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Changes in patient admissions after the 2015 Earthquake: a tertiary hospital-based study in Kathmandu, Nepal.
Moitinho de Almeida, Maria; Schlüter, Benjamin-Samuel; van Loenhout, Joris Adriaan Frank; Thapa, Sunil Singh; Kumar, K C; Singh, Ravikant; Guha-Sapir, Debarati; Mahara, Deepak Prakash.
Afiliação
  • Moitinho de Almeida M; Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, University of Louvain. 30, clos chapelle-aux-champs, 1200, Brussels, Belgium. maria.rodrigues@uclouvain.be.
  • Schlüter BS; Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, University of Louvain. 30, clos chapelle-aux-champs, 1200, Brussels, Belgium.
  • van Loenhout JAF; Center for Demographic Research (DEMO), University of Louvain, Louvain-la-Neuve, 1348, Belgium.
  • Thapa SS; Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, University of Louvain. 30, clos chapelle-aux-champs, 1200, Brussels, Belgium.
  • Kumar KC; Department of Orthopedics, Tribhuvan University Teaching Hospital. Maharajgunj Rd, Kathmandu, 44600, Nepal.
  • Singh R; Tribhuvan University Teaching Hospital. Maharajgunj Rd, Kathmandu, 44600, Nepal.
  • Guha-Sapir D; Doctors for You India, Natwar Parikh Compound, Near India Oil Nagar, Govandi. Mumbai, 400043, Maharashtra, India.
  • Mahara DP; Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, University of Louvain. 30, clos chapelle-aux-champs, 1200, Brussels, Belgium.
Sci Rep ; 10(1): 4956, 2020 03 18.
Artigo em Inglês | MEDLINE | ID: mdl-32188901
ABSTRACT
Literature on earthquake impact on hospital admissions is lacking, particularly in low-resource settings. Our aim was to study the pattern of admissions before and after the 2015 earthquake in a tertiary hospital in Nepal. We used routine hospital data from 9,596 admissions, and defined four periods pre-earthquake (pre-EQ), acute (EQ1), post-acute (EQ2), and post-earthquake (post-EQ). We compared length of hospital stay (LOS) across the study periods using negative binomial regressions. We used logistic regressions to study changes in probability of admission for diagnostic categories, and Generalized Additive Models to model the difference in number of admissions compared to pre-EQ baseline. LOS was longer in EQ1 than during pre-EQ, in particular for injury-related admissions. In EQ1, the odds of injury admissions increased, while they decreased for the majority of other diagnoses, with the odds of pregnancy-related admissions remaining low until post-EQ. The number of admissions dropped in EQ1 and EQ2, and returned to pre-EQ trends in post-EQ, accumulating 381 admissions lost (CI 206-556). Our findings suggest that hospital disaster plans must not only foresee injury management after earthquakes, but also ensure accessibility, in particular for pregnant women, and promote a quick return to normality to prevent additional negative health outcomes.
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: Admissão do Paciente / Assistência à Saúde / Planejamento em Desastres / Serviço Hospitalar de Emergência / Terremotos / Centros de Atenção Terciária / Hospitalização Tipo de estudo: Determinantes_sociais_saude / Estudo prognóstico Aspecto: Determinantes_sociais_saude Limite: Adolescente / Adulto / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino / Meia-Idade / Recém-Nascido País/Região como assunto: Ásia Idioma: Inglês Revista: Sci Rep Ano de publicação: 2020 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: Admissão do Paciente / Assistência à Saúde / Planejamento em Desastres / Serviço Hospitalar de Emergência / Terremotos / Centros de Atenção Terciária / Hospitalização Tipo de estudo: Determinantes_sociais_saude / Estudo prognóstico Aspecto: Determinantes_sociais_saude Limite: Adolescente / Adulto / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino / Meia-Idade / Recém-Nascido País/Região como assunto: Ásia Idioma: Inglês Revista: Sci Rep Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Bélgica
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