Impact of 2015 earthquakes on a local hospital in Nepal: A prospective hospital-based study.
Impact of 2015 earthquakes on a local hospital in Nepal: A prospective hospital-based study.
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DOI：
10.1371/journal.pone.0192076
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Solligård E
中科院分区：
文献类型：
--
作者：
Giri S;Risnes K;Uleberg O;Rogne T;Shrestha SK;Nygaard ØP;Koju R;Solligård E
自然灾害对卫生系统和个人卫生设施构成巨大挑战。在资源匮乏的环境中，备灾系统往往很有限并且没有得到很好的描述。 2015 年，尼泊尔在 17 天内发生了两次毁灭性地震。本研究旨在描述当地医院急诊病例的负担和分布情况。这是一项前瞻性观察性研究，对象为 2015 年 4 月 25 日地震后前往当地医院就诊的患者，为期 21 天。所有患者的人口统计和临床信息均前瞻性地登记在系统紧急登记处。入院 90 天后随机抽取患者进行系统电话访谈。期间共登记急诊患者2003人。前五天的平均每日急诊患者人数 (n = 150) 几乎是事件发生前每日平均人数 (n = 35) 的五倍。大多数损伤为骨折 (58%)，其中 348 例 (56%) 发生在下肢。医院共实施了345例外科手术，收治了111名地震重伤患者（隔间综合症、挤压伤、内伤）。跟踪采访的受访者中，90%以上表示受地震影响严重；房屋完全损坏、居住在临时住所或失去亲密的家庭成员。医院在最初几天的病例量非常高，大多数患者需要骨科服务。重伤者和院内死亡的比例相对较低，可能表明最重伤者没有及时到达医院。这些经验强调需要强大且易于获得的当地卫生服务来应对灾害。
Natural disasters pose a great challenge to the health systems and individual health facilities. In low-resource settings, disaster preparedness systems are often limited and not been well described. Two devastating earthquakes hit Nepal within a 17-days period in 2015. This study aims to describe the burden and distribution of emergency cases to a local hospital. This is a prospective observational study of patients presenting to a local hospital for a period of 21 days following the earthquake on April 25, 2015. Demographic and clinical information was prospectively registered for all patients in the systematic emergency registry. Systematic telephone interviews were conducted in a random sample of the patients 90 days after admission to the hospital. A total of 2,003 emergency patients were registered during the period. The average daily number of emergency patients during the first five days was almost five times higher (n = 150) than the pre-incident daily average (n = 35). The majority of injuries were fractures (58%), 348 (56%) in the lower extremities. A total of 345 surgical procedures were performed and the hospital treated 111 patients with severe injuries related to the earthquake (compartment syndrome, crush injury, and internal injury). Among those with follow-up interviews, over 90% reported that they had been severely affected by the earthquakes; complete house damage, living in temporary shelter, or loss of close family member. The hospital experienced a very high caseload during the first days, and the majority of patients needed orthopaedic services. The proportion of severely injured and in-hospital deaths were relatively low, probably indicating that the most severely injured did not reach the hospital in time. The experiences underline the need for robust and easily available local health services that can respond to disasters.
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影响因子：
5.2
作者：
Lee, A. C. K.
通讯作者：
Lee, A. C. K.
影响因子：
2.3
作者：
Amundsen, M. S.;Kirkeby, T. M. G.;Risnes, K.
通讯作者：
Risnes, K.
影响因子：
2.6
作者：
Bar-On, Elhanan;Blumberg, Nehemia;Bader, Tarif
通讯作者：
Bader, Tarif
2013 年中国芦山地震后军队医院患者的医疗努力和受伤模式：回顾性研究
DOI：
10.3390/ijerph120910723
发表时间：
2015-08-31
影响因子：
--
作者：
Kang P;Tang B;Liu Y;Liu X;Liu Z;Lv Y;Zhang L
通讯作者：
Zhang L
影响因子：
5.2
作者：
Adhikari B;Mishra SR;Raut S
通讯作者：
Raut S