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Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control
CONTEXT: Head injuries are the leading cause of traumatic morbidity and mortality. Timely proper management can reduce the mortality rate. AIMS: This study aimed to examine the effects of a fast-track system on reducing head injury mortality using the data in Southern Thailand. SETTINGS AND DESIGN:...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8033212/ https://www.ncbi.nlm.nih.gov/pubmed/33850825 http://dx.doi.org/10.4103/IJCIIS.IJCIIS_92_19 |
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author | Arundon, Kanitha Anumas, Narumon Chunthong, Phakawat Cheevarungrod, Autthapol Phibalsak, Thanom Lim, Apiradee |
author_facet | Arundon, Kanitha Anumas, Narumon Chunthong, Phakawat Cheevarungrod, Autthapol Phibalsak, Thanom Lim, Apiradee |
author_sort | Arundon, Kanitha |
collection | PubMed |
description | CONTEXT: Head injuries are the leading cause of traumatic morbidity and mortality. Timely proper management can reduce the mortality rate. AIMS: This study aimed to examine the effects of a fast-track system on reducing head injury mortality using the data in Southern Thailand. SETTINGS AND DESIGN: A retrospective study of data from the medical records of severe head injury patients admitted to Hatyai Hospital from October 2012 to May 2017. SUBJECTS AND METHODS: The records of subjects were selected for participants aged more than 11 years, having Glasgow Coma Score (GCS) <9, no injuries in other organs, and neither hypoxemia nor hypotension. A total of 193 participants fulfilling these criteria were analyzed. Of these, 108 participants were managed in the fast track. STATISTICAL ANALYSIS USED: The fast-track group was compared with normal track participants by using logistic regression after preliminary analysis to identify the risk factors using the Chi-squared tests. RESULTS: After adjustment for confounders, namely acute subdural hematoma, linear skull fracture and diffuse brain injury, and mortality in the fast-track group (13%) was significantly lower than that in the nonfast track group (22.4%). CONCLUSIONS: Using the fast-track system can reduce mortality from severe head injuries and should be implemented in the health services system. |
format | Online Article Text |
id | pubmed-8033212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-80332122021-04-12 Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control Arundon, Kanitha Anumas, Narumon Chunthong, Phakawat Cheevarungrod, Autthapol Phibalsak, Thanom Lim, Apiradee Int J Crit Illn Inj Sci Original Article CONTEXT: Head injuries are the leading cause of traumatic morbidity and mortality. Timely proper management can reduce the mortality rate. AIMS: This study aimed to examine the effects of a fast-track system on reducing head injury mortality using the data in Southern Thailand. SETTINGS AND DESIGN: A retrospective study of data from the medical records of severe head injury patients admitted to Hatyai Hospital from October 2012 to May 2017. SUBJECTS AND METHODS: The records of subjects were selected for participants aged more than 11 years, having Glasgow Coma Score (GCS) <9, no injuries in other organs, and neither hypoxemia nor hypotension. A total of 193 participants fulfilling these criteria were analyzed. Of these, 108 participants were managed in the fast track. STATISTICAL ANALYSIS USED: The fast-track group was compared with normal track participants by using logistic regression after preliminary analysis to identify the risk factors using the Chi-squared tests. RESULTS: After adjustment for confounders, namely acute subdural hematoma, linear skull fracture and diffuse brain injury, and mortality in the fast-track group (13%) was significantly lower than that in the nonfast track group (22.4%). CONCLUSIONS: Using the fast-track system can reduce mortality from severe head injuries and should be implemented in the health services system. Wolters Kluwer - Medknow 2020 2020-12-29 /pmc/articles/PMC8033212/ /pubmed/33850825 http://dx.doi.org/10.4103/IJCIIS.IJCIIS_92_19 Text en Copyright: © 2020 International Journal of Critical Illness and Injury Science https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Arundon, Kanitha Anumas, Narumon Chunthong, Phakawat Cheevarungrod, Autthapol Phibalsak, Thanom Lim, Apiradee Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control |
title | Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control |
title_full | Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control |
title_fullStr | Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control |
title_full_unstemmed | Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control |
title_short | Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control |
title_sort | effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in southern thailand: a retrospective study with historical control |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8033212/ https://www.ncbi.nlm.nih.gov/pubmed/33850825 http://dx.doi.org/10.4103/IJCIIS.IJCIIS_92_19 |
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