สถานการณ์การบาดเจ็บในหนึ่งทศวรรษของผู้บาดเจ็บที่มารับการรักษาพยาบาล ที่โรงพยาบาลนครปฐม

บทคัดย่อ

     The purposes of this retrospective descriptive analytical research were to study and summarize the situation and trend of the injury patients registering at Nakhonpathom hospital by analyzing all causes of accidents. The injury patients registering at Nakhonpathom hospital from January 1st, 2000 to December 31st, 2009 were analyzed by Injury surveillance program. The result found that total numbers of trauma patients for the last ten years were 192,616 (19,262 per year). Thirty five point six percent were admitted to the hospital (68,616 patients). There were 3,773 dead patients (377 per year). Forty two percent of the patients died before arrival to the hospital (DBA) and the fatality rate at emergency department (DER) were 5%. The remaining 53% died after admission (IPD). All types of injuries were increasing, especially from transportation (36.8%). Some types of injuries were more severe, but less in numbers such as drowning that had only 411 patients but 244 patients died (CFR 59.37%). This study showed that the ratio of men : women was 1.7 : 1. The most common age interval was 20-29 years old ( = 28.66, MEDIAN = 25) and the most common occupation of the injuries was laborer (42.97%), and the second most common was the student group (23.90%). Regarding the time of the accidents, this study found that the accidents occurred most often between 05.00-05.59 PM and most of the victims died between 07.00-07.59 PM. Most of the deaths used motorcycles and had head injuries which were associated with alcohol intaking and non compliance with helmet regulation. The study found an increasing trend in referring from comunity hospitals around in 19%. This study showed the improvement of primary care before referring. Those severe injured cases that had injury severity score: ISS higher than 15, the motality rate was 47.1%