Survival Analysis and the Relationship between Injury Severity through Emergency Management, and Medical Outcomes in Traffic Accident Patients at Samchai Hospital, Kalasin Province
Keywords:
Traffic accidents, Survival analysis, Emergency managementAbstract
This research aimed to 1) analyze the survival rate and factors affecting the survival of traffic accident patients admitted to Samchai Hospital, Kalasin Province, and 2) examine the relationship between injury severity and emergency management and medical outcomes. The study employed a retrospective analytical design, collecting data from 96 traffic accident patients admitted to Samchai Hospital between October 2023 and July 2024 using the injury surveillance database. Data analysis used Kaplan-Meier Survival Analysis, Cox Proportional Hazards Model, and Pearson's correlation coefficient.
The results showed that most patients were male (84.21%), with a mean age of 32.42. The average Injury Severity Score (ISS) was 7.84, and the average Revised Trauma Score (RTS) was 3.38. The mean survival time was 28.422 days, with a survival rate exceeding 90%. Age, gender, and injury severity did not significantly affect survival. Injury severity (ISS) was positively correlated with appropriate blood transfusion and proper immobilization but negatively correlated with inappropriate intravenous fluid or medication administration. Injury severity (RTS) was positively correlated with appropriate blood transfusion and the occurrence of complications.
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