Sociodemographic profile and injury characteristics among children attending emergency of hospitals in Makwanpur district, Nepal, April 2019–March 2020 (N=2696)
| Patient/Injury characteristics | N (%) | Rate/1000 children* | Patient/Injury characteristics | N (%) |
| Gender | Nature of injury (one most severe) | |||
| Male | 1778 (65.9) | 20.3 | Cuts, bites or open wound | 1378 (51.1) |
| Female | 918 (34.1) | 10.6 | Bruise or superficial injury | 383 (14.2) |
| Age groups (years) | Fracture | 299 (11.1) | ||
| 0–4 | 653 (24.2) | 17.1 | Sprain, strain or dislocation | 243 (9.0) |
| 5–9 | 866 (32.1) | 17.5 | Internal injury | 124 (4.6) |
| 10–14 | 680 (25.2) | 12.0 | Head injury/Concussion | 83 (3.1) |
| 15–17 | 497 (18.4) | 16.6 | Burns | 67 (2.5) |
| 0–17 | 2696 (100) | 15.5 | Other | 115 (4.3) |
| Ethnicity/Caste† | Unknown | 2 (0.1) | ||
| Janajati | 1384 (51.3) | – | Not recorded | 2 (0.1) |
| Brahmin/Chhetri | 892 (33.1) | – | Activities at the time injury occurred | |
| Dalit | 148 (5.5) | – | Leisure/Play | 1889 (70.1) |
| Madhesi | 146 (5.4) | – | Travelling (not to/from school/work) | 296 (11.0) |
| Muslim | 74 (2.7) | – | Work | 202 (7.5) |
| Others/Unknown | 52 (2.0) | – | Travelling (to/from school/work) | 184 (6.8) |
| Place where injury occurred | Education | 42 (1.6) | ||
| Home/Compound | 1576 (58.5) | – | Organised sports | 11 (0.4) |
| Highway/Road/Street | 636 (23.6) | – | Other | 52 (1.9) |
| School | 233 (8.6) | – | Unknown | 20 (0.7) |
| Recreational area | 138 (5.1) | – | Disposition | |
| Workplace | 76 (2.8) | – | Discharged | 2317 (85.9) |
| Other | 37 (1.4) | – | Admitted to hospital | 164 (6.1) |
| Severity of injury‡ | Transferred to another hospital | 179 (6.6) | ||
| No apparent injury | 125 (4.6) | – | Died | 21 (0.8) |
| Minor | 1645 (61.0) | – | Leave against medical advice | 11 (0.4) |
| Moderate | 813 (30.2) | – | Unknown | 2 (0.1) |
| Severe | 111 (4.1) | – | Not recorded | 2 (0.1) |
| Not recorded | 2 (0.1) | – | – | – |
*Rates calculated using population estimates for Makwanpur from the 2011 census. Census data do not enable reporting of rates by ethnicity/caste.
†Ethnicity/Caste classification as per Nepal Health Management Information System.
‡Injury severity was classified as ‘minor’ (superficial injury such as bruises or cuts), ‘moderate’ (injures requiring skilled treatment) or ‘severe’ (injures requiring intensive management) depending on the level of requirement for skilled emergency care intervention.