High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre

Introduction: Lower extremity long bone, femoral and tibial shaft, fractures often have associated injuries. Patients with lower extremity long bone fractures in the Department of Orthopaedics can land up in high dependency unit admissions, mostly due to underlying complications. The study aimed to...

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Main Authors: Satish Prasad Barnawal, Bibek Banskota, Nitesh Raj Pandey, Saroj Rijal, Tarun Rajbhandari, Subhash Regmi, Ashok Kumar Banskota
Format: Article
Language:English
Published: Nepal Medical Association 2024-02-01
Series:Journal of Nepal Medical Association
Subjects:
Online Access:http://www.jnma.com.np/jnma/index.php/jnma/article/view/8430
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author Satish Prasad Barnawal
Bibek Banskota
Nitesh Raj Pandey
Saroj Rijal
Tarun Rajbhandari
Subhash Regmi
Ashok Kumar Banskota
author_facet Satish Prasad Barnawal
Bibek Banskota
Nitesh Raj Pandey
Saroj Rijal
Tarun Rajbhandari
Subhash Regmi
Ashok Kumar Banskota
author_sort Satish Prasad Barnawal
collection DOAJ
description Introduction: Lower extremity long bone, femoral and tibial shaft, fractures often have associated injuries. Patients with lower extremity long bone fractures in the Department of Orthopaedics can land up in high dependency unit admissions, mostly due to underlying complications. The study aimed to find out the prevalence of high dependency unit admissions among patients with lower extremity long bone fractures visiting the Department of Orthopaedics in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients with lower extremity long bone fractures in a tertiary care centre. The data from 1 March 2017 to 31 January 2020 was collected from the medical records from 1 August 2020 to 30 September 2020. All patients with femoral or tibial shaft fractures in isolation or a part of a multi-system injury were included. Patients with inadequate data were excluded. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 507 patients with lower extremity long bone fractures, 137 (27.55%) (23.66-31.44, 95% Confidence Interval) required high dependency unit admission. Among them, 119 (86.86%) were males. A total of 71 (51.82%) cases involved 2-wheelers. Conclusions: The prevalence of high dependency unit admission among patients with lower extremity long bone fractures was high and majority of them required multidisciplinary approach.
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spelling doaj.art-e6e18861d40d4a96a1594718695ef3b82024-03-10T06:15:44ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2024-02-016227010.31729/jnma.8430High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care CentreSatish Prasad Barnawal0Bibek Banskota1Nitesh Raj Pandey2 Saroj Rijal3Tarun Rajbhandari4Subhash Regmi5Ashok Kumar Banskota6Department of Orthopedic Surgery, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedic Surgery, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedic Surgery, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedic Surgery, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedic Surgery, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedic Surgery, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedic Surgery, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, Nepal Introduction: Lower extremity long bone, femoral and tibial shaft, fractures often have associated injuries. Patients with lower extremity long bone fractures in the Department of Orthopaedics can land up in high dependency unit admissions, mostly due to underlying complications. The study aimed to find out the prevalence of high dependency unit admissions among patients with lower extremity long bone fractures visiting the Department of Orthopaedics in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients with lower extremity long bone fractures in a tertiary care centre. The data from 1 March 2017 to 31 January 2020 was collected from the medical records from 1 August 2020 to 30 September 2020. All patients with femoral or tibial shaft fractures in isolation or a part of a multi-system injury were included. Patients with inadequate data were excluded. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 507 patients with lower extremity long bone fractures, 137 (27.55%) (23.66-31.44, 95% Confidence Interval) required high dependency unit admission. Among them, 119 (86.86%) were males. A total of 71 (51.82%) cases involved 2-wheelers. Conclusions: The prevalence of high dependency unit admission among patients with lower extremity long bone fractures was high and majority of them required multidisciplinary approach. http://www.jnma.com.np/jnma/index.php/jnma/article/view/8430femoral fracturesprevalencetibial fracturestraffic accidents
spellingShingle Satish Prasad Barnawal
Bibek Banskota
Nitesh Raj Pandey
Saroj Rijal
Tarun Rajbhandari
Subhash Regmi
Ashok Kumar Banskota
High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre
Journal of Nepal Medical Association
femoral fractures
prevalence
tibial fractures
traffic accidents
title High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre
title_full High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre
title_fullStr High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre
title_full_unstemmed High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre
title_short High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre
title_sort high dependency unit admissions among patients with lower extremity long bone fracture visiting the department of orthopaedics in a tertiary care centre
topic femoral fractures
prevalence
tibial fractures
traffic accidents
url http://www.jnma.com.np/jnma/index.php/jnma/article/view/8430
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