nepal.
format	article
author	Shailvi Gupta Shyam Kumar Gupta Sagar Devkota Anju Ranjit Mamta Swaroop Adam L. Kushner Benedict C. Nwomeh Gregory P. Victorino
author_facet	Shailvi Gupta Shyam Kumar Gupta Sagar Devkota Anju Ranjit Mamta Swaroop Adam L. Kushner Benedict C. Nwomeh Gregory P. Victorino
author_sort	Shailvi Gupta
title	Fall Injuries in Nepal: A Countrywide Population-based Survey
title_short	Fall Injuries in Nepal: A Countrywide Population-based Survey
title_full	Fall Injuries in Nepal: A Countrywide Population-based Survey
title_fullStr	Fall Injuries in Nepal: A Countrywide Population-based Survey
title_full_unstemmed	Fall Injuries in Nepal: A Countrywide Population-based Survey
title_sort	fall injuries in nepal: a countrywide population-based survey
publisher	Ubiquity Press
publishDate	2015
url	https://doaj.org/article/abca06d20a1c44819f44586a31417949
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Fall Injuries in Nepal: A Countrywide Population-based Survey

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