Factors Associated with the Mortality Rate in Trauma Patients in the Luntom EMS Center, Queen Savang Vadhana Memorial Hospital
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Abstract
BACKGROUND: Death from injuries is a major problem in Thailand; consequently, an emergency medical service system in the country has been developed. As a result, appropriate and expeditious initial treatment to injured patients at the scene of an accident would reduce the mortality rate.
OBJECTIVES: This study aimed to assess the mortality rate and significant predictors of the mortality rate in trauma patients in the Luntom EMS Center, Queen Savang Vadhana Memorial Hospital, Chon Buri Province, Thailand at discharge time.
METHODS: A retrospective cohort study was conducted between October 1, 2018 and September 30, 2020. The collected data were statistically assessed with multivariable logistic regression analysis.
RESULTS: The sample comprised a total of 152 trauma patients consisting of 75.8% males with a mean age of 39.1 years old. The morality rate counted from the discharge time was 45.5%, and the factors associated with the overall hospital mortality rate were Glasgow Coma Scale (GCS), Injury Severity Score (ISS) and respiratory rate. This result could explain a 56.1% prediction of in-hospital mortality. The equation was able to predict hospital mortality with an accuracy of 89.4% and area under curve (AUC) of 0.946 (95%CI: 0.907–0.985).
CONCLUSIONS: GCS, ISS and respiratory rate were able to accurately predict the likelihood of death relative to previous studies. Furthermore, GCS and respiratory rate were the factors that could be easily and quickly assessed. As such, these factors could improve the appropriate decision-making for prehospital treatment and transportation to the definitive care hospital.
Thaiclinicaltrials.org number, TCTR 20211214001
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