Background Globally, injuries cause >5 million deaths annually and children and young people are particularly vulnerable. Injuries are the leading cause of death in people aged 5–24 years and a leading cause of disability. In most low-income and middle-income countries where the majority of global child injury burden occurs, systems for routinely collecting injury data are limited. Methods A new model of injury surveillance for use in emergency departments in Nepal was designed and piloted. Data from patients presenting with injuries were collected prospectively over 12 months and used to describe the epidemiology of paediatric injury presentations. Results The total number of children <18 years of age presenting with injury was 2696, representing 27% of all patients presenting with injuries enrolled. Most injuries in children presenting to the emergency departments in this study were unintentional and over half of children were <10 years of age. Falls, animal bites/stings and road traffic injuries accounted for nearly 75% of all injuries with poisonings, burns and drownings presenting proportionately less often. Over half of injuries were cuts, bites and open wounds. In-hospital child mortality from injury was 1%. Conclusion Injuries affecting children in Nepal represent a significant burden. The data on injuries observed from falls, road traffic injuries and injuries related to animals suggest potential areas for injury prevention. This is the biggest prospective injury surveillance study in Nepal in recent years and supports the case for using injury surveillance to monitor child morbidity and mortality through improved data. Data are available on reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information. All data relevant to the study are included in the article or are available on reasonable request.

中文翻译：

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尼泊尔儿科损伤的流行病学：来自急诊科损伤监测的证据

背景 在全球范围内，伤害每年造成超过 500 万人死亡，儿童和年轻人尤其容易受到伤害。伤害是 5-24 岁人群死亡的主要原因，也是导致残疾的主要原因。在全球儿童伤害负担主要发生在大多数低收入和中等收入国家，常规收集伤害数据的系统是有限的。方法 设计并试行了一种用于尼泊尔急诊科的新伤害监测模型。来自受伤患者的数据是在 12 个月内前瞻性收集的，用于描述儿科损伤表现的流行病学。结果 总受伤儿童 18 岁以下为 2696 人，占所有入组受伤患者的 27%。在本研究中，急诊科儿童的大多数伤害是无意的，超过一半的儿童年龄小于 10 岁。跌倒、动物咬伤/蜇伤和道路交通伤害占所有伤害的近 75%，中毒、烧伤和溺水的比例较低。超过一半的伤害是割伤、咬伤和开放性伤口。因受伤而导致的住院儿童死亡率为 1%。结论 影响尼泊尔儿童的伤害是一个沉重的负担。跌倒伤害、道路交通伤害和与动物相关的伤害数据表明了潜在的伤害预防领域。这是尼泊尔近年来最大的前瞻性伤害监测研究，支持通过改进数据使用伤害监测来监测儿童发病率和死亡率的案例。可应合理要求提供数据。与研究相关的所有数据都包含在文章中或作为补充信息上传。与研究相关的所有数据都包含在文章中，或者可应合理要求提供。