Open AccessThe Factors Related to Death of Trauma Preventable Death Patients in Rajavithi Hospital
Author(s) -
T. Nopmanee,
C. Sukrom,
U. Teerachai,
D. Jirapong,
K. Nirutchara
Publication year - 2021
Publication title -
asian journal of medicine and health
Language(s) - English
Resource type - Journals
ISSN - 2456-8414
DOI - 10.9734/ajmah/2021/v19i530327
Subject(s) - medicine , cause of death , injury severity score , logistic regression , mortality rate , blunt trauma , emergency department , disease , emergency medicine , injury prevention , poison control , surgery , psychiatry
Aims: To study the factors related to death of traumatic preventable death patients with probability of survival score more than 0.75
Methodology: A 1:4 case-control study was conducted on traumatic preventable death patients with probability of survival score more than 0.75 who received treatment at the Emergency Department and was admitted in Rajavithi Hospital between 2015 and 2018. Data were retrieved from Rajavithi trauma registry. Statistical analysis using Chi-square test, student t-test, and Multiple logistic regression was employed for factors associated with death of trauma.
Results: There were 36 cases (death) and 150 controls (survivors). In cases group, 21 (61.1%) were male with mean age of 61.36±20.23 years. 26 (72.2%) had underlying diseases. 22 (61.10%) of these injuries occurred at home. The cause of accidents are categorized to fall injury occurring 21 (58.3%), and blunt mechanism of injury 35 (97.20%). The mean Injury Severity Score was 17.81±9.66. Factors significantly associated with increased death are age (Adjust OR: 1.05 (1.01-1.08), P = .02), pulse rate (Adjusted OR): 1.05 (1.01-1.08), P = .01), underlying disease (Adjusted OR): 12.0 (2.29-62.88), and Injury Severity Score (Adjusted OR): 1.29 (1.16-1.43), P < .001)
Conclusion: The factors related to death of traumatic preventable death patients with probability of survival score more than 0.75 were age, pulse rate, underlying disease, and Injury Severity Score.