Risk Factors for Mortality of Foreign Patients from Road Traffic Accidents Receiving at the Emergency Department, Mae Sot Hospital, Tak Province

Abstract

Road traffic accidents are a significant global issue. In Tak Province, foreign workers have been driven by the ASEAN Economic Community (AEC) policy to stimulate economic growth. These foreign workers have also led to various impacts such as road traffic accidents. Assessing the risk factors associated with mortality will contribute to develop the emergency medical service system and inform policies to reduce the mortality rate among these patients. The study aimed to study the risk factors for mortality of foreign patients from road traffic accidents who received service at the Emergency Department, Mae Sot Hospital, Tak Province. A retrospective cohort study collected data from all foreign patients involved in road traffic accidents who received services at the Emergency Department, Mae Sot Hospital, Tak Province during January 1, 2021 to December 31, 2023. Among the 651 participants, there were 35 deaths (5.38%). The risk factors for mortality in foreign patients from road traffic accidents showed that for every one-point decrease in the Triage revised trauma score (TRTS), the risk of death increased by 0.57 times (OR 0.57, CI 0.50-0.66, p<0.001). Additionally, factors that reduced mortality included patients who underwent surgery, which decreased the risk of death by 0.31 times (OR 0.31, CI 0.13-0.574, p=0.009). In conclusion, the Triage revised trauma score (TRTS) was the statistically significant risk factor affecting foreign patients' mortality from road traffic accidents and undergoing surgery is a factor that reduces the chance of death.