Lancet CommissionInjury prevalence and causality in developing nations: Results from a countrywide population-based survey in Nepal
Section snippets
Methods
The SOSAS survey was executed countrywide in Nepal from May 25 to June 12, 2014. SOSAS is a cluster randomized cross-sectional survey, described in more detail previously.10 The SOSAS survey is divided into 2 sections. The first section collects demographic data regarding the household's access to health care and recent deaths in the household. If a household member died within the past year, further questions regarding health care received, access to operative care, barriers to operative care,
Results
A total of 1,350 households and 2,695 individuals were surveyed, with a response rate of 97%. A total of 379 injuries were reported in 354 individuals (13.1%, 95% CI 11.9–14.5%), with a mean age of 32.6 (95% CI 30.7–34.6). Of these 379 injuries, 76 were reported within the past year (20.1%, 95% CI 16.1–24.4%). Demographic data of respondents and individuals who reported at least 1 injury in his or her lifetime are shown in Table I. Using logistic regression, we found that injuries in Nepal were
Discussion
This study is the first nationwide, population-based assessment of the incidence of injuries in Nepal. We show a nonfatal injury prevalence of 13.1% and a fatal injury prevalence of 16.3% of total deaths. Extrapolating the aforementioned results to the country's population, we estimate the prevalence of nonfatal injuries to be 3.6 million, approximately 31,720 deaths annually are caused by injury, and that 19,460 injury-related deaths could be averted with access to operative care annually.
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