Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study

BMC Emergency Medicine

Research

Uzma Rahim Khan¹  Asher Feroze¹  Nukhba Zia¹  Hira Shahzad¹  Sumera Iram¹  Jabeen Fayyaz²  Junaid Abdul Razzak³  Sabir Ali⁴  Mohammed Umer Mir⁵  Shirin Wadhwaniya⁶  Adnan A Hyder⁶ 

[1] Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan;Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan;The author was based in Department of Emergency Medicine, Aga Khan University, at the time of writing of the manuscript, Karachi, Pakistan;Department of Emergency Medicine, John Hopkins School of Medicine, Baltimore, MD, USA;The author was based in Department of Emergency Medicine, Aga Khan University, at the time of writing of the manuscript, Karachi, Pakistan;Department of Emergency Medicine, Mayo Hospital, Lahore, Pakistan;Global Health Systems & Development, Tulane University School of Public Health, New Orleans, LA, USA;The author was based in Department of Emergency Medicine, Aga Khan University, at the time of writing of the manuscript, Karachi, Pakistan;Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;

关键词: Fall injuries;    emergency department;    surveillance;    Pakistan;   

DOI  :  10.1186/1471-227X-15-S2-S3

来源: Springer

【 摘 要 】

BackgroundWe aimed to analyse the frequency and patterns of fall-related injuries presenting to the emergency departments (EDs) across Pakistan.MethodsPakistan National Emergency Departments surveillance system collected data from November 2010 to March 2011 on a 24/7 basis using a standardized tool in seven major EDs (five public and two private hospitals) in six major cities of Pakistan. For all patients presenting with fall-related injuries, we analysed data by intent with focus on unintentional falls. Simple frequencies were run for basic patient demographics, mechanism of falls, outcomes of fall injuries, mode of arrival to ED, investigations, and procedures with outcomes.ResultsThere were 3335 fall-related injuries. In cases where intent was available, two-thirds (n = 1186, 65.3%) of fall injuries were unintentional. Among unintentional fall patients presenting to EDs, the majority (76.9%) were males and between 15-44 years of age (69%). The majority of the unintentional falls (n = 671, 56.6%) were due to slipping, followed by fall from height (n = 338, 28.5%). About two-thirds (n = 675, 66.6%) of fall injuries involved extremities, followed by head/neck (n = 257, 25.4%) and face (n = 99, 9.8%). Most of the patients were discharged from the hospital (n = 1059, 89.3%). There were 17 (1.3%) deaths among unintentional fall cases.ConclusionFalls are an important cause of injury-related visits to EDs in Pakistan. Most of the fall injury patients were men and in a productive age group. Fall injuries pose a burden on the healthcare system, especially emergency services, and future studies should therefore focus on safety measures at home and in workplaces to reduce this burden.

【 授权许可】

CC BY   
© Fayyaz et al. 2015