PATTERN OF INJURY AND MORTALITY IN A PEDIATRIC PATIENTS ATTENDING EMERGENCY DEPARTMENT OF BPKIHS

INTRODUCTION AND OBJECTIVE:Injury represents a major and increasing global health concern. Historically, infectious diseases have accounted for a large majority of childhood morbidity in low and middle-income countries (LMICs). This trend is transitioning, and according to the World Health Organization (WHO), injuries are now the leading cause of death among people ages 1-40. The WHO reports that 950,000 deaths a year in people less than 18 years of age are attributable to injuries, with 95% of these deaths occurring in LMICs.METHOD:This is a retrospective cross sectional study done in Emergency Department of B.P.Koirala Institute of Health Sciences. All Pediatric patients aged less than 16 years were included in this study with history of Trauma from January 1st 2013 to 31st December 2013.The details of the patient were taken from computerized medical records of the hospital. Demographic data, Pattern of injury, Mode of injury, Diagnosis and outcomes were tabulated in Microsoft excel. RESULT AND CONCLUSION:During one year period there were total 3958 pediatrics patient enrolled in this study with history of Trauma presented in emergency Department. Male: Female=3.6:1,Mean age 9.6±3.2 years, fall injury & RTAs common modes and fractures of limbs, soft tissue injuries and cut injuries were common patterns. About the outcomes, Total 66.6% were discharged from emergency, 32.4% were admitted. Mortality was only 1 %( p