Factors associated with the severity of injured patients and epidemiology of mass casualty traffic incidents in Lampang, Thailand

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Published: Jul 6, 2020
Keywords:
mass casualty incidents traffic triage accident prevention diaster planning

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Noppadon Seesuwan
Emergency department,LPH

Abstract

Title: Factors associated with the severity of injured patients and epidemiology of mass casualty traffic incidents in Lampang, Thailand


Background: To effectively reduce the burden of Mass Casualty Incidents (MCIs) from road traffic injuries, preparedness and prevention should be based on MCIs’ characteristics and factors associated with the severity.


Methods: Extracted the record of all traffic MCIs that involved three or more casualties in Lampang between Jan 1, 2012 - Dec 31, 2019. Compared characteristics by severity: expectant, immediate, urgent, and delayed respectively. The factors of severity are investigated using a multilevel ordered logistic regression model.


Results: Ninety-six incidents and six hundred and sixty-one casualties were identified from mass casualty traffic incidents. Number of expectants, immediate, urgent, and delayed casualties were 56 (8.5%), 96 (14.5%), 249 (37.7%) and 260 (39.3%) respectively. Most casualties were male (n=344, 52%). There were five factors associated the severity of casualties were age more than forty-five years old (OR†, 2.77; 95% CI, 1.66-4.65; p<0.001), occur in night shift (OR†, 3.36; 95% CI, 1.22-9.30; p=0.019), pickup trucks (OR†, 2.15; 95% CI, , 1.01-4.59; p= 0.047), northern zone (OR†, 3.41; 95% CI, 0.86-13.44; p=0.080) and holiday (OR†, 2.07; 95% CI, 0.95-4.47; p=0.065).


Conclusion: Drivers should be aware of these conditions and drive carefully if involved these conditions while driving.

Article Details

Issue
Vol. 12 No. 1 (2020): Chiangrai Medical Journal Vol.12 Issue 1 January - April
Section
Original Articles

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