Browsing by Author "Prompinij, T"
Now showing 1 - 1 of 1
Results Per Page
Sort Options
Publication Effect of Time from Response to Leaving the Scene on Survival Rate of Multiple Injuries Road Traffic Accident Patients Receiving Cardiopulmonary Resuscitation by Advance Life Support Team in Thailand(Kathmandu University, 2019) Prompinij, T; Laohasiriwong, W; Sakunkoo, P; Chaichaya, N; Thikhamrop, WABSTRACT Background Mortality of out of hospital cardiac arrest (OHCA) due to multiple injuries during road traffic accident (RTA) raising day by day. However, there is no study on how pre- hospital time affect the survival rate of patients in Thailand. Objective To determine the effect of time from response to leaving the scene on survival rate of out of hospital cardiac arrest due to multiple injuries among road traffic accident patients receiving cardiopulmonary resuscitation (CPR) by the advance life support (ALS) team in Thailand. Method A cross-sectional study was conducted by using the data from the National Institute for Emergency Medicine of Thailand. A multivariable generalized estimation equation was used to determine the effect of time from response to leaving the scene on the survival rate of patients. Result Among 1,119 out of hospital cardiac arrest multiple injuries road traffic accident patients receiving cardiopulmonary resuscitation by the advance life support team, 1,043 patients were survived during transportation to the hospitals. In addition, our multivariable analysis observed that the time from response to leaving the scene of ≤ 15 minutes is associated with increasing the patient survival (Adj. OR=2.31 95%CI: 1.44 to 3.72, p value 0.001). Furthermore, other covariates such as received intravenous administration (Adj.OR=2.24; 95%CI: 1.09 to 4.61, p value 0.028) and the accidents took place in other regions when compared with the Central (Adj. OR=1.96, 95%CI: 1.13 to 3.03, p value 0.015) were also significantly associated with the survival. Conclusion The shorter the time from response to leaving the scene “scoop and run”, the higher survival rate of the out of hospital cardiac arrest with multiple injuries among road traffic accident patients when incorporated with the effect of intravenous administration and regional factors. KEY WORDS Aadvance life support, Cardiopulmonary resuscitation, Out of hospital cardiac arrest, Road traffic accident, Scoop and run, Survival rate