Factors Associated with Mortality in Severe Traumatic Brain Injury Patients at King Narai Hospital

Abstract

     This study was retrospective study aimed to explore the factors associated with mortality in severe traumatic brain injury (TBI) patients at King Narai hospital. Conducted between 1 October 2018 to 30 September 2022. The purposive sampling technique was used following criteria which included 318 severe traumatic injury patients who diagnosed and received treatment at King Narai hospital. The instruments of this study were case record form. Data analysis was performed using descriptive statistics and multiple logistic regression.

     The study found that the majority of participants were male (n=216, 69.72%) , the age ranged from 31-45 years (n=204, 64.16%) and the leading causes of road traffic injury (n=198, 62.26%) . The clinical characteristics were diagnosed with epidural hematoma (n=208, 58.81%), and blunt trauma (n=193, 60.69%). Factors associated with mortality in severe TBI patients were age > 60 years (OR=9.71, 95%CI 7.48 – 11.54, p<0.001) , without EMS transport to hospital (OR=2.95, 95%CI 1.08 – 4.29, p<0.001) , Consumed alcohol (OR=4.31, 95%CI 2.32 – 8.01, p<0.001), without wearing safety devices (OR=2.06, 95%CI 1.17 – 2.38, p<0.001), and surgical blood loss ≥ 750ml (OR=12.71, 95%CI 3.64 – 95.67, p<0.001).