Compliance with Trauma Care Algorithms and Survival of Trauma Patients in Network of Private Hospitals in Thailand
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Abstract
OBJECTIVES: The study aimed to examine the correlation between compliance with trauma care algorithms and the survival of trauma patients within a network of private hospitals in Thailand.
MATERIALS AND METHODS: This retrospective study reviewed trauma registry data and medical records from twelve designated hospitals from January 1, 2019, to December 31, 2022. The study assessed compliance with trauma care algorithms for specific injuries and analyzed the association with survival rates, adjusting for injury severity using the Injury Severity Score (ISS).
RESULTS: Out of 2,592 trauma cases, 1,823 (70.33%) were included for analysis based on algorithm relevance. The study discovered that compliance (80-100%) with the trauma care algorithms was significantly associated with higher survival rates, particularly for severely injured patients (ISS 25-75). After adjusting for Injury Severity Score (ISS), the correlation’s 95% confidence interval (CI) was 2.48, with a significant p-value of 0.048, indicating a statistically significant improvement in survival rates with higher compliance levels.
CONCLUSION: Compliance with trauma care algorithms significantly impacts the survival rates of trauma patients. High compliance rates are associated with better outcomes, emphasizing the need for rigorous adherence to established care protocols in trauma management.
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