Patterns of Injury and Mortality in Pediatric Patients Attending Emergency Department in a Tertiary Care Center in Eastern Nepal

  • Pramendra Prasad Gupta Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Gyanendra Bahadur Malla Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Rabin Bhandari Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Rosan Prasad Shah Kalawar Department of Orthopedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Madan Mandal Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
Keywords: Fractures, Injury, Pediatric Trauma


Introduction: Trauma is a major and increasing global health concern in the recent world is now the leading cause of death among people less than 18 years old.
Methods: This is a retrospective cross sectional study done in Emergency Department of B.P.Koirala Institute of Health Sciences. Patients aged less than 16 years were included with history of Trauma from January 1st 2013 to 31st December 2013.The details of patient were taken from computerized medical records of the hospital. The data Demographic data, Pattern of injury, Mode of injury, Diagnosis and outcomes were tabulated in Microsoft excel.
Results: Total 3958 pediatrics patient were enrolled in this study. Male: Female=3.6:1,Mean age 9.6±3.2 years, fall injury & RTAs common modes and fractures of limbs, soft tissue injuries and cut injuries were common patterns.
Conclusions: Injury is a serious problem for children in Low Income countries like Nepal.



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Original Article