Clinical and demographic profile of admitted victims in a tertiary hospital after the 2015 earthquake in Nepal

Autor: Xavier Banse, Sunil Singh Thapa, Dan Constantin Putineanu, Deepak Prakash Mahara, Benjamin-Samuel Schlüter, Debarati Guha-Sapir, R. K. Singh, Joris Adriaan Frank van Loenhout, Maria Moitinho de Almeida, Karunesh Kumar
Přispěvatelé: UCL - SSS/IRSS - Institut de recherche santé et société, UCL - SSH/IACS - Institute of Analysis of Change in Contemporary and Historical Societies, UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur, UCL - (SLuc) Centre du cancer
Rok vydání: 2019
Předmět:
Male
Critical Care and Emergency Medicine
medicine.medical_treatment
Medical Records
Tertiary Care Centers
Geographical Locations
0302 clinical medicine
Medicine and Health Sciences
Medicine
030212 general & internal medicine
Young adult
Child
Trauma Medicine
Multidisciplinary
Medical record
Hazard ratio
Head injury
General Medicine
Middle Aged
Hospitals
Hospitalization
Head Injury
Child
Preschool
Crush injury
Female
Anatomy
General Agricultural and Biological Sciences
Traumatic Injury
Plastic Surgery and Reconstructive Techniques
Research Article
Adult
medicine.medical_specialty
Asia
Adolescent
Science
Genetics and Molecular Biology
Surgical and Invasive Medical Procedures
History
21st Century
03 medical and health sciences
Young Adult
Nepal
Earthquakes
Humans
Demography
Proportional Hazards Models
business.industry
Proportional hazards model
Infant
Newborn
Infant
Biology and Life Sciences
030208 emergency & critical care medicine
medicine.disease
Otolaryngological Procedures
Log-rank test
Health Care
lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]
Amputation
Health Care Facilities
General Biochemistry
Emergency medicine
People and Places
Disaster Victims
business
Head
Neck
Zdroj: PLoS One, 14, 7
PLoS ONE
PLoS One, 14
PLoS ONE, Vol 14, Iss 7, p e0220016 (2019)
PloS one, Vol. 14, no. 7, p. e0220016 [1-13] (2019)
ISSN: 1932-6203
Popis: Contains fulltext : 208400.pdf (Publisher’s version ) (Open Access) BACKGROUND: In 2015, an earthquake killing 9,000 and injuring 22,000 people hit Nepal. The Tribhuvan University Teaching Hospital (TUTH), a reference tertiary hospital, was operational immediately after the earthquake. We studied the profile of earthquake victims admitted in TUTH and assessed what factors could influence hospital length of stay. METHODS: An earthquake victim dataset was created based on patient records, with information on sex, age, date of admission and discharge, diagnosis, and surgical intervention. We performed an initial descriptive overview of the earthquake victims followed by a time-to-event analysis to compare length of hospital stay in different groups, using log rank test and cox regression to calculate Hazard Ratios. RESULTS: There were in total 501 admitted victims, with the peak of admissions occurring on the fifth day after the earthquake. About 89% had injury as main diagnosis, mostly in lower limbs, and 66% of all injuries were fractures. Nearly 69% of all patients underwent surgery. The median length of hospital stay was 10 days. Lower limb and trunk injuries had longer hospital stays than injuries in the head and neck (HR = 0.68, p = 0.009, and HR = 0.62 p = 0.005, respectively). Plastic surgeries had longer hospital stays than orthopaedic surgeries (HR = 0.57 p = 0.006). Having a crush injury and undergoing an amputation also increased time to discharge (HR = 0.57, p = 0.013, and HR = 0.65 p = 0.045 respectively). CONCLUSIONS: Hospital stay was particularly long in this sample in comparison to other studies on earthquake victims, indirectly indicating the high burden TUTH had to bear to treat these patients. To strengthen resilience, tertiary hospitals should have preparedness plans to cope with a large influx of injured patients after a large-scale disaster, in particular for the initial days when there is limited external aid.
Databáze: OpenAIRE
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