Survival Factors of Trauma Patients in Trauma Fast Track
Survival Factors of Trauma Patients
Keywords:
survival factors, trauma patients, Trauma Fast Track, Emergency DepartmentAbstract
Trauma is one of the leading causes of death which several factors impact survivability. This
retrospective cross-sectional study aimed to analyze the association between factors in fast-track trauma
patients who visit the Emergency Department (ED), Buddhachinaraj Phitsanulok Hospital between April 2017
to July 2019. The sampling criteria included penetrating injury of the chest or abdomen with unstable
vital signs, vascular injury with active bleeding, or blunt injury of the chest or abdomen with unstable vital
signs and/or positive FAST results. The sample size was done by a 80% power analysis method and 288
patients were included. The data were collected via document detailing factors and outcomes of the
treatment. The data were analyzed by chi-square and Fisher's exact test with statistically significant level
at 0.05. The results showed probability of survival, mode of arrival, mechanism of injury and treatment
were statistically significant difference to survivability; but neither gender, age, time to surgery nor time to
refer provided the difference. In conclusion, to improve survivability, the assessment and referral system and
quality of care should be improved and standardized.
References
2. Kruengchai S. Concept and nursing principle for trauma and emergency patient. Lampang: Baromarajonani College of Nursing, Nakhon Lampang; 2013.
3. Tulwattana T. Initial management in trauma. Bangkok: Department of Surgery, Faculty of Medicine, Srinakharinwirot University; 2011.
4. Buddhachinaraj Phitsanulok Hospital. STEMI fast track, stroke fast track, trauma fast track and applying Tele-med system using EMS [online]. 2018 [cited 2018 August 18]. Available from: URL: https://www.ryt9.com/s/prg/2932892
5. National Institute for Emergency Medicine. Emergency medical ACT B.E. [online]. 2008 [cited 2018 August 18]. Available from: URL:https://www.niems.go.th/1/upload/migrate/file/255601101636362435_c2ps85DUy7tpW0yp.pdf
6. Department of Medical Service. Guideline for ER service delivery. Nonthaburi: Ministry of Public Health; 2018.
7. Ministry of Public Health. Handbook of using injury monitoring form in the province level. Nonthaburi: Bureau of Epidemiology, Department of Disease Control; 2007.
8. Bernard R. Fundamentals of biostatistics. 5th ed. Duxbery: Thomson Learning; 2000. p.384-5.
9. Wichiya S. Factors related to the using of the emergency medical system in the emergency and critically ill patient patients in Fang hospital. Chiangrai Med J 2018;10(1);93-102.
10. Wongvatanakij P, Tadadej C, Meyai A, Suriyawongpaisal P. Relation of factors on survival outcomes among traumatic patients at the tertiary care hospital admitted for traffic accidents in Phuket Province. Srinagarind Med J 2019;34(1):52-9.
11. Pons PT, Markovchick VJ. Eight minutes or less: does the ambulance response time guideline impact trauma patient outcome?. J Emerg Med 2002;23(1):43-8.
12. Sanchez-Mangas R, Garc a-Ferrrer A, de Juan A, Arroyo AM.The probability of death in road traffic accidents. How important is a quick medical response? Accident Anal Prev 2010;42(4):1048-56.
13. Gonzalez RP, Cummings GR, Phelan HA, Mulekar MS, Rodning CB. Does increased emergency medical services prehospital time affect patient mortality in rural motor vehicle crashes? A statewide analysis. Am J Surg 2009;197(1):30-4.
14. Klaysubun C. Effect of development of trauma system on outcome of major trauma patients in Prachinburi Province. BJM 2018;5(1):29-35.
