The Mortality Rate of Severe Head Injury
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Abstract
Background: Severe head injuries in Thailand, a mortality rate as high as 29 percent and lifelong disability for many patients. Sunpasitthiprasong hospital is the hospital that receives patients from severe head injuries within hospital in the province and all the neighboring provinces including neighboring countries such as Laos and Cambodia, due to the neighboring provinces no specialist medical or not sufficient to take care of patients, which transfer the patient to take longer, may affect treatment It brings to the study of the mortality of patients with severe head injuries, were transferred from the hospital in Ubon Ratchathani province and outside the province.
Objective: To compare the mortality rate of patients with severe head injuries were transferred from the hospitals in the province of Ubon Ratchathani and outside the province.
Setting: Department of Surgery, Sunprasitthiprasong hospital, Ubon Ratchathani
Study design: Descriptive retrospective study
Methods: A descriptive retrospective study was conducted by a retrospective review of 1,108 medical records and CT brain images from a data base on a computer system that were transferred to the Trauma center Sunpasitthiprasong hospital, Ubon Ratchathani province, since January 1, 2014- December 31, 2014.
Results: The study of severe head injury 1,108 patients. The results showed that most patients are men (80.1%), the crucial result is that a motorcycle accident (82.2%). Patients were transferred from community hospitals in the province 502 patients (45.3%) and transferred from neighboring provinces 606 patients (54.7%). เท comparison between the patients were transferred from the internal province of Ubon Ratchathani spent time an average at 4.5 hours and external province spent time an average at 7.4 hours, which the hospitals outside transferred patients spent more time insignificantly, (p-values = 0.03) the mortality rate of patients with severe head injury were transferred from the hospitals in Ubon Ratchathani province compared with the patients who were transferred from the hospitals outside the province is (19.1%) and (36.8%) respectively, (p-values = 0.01) showed that the mortality rates of both kinds of transfer ration have different significantly.
Conclusion: The mortality rate of patients with severe head injuries that transferred from hospitals outside the province has a high mortality rate than patients who were transferred from the hospitals in Ubon Ratchathani province statistically significantly,
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References
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