Is type of injury on Presentation at the emergency department of a traumatic Motorcyclist predicting Mortality within 30 days?
Road traffic accidents are a major issue worldwide and motorcycle is the least safe in term of production to protect its occupant from multiple injuries particularly extremities fracture, head and cervical injury and abdominal injury. An occupant of motorcycle is subjected to 4 forces, first the...
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| Format: | Thesis |
| Language: | English |
| Published: |
2012
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| Subjects: | |
| Online Access: | http://eprints.usm.my/60952/1/DR%20AEHTOOSHAM%20BIN%20SULEMAN%20-%20%20e.pdf |
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| Summary: | Road traffic accidents are a major issue worldwide and motorcycle is the least
safe in term of production to protect its occupant from multiple injuries particularly
extremities fracture, head and cervical injury and abdominal injury. An occupant of
motorcycle is subjected to 4 forces, first the motorcycle hit an object (vehicle impact),
then the rider hit object (body impact) and the mobile organ hit a solid structure and
lastly secondary impact from pillion or other vehicle. This paper discusses whether type
of injury is a predictor of trauma death in motorcyclist. The descriptive study of the rider and the pillion rider age distribution,
ethnicity, gender and distribution of the type of injuries sustained by the
patients. To ascertained whether type of injuries on initial presentation at
emergency department can predict survival of patient within 30 days after
admission. To evaluate whether the age category, gender, revised trauma score, and mechanism of accidents can predicts survival ability after 30 days of
admission. Descriptive study to ascertained days of admission according to
system of involvement among the patients. The research had enrolled 234 patient who had consented, after had a trauma as an occupant of motorcycle either rider or pillion who had visited emergency department Hospital Universiti Sains Malaysia from June 2010 till January 2011 who fulfilled the
inclusion and exclusion criteria and their information are recorded in a form. The type
of injury in the motorcyclist at emergency department predict the survival of the patient
within 30 days using Kaplan Maier and Cox Proportional Hazard Model Statistical
package for Social Science (SPSS) software version 18.0 dated 30th July 2009. The cases are mainly male 81.5%, majorly from the age group of 16 to 25 years
of age, and majorly are diagnosed soft tissue injury with fracture extremities. The mean
of survival for the mortality group is is 28 days. Type of injury does not predict the
mortality. However factor significant enough to predict mortality is revised trauma
score with increasing score improves survivability. The hospital length of stay median
is 6 days and interquartile range was 9 days. The predicting factor for admission is
based on the type of injury. In this research, the independent factor to predict mortality is revised trauma
score, the paper failed to show that type of injury is predictor of mortality within 30
days, and type of injury predict the length of hospital stay. |
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