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One hundred injured patients a day: multicenter emergency room surveillance of trauma in Pakistan.
Hyder, A A; He, S; Zafar, W; Mir, M U; Razzak, J A.
Afiliación
  • Hyder AA; Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: ahyder1@jhu.edu.
  • He S; Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: siranhe@gmail.com.
  • Zafar W; Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan. Electronic address: waleedzafar@hotmail.com.
  • Mir MU; Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan. Electronic address: mir.umer@gmail.com.
  • Razzak JA; Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan. Electronic address: junaid.razzak@jhu.edu.
Public Health ; 148: 88-95, 2017 Jul.
Article en En | MEDLINE | ID: mdl-28431334
OBJECTIVES: Injuries increasingly contribute to the global burden of disease in low- and middle-income countries. This study presents results from a large-scale surveillance study on injury from several urban emergency departments (EDs) in Pakistan. The objective is to document the burden of injuries that present to the healthcare system in Pakistan and to test the feasibility of an ED-based injury and trauma surveillance system. STUDY DESIGN: Cross-sectional study conducted using active surveillance approach. METHODS: This study included EDs of seven tertiary care hospitals in Pakistan. The data were collected between November 2010 and March 2011. All patients presenting with injuries to the participating EDs were enrolled. The study was approved by the Institutional Review Boards of the Johns Hopkins School of Public Health, Aga Khan University, and all participating sites. RESULTS: The study recorded 68,390 patients; 93.8% were from the public hospitals. There were seven male for every three female patients, and 50% were 20-39 years of age. About 69.3% were unintentional injuries. Among injuries with a known mechanism (19,102), 51.1% were road traffic injuries (RTIs) and 17.5% were falls. Female, patients aged 60 years or older, patients transferred by ambulance, patients who had RTIs, and patients with intentional injuries were more likely to be hospitalized. CONCLUSION: The study is the first to use standardized methods for regular collection of multiple ED data in Pakistan. It explored the pattern of injuries and the feasibility to develop and implement facility-based systems for injury and acute illness in countries like Pakistan.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas y Lesiones / Vigilancia de la Población / Servicio de Urgencia en Hospital Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Risk_factors_studies / Screening_studies Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Región como asunto: Asia Idioma: En Revista: Public Health Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas y Lesiones / Vigilancia de la Población / Servicio de Urgencia en Hospital Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Risk_factors_studies / Screening_studies Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Región como asunto: Asia Idioma: En Revista: Public Health Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos