Official Journal Health Science of Prince of Songkla University

  • Home
  • Search
  • Current
  • Archives
  • Announcements
  • Guide for Authors
  • Publication Ethics
  • Editorial Board
  • Submit
  • About
  • Contact
  • Online-first Articles
  • EVENTS
  • Review Process
Home > Vol 39, No 4 (2021) > Prommoon

Epidemiological Characteristics of Traffic and Non-traffic Injuries and Quality of Emergency Medical Services in Southern Thailand

Patcharee Prommoon, Thanom Phibalsak, Janya Netwachirakul, Mayuree Mekthat, Walailuk Jitpiboon, Rassamee Sangthong

Abstract

Objective: This study aimed to report the situation of injuries and emergency medical services in southern Thailand.
Material and Methods: Data from the Injury Surveillance system of a Level 1 Trauma Center Hospital in lower southern Thailand during 2012-2016 were extracted. Trends in epidemiological characteristics of both traffic and non-traffic injuries and emergency medical services were described. Logistic regression was used for the analysis.
Results: The number of patients admitted to emergency departments due to traffic and non-traffic injuries was stable over the five-year period (n=102, 840). Traffic injuries involving motorcycles and falls were the two leading causes of injury. Most were adults aged 19-60 years (62.5%). The most common risky behaviors were driving a motor vehicle without wearing a seatbelt (81.9%) and riding a motorcycle without wearing a helmet (71.7%). Alcohol and drug use were relatively low but significantly increased the odds of sustaining a severe/critical injury. Significant predictors of severe/ critical non-traffic injury included drowning [odds ratio (OR)=29.7, 95% confidence interval (CI)=11.9-74.7], self-harm/ suicide (OR=12.6, 95% CI=9.2-17.3), and bites/stings from poisonous animals (OR=8.1, 95% CI=6.1-10.8). The use of Emergency Medical Services (EMS) was low but increased over time. The main challenge was delivering appropriate EMS for different levels of injury. The percentage of health care staff who performed advanced life support appropriately for critically injured patients ranged from 95.5% to 100.0% while for severely injured patients, ranged from 93.9% to 100.0%.
Conclusion: Traffic and non-traffic injuries were high and the use of EMS was still low in southern Thailand.

 Keywords

emergency medical service; injury surveillance system; non-traffic; traffic

 Full Text:

PDF

References

World Health Organization. Health Statistics and Information System | Global Health Estimates [monograph on the Internet]. Geneva: WHO; 2014 [cited 2019 Sep 26]. Available from: http://www.who.int/healthinfo/global_burden_disease/en/

World Health Organization. Global Health Observatory Data Repository | By category | Road traffic deaths - Data by country [monograph on the Internet]. Geneva: WHO; 2019 [cited 2019 Nov 4]. Available from: http://apps.who.int/gho/data/node. main.A997

Ditsuwan V, Veerman LJ, Barendregt JJ, Bertram M, Vos T. The national burden of road traffic injuries in Thailand. Popul Health Metr 2011;9:2.

Bureau of Non-communicable Diseases, Ministry of Public Health, Thailand. Annual Report 2018. Bangkok: Aksorn Graphic and Design; 2018.

Lotrakul M. Suicide in Thailand during the period 1998-2003. Psychiatry Clin Neurosci 2006;60:90-5.

World Health Organization. Global Health Observatory Data Repository | By category | Suicide rate estimates, agestandardized - Estimates by country [monograph on the Internet]. Geneva: WHO; 2018 [cited 2019 Sep 26]. Available from: http://apps.who.int/gho/data/node.main.MHSUICIDEASDR? lang=en

Hong J, Lee WK, Park H. Change in Causes of Injury-Related Deaths in South Korea, 1996–2006. J Epidemiol 2011;21:500-6.

Bulto LN, Dessie Y, Geda B. Magnitude, causes and characteristics of trauma victims visiting Emergency and Surgical Units of Dilchora Hospital, Eastern Ethiopia. Pan Afr Med J 2018;30: 177.

Santikarn C, Punyaratanabandhu P, Podhipak A, Rukronayut K, Sujirarat D, Wiengpitak S, et al. The establishment of injury surveillance in Thailand. Int J Inj Control Saf Promot 2019;6: 133-43.

National Institute for Emergency Medicine. Overview of Emergency Medical Operational Standards, Principles, Criteria and Protocols. Bangkok: The Ultimate Printing; 2014.

World Health Organization. The ICD-10 Classification of Injury, Poisoning and Certain Other Consequences of External Causes: Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO; 1992.

World Health Organization. The ICD-10 classification of external causes of morbidity and mortality: clinical descriptions and diagnostic guidelines. Geneva: WHO; 1992.

Gilboy N, Tanabe P, Travers DA, Rosenau AM, Eitel DR. Emergency Severity Index, Version 4: Implementation Handbook 2012 Edition. Rockville: Agency for Healthcare Research and Quality; 2011.

R. A Language and Environment for Statistical Computing [monograph on the Internet]. Vienna: R Foundation for Statistical Computing; 2016 [cited 2019 Sep 26]. Available from: https:// www.R-project.org/

World Health Organization. Road Safety Institutional and Legal Assessment Thailand. Bangkok: WHO; 2015.

Galbally R, Fidler A, Chowdhury M, Tang KC, Good S, Tantivess S. Ten-Year Review of Thai Health Promotion Foundation, Nov 2001-Nov 2011. Bangkok: Thai Health Promotion Foundation; 2012.

Wakabayashi M, Berecki-Gisolf J, Banwell C, Kelly M, Yiengprugsawan V, McKetin R, et al. Non-Fatal Injury in Thailand From 2005 to 2013: Incidence Trends and Links to Alcohol Consumption Patterns in the Thai Cohort Study. J Epidemiol 2016;26:471-80.

Health MoP. Service Plan for Emergency Care Service and Trauma. Bangkok: Ministry of Public Health; 2017.

Murad MK, Larsen S, Husum H. Prehospital trauma care reduces mortality. Ten-year results from a time-cohort and trauma audit study in Iraq. Scand J Trauma Resusc Emerg Med 2012; 20:13.

DOI: http://dx.doi.org/10.31584/jhsmr.2021783

Refbacks

  • There are currently no refbacks.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

SUBMIT A PAPER

JHSMR accepts online submission through

AHR-iCON 2024

Journal Metrics


2020
Acceptance rate: 52%
2021
Acceptance rate: 27.8%
2022 (March)
Acceptance rate: 15.6%
2023 (June)
Acceptance rate: 23.6%
2024 (June)
Acceptance rate: 19%


Submission to final decision
74 days

Acceptance to publication
40 days

0.6
2024CiteScore
 
 
31st percentile
Powered by Scopus



 

 

SCImago Journal & Country Rank

About The Authors

Patcharee Prommoon
Emergency Department, Hatyai Hospital, Hat Yai, Songkhla 90110,
Thailand

Thanom Phibalsak
Emergency Department, Hatyai Hospital, Hat Yai, Songkhla 90110,
Thailand

Janya Netwachirakul
Emergency Department, Hatyai Hospital, Hat Yai, Songkhla 90110,
Thailand

Mayuree Mekthat
Emergency Department, Hatyai Hospital, Hat Yai, Songkhla 90110,
Thailand

Walailuk Jitpiboon
Epidemiology Unit, Prince of Songkla University, Hat Yai, Songkhla 90110,
Thailand

Rassamee Sangthong
Epidemiology Unit, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. Research Unit for Kids and Youth Development, Prince of Songkla University, Hat Yai, Songkhla 90110,
Thailand

Article Tools
Abstract
Print this article
Indexing metadata
How to cite item
Email this article (Login required)
Email the author (Login required)

Supported by

 

JHSMR now Indexed in



Scopus logo.svg






Image result for crossref





PSUMJ Homepage

Keywords COVID-19 SARS-CoV-2 Thailand Vietnam children computed tomography cross-cultural adaptation depression diabetes diabetes mellitus elderly hypertension knowledge mental health mortality prevalence quality of life reliability risk factors treatment validity
Journal Content

Browse
  • By Issue
  • By Author
  • By Title
Font Size

Open Journal Systems