Factors Associated with 24 Hours Mortality of Traumatic Patients in Chiang Rai Province, Thailand
DOI:
https://doi.org/10.14456/jemst.2022.7Keywords:
trauma dead, injury severity score (ISS), revised trauma score (RTS), Glasgow coma scale (GCS))Abstract
Trauma is a major health problem throughout the world, leading to death and disability. Many resources are being used to treat traumatic patients. If correctable factors can be identified, the mortality could be reduced significantly. This study aimed to analyze the factors association with mortality in traumatic patients. A retrospective cohort study was conducted in adults ≥18 years old who visited the emergency department with trauma and were triaged to ESI level 1. The samples were divided into 2 groups: a 24-hour survival group and a 24-hour no survival group, which were compared by age, sex, underlying diseases, etiology of trauma, organ of injury, patient transfer method, mechanism of injury, late admission from the onset, and traumatic scores (including GCS, RTS and ISS). Laboratory studies include hematocrit level, platelet level, and INR level. The significant factors were analyzed by using univariable and multivariable analysis in a logistic regression. As for the results, the patients in each group were: the survival group (N=317, 79.25%) and the 24- hour non survival group (N = 83, 20.75%). After adjusting for factors significantly related to the outcome, it was found that death cases due to trauma were more likely associated with diabetes mellitus, head injury, GCS≤8, RTS 15, patient transfer time ≥240 min, hematocrit 15 and INR ≥1.5 as possible risk factors associated with traumatic patient mortality.
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