Observational studyPloS one2018
Impact of 2015 earthquakes on a local hospital in Nepal: A prospective hospital-based study.
Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Pathophysiology-guided biomarkers and therapeutics for precision trauma medicine in polytrauma with musculoskeletal injuries.Military Medical Research · 2026Review
- Demographic and clinical features of extremity crush injuries resulting from entrapment under the rubble: an orthopedic perspective.Archives of orthopaedic and trauma surgery · 2025Article
- Management of earthquake-related acute renal injury.World journal of nephrology · 2025Article
- Components and entities of post-disaster damage and loss assessment program in healthcare sector: a scoping review.BMC public health · 2024Article
- Post-disaster damage and loss assessment in the Iranian healthcare sector: a qualitative interview study.BMC public health · 2024Article
- The impact of natural disasters on healthcare and surgical services in low- and middle-income countries.Annals of medicine and surgery (2012) · 2023Article
- Evaluation of musculoskeletal injuries after the 2023 Kahramanmaras earthquake: A local hospital experience.Joint diseases and related surgery · 2023Article
- The Outcome of Orthopedics Treatment of Lombok Earthquake Victim 2018: A Cohort of One-Year Follow-Up Study-Lesson Learned After Lombok Earthquake.Orthopedic research and reviews · 2023Article
- "Recovering, not recovered" Hospital disaster resilience: a case-study from the 2015 earthquake in Nepal.Global health action · 2022Article
- Disaster risk management challenges in military hospitals: A qualitative study.Journal of education and health promotion · 2022Article
- Healthcare and education networks interaction as an indicator of social services stability following natural disasters.Scientific reports · 2021Article
- Burden of injuries in Nepal, 1990-2017: findings from the Global Burden of Disease Study 2017.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2020Article
- Iranian's healthcare system challenges during natural disasters: the qualitative case study of Kermanshah earthquake.BMC emergency medicine · 2020Article
- Tropical cyclone Fani-perspective from the trauma and emergency department of an affected tertiary hospital.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2020Article
- Pediatric Patients in a Local Nepali Emergency Department: Presenting Complaints, Triage and Post-Discharge Mortality.Global pediatric health · 2020Article
- Presenting complaints and mortality in a cohort of 22 000 adult emergency patients at a local hospital in Nepal.Journal of global health · 2019Observational
- Towards resilient health systems: opportunities to align surgical and disaster planning.BMJ global health · 2019Review
- Clinical and demographic profile of admitted victims in a tertiary hospital after the 2015 earthquake in Nepal.PloS one · 2019Article
- A Study of Surgical Cases During Earthquake Disaster in A Medical College.JNMA; journal of the Nepal Medical AssociationArticle
- Surgical and critical care management of earthquake musculoskeletal injuries and crush syndrome: A collective review.Turkish journal of emergency medicineReview
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNatural 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.
methodsThis 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.
resultsA 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.
conclusionThe 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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