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Clinical and demographic profile of admitted victims in a tertiary hospital after the 2015 earthquake in Nepal.
Moitinho de Almeida, Maria; van Loenhout, Joris Adriaan Frank; Thapa, Sunil Singh; Kumar, K C; Schlüter, Benjamin-Samuel; Singh, Ravikant; Banse, Xavier; Putineanu, Dan; Mahara, Deepak Prakash; Guha-Sapir, Debarati.
Afiliação
  • Moitinho de Almeida M; Centre for Research on the Epidemiology of Disasters (CRED), Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.
  • van Loenhout JAF; Centre for Research on the Epidemiology of Disasters (CRED), Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.
  • Thapa SS; Department of Orthopedics, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
  • Kumar KC; Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
  • Schlüter BS; Centre for Research on the Epidemiology of Disasters (CRED), Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.
  • Singh R; Doctors For You, Mumbai, Maharashtra, India.
  • Banse X; Service d'orthopédie et de traumatologie de l'appareil locomoteur, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
  • Putineanu D; Service d'orthopédie et de traumatologie de l'appareil locomoteur, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
  • Mahara DP; Department of Orthopedics, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
  • Guha-Sapir D; Centre for Research on the Epidemiology of Disasters (CRED), Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.
PLoS One ; 14(7): e0220016, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318948
ABSTRACT

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.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Tema em saúde: Objetivo 8: Surtos, emergências e desastres Base de dados: MEDLINE Assunto principal: Vítimas de Desastres / Terremotos / Centros de Atenção Terciária / Hospitalização Limite: Adolescente / Adulto / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino / Meia-Idade / Recém-Nascido País/Região como assunto: Ásia Idioma: Inglês Revista: PLoS One Assunto da revista: Ciência / Medicina Ano de publicação: 2019 Tipo de documento: Artigo País de afiliação: Bélgica

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Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Tema em saúde: Objetivo 8: Surtos, emergências e desastres Base de dados: MEDLINE Assunto principal: Vítimas de Desastres / Terremotos / Centros de Atenção Terciária / Hospitalização Limite: Adolescente / Adulto / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino / Meia-Idade / Recém-Nascido País/Região como assunto: Ásia Idioma: Inglês Revista: PLoS One Assunto da revista: Ciência / Medicina Ano de publicação: 2019 Tipo de documento: Artigo País de afiliação: Bélgica