Browsing by Author "Rokaya, Poojan Kumar"
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Publication Epidemiology of Spinal Trauma and Related Complication(Nepal Health Research Council, 2023) Kathayat, Tufan Singh; Rokaya, Poojan Kumar; Rawal, Mangal; Marasini, Pawan; Karki, Prashanna Dip; Nath, MohanAbstract Background: Traumatic spinal injury is leading cause of mortality and morbidity among the people of productive age group. This study aim to find the cause of spinal injury, site ,and mode of injury, treatment option given so that a preventive measures and create awareness among people of this region. Methods: This is a prospective observation study done in Karnali Academy of Health Sciences from December 2021 to January 2023. Performa was filled to collect data. Data were entered in excel sheet and transported to SPSS 16.0 and statistical analysis was done . Results: Out of 117 patients male population had higher incidence of spinal trauma (69.2%) with average age 43.9 years . Fall injury was the commonest mode of injury. 65.8% had injury at the thoracolumbar junction followed by lumbar, thoracic and cervical respectively. Cervical injury patients had higher incidence of neurological deficit. The average duration of trauma to hospital presentation was 10.9±11.2 hours. 19.7 % were operated and 6.8 % of patients were referred to other center. Conclusions: Fall injury being the commonest mode of injury in this art of world, prevention and awareness should be raised about the spinal trauma and its consequences. Adequate equipment with health facilities to the distant hospital may reduce the referral rate and duration of presentation to the hospital which ultimately prevent the further damage to the cord. Keywords : Fall Injury; spinal trauma; western Nepal.Publication Prevalence of Spinal Injuries among Autopsied Cases of Traumatic Deaths(Nepal Health Research Council, 2024) Acharya, Apurba; Bhattarai, Kushal; Rokaya, Poojan Kumar; Aryal, Umesh Raj; Kaphle, Sushma; Bista, Binamra; Khatiwada, AmitBackground: Traumatic deaths, resulting from spinal injuries are significant issue in Nepal. The study aims to assess the prevalence of spinal injuries amongst the traumatic death cases brought in for autopsy in Jumla and to provide their socio-demographic profile. Methods: This is a descriptive cross-sectional study done in Karnali Academy of Health Sciences (KAHS) from 16th July 2021 to 16th July 2023 incorporating all the traumatic deaths brought for autopsy. The data was collected using a proforma which included the modality of trauma, spinal involvement, seasons associated with trauma and demographic variables of the deceased. The data was analyzed using both Microsoft excel and SPSS 23.0. Results: A total of 55 cases were brought for autopsy following traumatic death with road traffic accident (45.45%) and fall injuries (29.1%) being the most common mode of trauma. Among all traumatic deaths, 29.1% cases presented with spinal injuries. The cervical spine (68.8%) was the most commonly affected spine followed by thoracic (12%), lumbar spine (6.3%) and two cases with multiple spinal involvement. Of all the spinal injury cases in traumatic deaths, the highest and the lowest number of cases occurred during spring and summer season respectively. Conclusions: Traumatic deaths caused by spinal injuries after fall and road traffic accidents is a common phenomenon in Jumla. Thus, timely preventive measures associated with these deaths needs to be addressed to reduce them. Keywords: Autopsy; deaths; Jumla; spinal injuries; trauma.