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Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand

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The association between factors and road traffic mortality from chi-square test

Patient and injury characteristicsRoad Traffic InjuriesP
Death 1,431Survival 77,431
Gender<0.001
Female354 (24.7)29,817 (38.5)
Male1,077 (75.3)47,614 (61.5)
Age-group<0.001
< 15 years104 (7.3)11,591 (15.0)
15–24 years329 (23.0)23,495 (30.3)
25–44 years630 (44.0)27,578 (35.6)
≥ 45 years368 (25.7)14,767 (19.1)
Road user and vehicle type in each safety device<0.001
D/P using motorcycle not wearing a helmet538 (37.6)46,719 (60.3)
D/P using motorcycle wearing a helmet57 (4.0)10,319 (13.3)
D/P using motor car not fasten seat belt142 (9.9)6,338 (8.2)
D/P using motor car fasten seat belt10 (0.7)1,005 (1.3)
Pedestrians100 (7.0)2677 (3.5)
Others and unknown584 (40.8)10,373 (13.4)
Pattern of road traffic crash<0.001
Crash with or by motorcycle300 (21.0)16,775 (21.7)
Crash with or by motor car607 (42.4)18,512 (23.9)
Crash with or by others159 (11.1)8,385 (10.8)
Unknown365 (25.5)33,759 (43.6)
Mechanism of injuries<0.001
Blunt1,177 (82.2)68,820 (88.9)
Penetrating or blunt and penetrating206 (14.4)7,026 (9.1)
Unknown48 (3.4)1,585 (2.0)
Body region of injuries<0.001
Head or neck655 (45.8)10,733 (13.9)
Facial29 (2.0)2,779 (3.6)
Chest51 (3.6)1,257 (1.6)
Abdominal or pelvic cavity69 (4.8)1,911 (2.5)
Extremities or pelvic girdles146 (10.2)18,840 (24.3)
External injuries272 (19.0)35,798 (46.2)
Unknown209 (14.6)6,113 (7.9)

The distribution of demographic factors and injury characteristics in relation to road traffic mortality

Patient and injury characteristicsNumber (N = 78,862)Percent (%)
Year of injuries
20087,1849.1
200914,96219.0
201014,50418.4
201114,48618.3
201213,86317.6
201313,86317.6
Gender
Male48,69161.7
Female30,17138.3
Age groups
<15 years11,69514.8
15–24 years23,82430.2
25–44 years28,20835.8
≥4515,13519.2
Type of road users
Driver54,12168.6
Passenger19,30224.5
Pedestrian2,7773.5
Unknown2,6623.4
Type of vehicles
Motorcycle61,83278.4
Motor car7,7469.8
Pedestrian2,7773.5
Other3,9355.0
Unknown2,5723.3
Used a helmet or fastened seat belt
Not wearing a helmet48,06361.0
Wearing a helmet10,47113.3
Not fastening a seat belt6,7058.5
Fastening a seat belt1,0341.3
Pedestrian2,7773.5
Unknown9,81212.4
Pattern of road traffic crash
Crash with or by motorcycle17,07521.7
Crash with or by motor car19,11924.2
Crash with or by others8,54410.8
Unknown34,12443.3
Mechanism of injuries
Blunt69,99788.8
Penetrating or blunt and7,2329.2
penetrating
Unknown1,6332.0
Body Region of injuries
Head or neck11,38814.4
Facial2,8083.6
Chest1,3081.7
Abdominal or pelvic cavity1,9802.5
Extremities or pelvic girdles18,98624.1
External injuries36,07045.7
Unknown6,3228.0
The status of injured patients
Died1,4311.8
Survived77,43198.2

Factors associated with road traffic mortality from multivariate analysis

VariableCrude odds ratioAdjusted odds ratioP
(95%CI)(95% CI)
Gender
Female11
Male1.90 (1.69–2.15)1.66 (1.46–1.88)<0.001
Age-group
< 15 years11
15–24 years1.56 (1.25–1.95)1.95 (1.55–2.45)< 0.001
25–44 years2.55 (2.07–3.14)2.83 (2.28–3.50)< 0.001
≥ 45 years2.78 (2.23–3.46)2.82 (2.26–3.54)< 0.001
Road user and vehicle type in each safety device
D/P using motorcycle not wearing a helmet2.08 (1.59–2.74)2.08 (1.58–2.75)< 0.001
D/P using motorcycle wearing a helmet11
D/P using motor car not fasten seat belt4.06 (2.98–5.52)3.37 (2.47–4.61)< 0.001
D/P using motor car fasten seat belt1.80 (0.92–3.54)1.34 (0.68–2.65)0.396
Pedestrians6.76 (4.87–9.39)5.65 (4.03–7.91)< 0.001
Others and unknown10.19 (7.76–13.39)9.44 (7.15–12.47)< 0.001
Pattern of road traffic crash
Crash with or by motorcycle11
Crash with or by motor car1.83 (1.59–2.11)2.02 (1.75–2.34)< 0.001
Crash with or by others1.06 (0.87–1.29)1.05 (0.86–1.28)0.657
Unknown0.60 (0.52–0.71)0.60 (0.51–0.71)< 0.001
Mechanism of injuries
Blunt11
Penetrating or blunt and penetrating1.71 (1.48–1.99)1.55 (1.32–1.81)< 0.001
Unknown1.77 (1.32–2.37)1.05 (0.77–1.42)0.768
Body Region of injuries
Head or neck7.87 (6.57–9.44)6.96 (5.79–8.63)< 0.001
Facial1.35 (0.90–2.01)1.32 (0.88–1.98)0.173
Chest5.24 (3.79–7.24)4.21 (3.02–5.86)< 0.001
Abdominal or pelvic cavity4.66 (3.49–6.23)4.16 (3.10–5.59)< 0.001
Extremities or pelvic girdles11
External injuries0.98 (0.80–1.20)1.12 (0.91–1.37)0.289
Unknown4.41 (3.56–5.46)3.95 (3.18–4.91)< 0.001
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Sujets de la revue:
Medicine, Assistive Professions, Nursing, Basic Medical Science, other, Clinical Medicine