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Understanding the burden of injuries in Nepal: A systematic review of published studies

Mytton, Julie; Bhatta, Santosh; Thorne, Matthew ; Pant, Puspa

Authors

Matthew Thorne



Abstract

Background
The population of Nepal are vulnerable to injuries from natural disasters as well as those occurring in the home, at work and on the roads.

Aim
To collate and synthesise the published literature reporting injuries to people of any age resident in Nepal.

Method
We searched five electronic databases using an inclusive search strategy. Potentially eligible citations were screened by title and abstract and full texts of studies obtained. Data were extracted by two researchers. Synthesis was reported narratively by injury type and study design.

Results
We identified 186 publications reporting 176 unique studies. Most studies used designs likely to underestimate the true burden of disease, including 144 case series and 36 cross-sectional studies. No trials were identified. The largest number of publications were related to poisoning and self-harm with only 22 focussing on road traffic injuries. There was minimal exploration of inequalities in injury occurrence other than descriptive reporting by age and gender.

Conclusions
There is limited research using study designs at low risk of bias on injuries occurring to residents of Nepal, even on areas of concern such as road traffic injuries. The findings indicate a lack of robust epidemiological evidence to inform strategic approaches to injury prevention and suggest a need for capacity strengthening for injury prevention research.

Journal Article Type Article
Publication Date Dec 31, 2019
Publisher Cogent OA
Peer Reviewed Peer Reviewed
Volume 6
Issue 1
Article Number 1673654
APA6 Citation Mytton, J., Bhatta, S., Thorne, M., & Pant, P. (2019). Understanding the burden of injuries in Nepal: A systematic review of published studies. Cogent Medicine, 6(1), https://doi.org/10.1080/2331205X.2019.1673654
DOI https://doi.org/10.1080/2331205X.2019.1673654
Keywords injury, low and middle income countries, public health, narrative review, safety promotion
Publisher URL https://doi.org/10.1080/2331205X.2019.1673654

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Licence
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
© 2019 The Author(s). This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license.

You are free to: Share — copy and redistribute the material in any medium or format. Adapt — remix, transform, and build upon the material for any purpose, even commercially. The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms: Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. No additional restrictions You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.





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