The Factors Related to Death of Trauma Preventable Death Patients in Rajavithi Hospital
T. Nopmanee *
Emergency Department, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
C. Sukrom
OrthopedicDepartment, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
U. Teerachai
General Surgery Department, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
D. Jirapong
Radiology Department, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
K. Nirutchara
Outpatient Nursing Department, Rajavithi Hospital, Bangkok, Thailand.
*Author to whom correspondence should be addressed.
Abstract
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.
Keywords: Trauma registry, probability of survival score, geriatric trauma, raumatic Preventable Death (TPD), Injury Severity Score (ISS)