Factors Associated with Level of Severity in Patients Injured from Road Traffic Accidents Treated at Emergency Department of Wapipathum Hospital in Mahasarakham Province :ปัจจัยที่มีความสัมพันธ์กับระดับความรุนแรงของการบาดเจ็บในผู้บาดเจ็บจากอุบัติเหตุจราจร ที่มารักษาที่แผนกอุบัติเหตุฉุกเฉิน โรงพยาบาลวาปีปทุม จังหวัดมหาสารคาม

Abstract

          Road traffic accidents are a major cause of loss. Both disabled and many died. This retrospective case-control study aimed to study the relationship between personal factors, vehicle and environment factors with the severity level of injury among injured people from traffic accidents and treated at the emergency department of the Wipipathum hospital, Mahasarakham province. Two-hundred and four samples were enrolled and divided into 102 samples of severely injury and 102 samples of non-severe injury. Data collection was obtained from the patient records and hospital database. The relationship was analyzed using the inferential statistics; multiple logistic regression and expressed as Odds ratio and 95% confidence interval (CI of 95%). The significance level of 0.05 was assigned.

          The results showed that the factors associated with the server injury among patients injured from traffic accidents were the individual factors; injured people aged higher than 36 years (OR_adj= 2.24, 95%CI = 1.16– 4.33, p-value < 0.05), alcohol drinking (OR_adj= 4.15, 95%CI = 2.06–8.34, p-value < 0.01) and injured people not wearing helmet or safety belt (OR_adj= 2.28, 95%CI = 1.06–4.93, p-value < 0.05), the vehicle factor; characteristic of traffic accidents as vehicle crashed or be crashed (ORadj= 2.25, 95%CI = 1.16–4.36, p-value < 0.05) and the environment factor; traffic accident on the main road (ORadj = 3.26, 95%CI = 1.63–6.52, p-value < 0.01). Therefore, the inspection and control measures should be applied to the drivers to limit their alcohol drinkings, control their wearing of helmet or safety belt and traffic rules observance. Furthermore, the road point of frequently and deadly traffic accidents should be investigated to find the solutions to reduce the serious injuries from traffic accidents.

           Keywords : Road Traffic Accident, Severity of Injury from Road Traffic Accident