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Inhospital Traumatic(S*) 24-Hr Dead Patients(2014-2016)

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Inhospital Traumatic(S*) 24-Hr Dead Patients(2014-2016) Thailand’s inhospital trauma statistics Dr. Somprasong Tongmeesee Secretary General of the Trauma Association of Thailand 12 July 2018 Trauma(S*) inhospital mortality rate [2014-2016] (N = 15,881/830,566) S-dead, 15881 Inhospital death(%), 1.91 S-survive, 814685 Thailand trauma mortality(%) [2014-2016] by regions : N = 15,881 (Total inhospital trauma cases (S*) = 830,566) 2.81 2.75 2.13 2.03 2.10 1.89 1.98 1.91 1.63 1.60 1.49 1.52 1.47 1 2 3 4 5 6 7 8 9 10 11 12 Total Trauma(S*) dead cases distribution (Proportion) by hospital level : N=15,881 67.8 94.3% 26.5 3.2 1.3 0.4 0.8 0.0 A S M1 M2 F1 F2 F3 Trauma(S*) inhospital mortality (%) by hospital level : N=15,881 3.26 Thailand : 1.91% 1.79 1.91 0.83 0.36 0.18 0.12 0.06 A S M1 M2 F1 F2 F3 Total Gender proportion for traumatic Gender proportion for traumatic inhospital patient (N= 830,566) inhospital dead patient (N= 15,881) female, female, 271716 4144 male, male, 558850 11876 67.0% male 74.0% male Refer-in system involvement for Refer-in system involvement for traumatic inhospital patient traumatic inhospital dead patient refer in, 272032 No refer- in Refer-in no refer- system, system, in, 7711 8170 558534 33 % 51.4% (Refer-in) (Refer-in) proportion of total trauma death 15881 10364 81.5% 1466 1107 65.3 9.2 7.0 100 TBI-dead (S06*) Abdominal injury- Fx. Femur-dead S*-total dead dead (S36*) (S72*) Proportion of TBI death 10364 66.5% for 3-codes 4639 (S063*-S065*) 1517 1333 945 928 44.8 14.6 12.9 9.1 9.0 100 SDH (S065*) Diff.brain Focal brain Subarach. Hrg EDH (S064*) TBI-dead injury (S062*) injury (S063*) (S066*) (S06*) Proportion of abdominal injury death 1466 624 215 248 193 100 42.6 14.7 16.9 13.2 65 4.4 Liver (S361*) small spleen (S360*) other (S368*) colon (S365*) Abdominal intestine injury-dead (S364*) (S36*) Proportion of fracture of femur death 1107 78.6% 483 387 79 100 43.6 63 38 35.0 7.1 5.7 3.4 Pertrochanteric Head&neck of shaft (S723*) lower end Subtrochanteric Fx. Femur-dead (S721*) femur (S720*) (S724*) (S722*) (S72*) Fracture of femur (pertrochanteric,head&neck : S720*-S721*) by age-grouping (Age< 50), (Age < 65), 3816, 8% 9651, 20% (Age >/=65), (Age >/= 38286, 50), 44139, 80% 92% Fracture of femur (pertrochanteric,head&neck : S720*-S721*) N(2014-2016) dead(2014-16) S720*-S721* (Age < 65) 9651 S720*-S721* (Age < 65) 87 S720*-S721* (Age >/=65) 38286 S720*-S721* (Age >/=65) 785 S720*-S721* (Age< 50) 3816 S720*-S721* (Age< 50) 19 S720*-S721* (Age >/= 50) 44139 S720*-S721* (Age >/= 50) 853 Mortality of fracture of femur (pertrochanteric,head&neck : S720*-S721*) by age-grouping (N=47,955) S720*-S721* (Age < 65) 0.90 S720*-S721* (Age >/=65) 2.05 S720*-S721* (Age< 50) 0.50 S720*-S721* (Age >/= 50) 1.93 Inhospital traumatic(S*) 24-hr dead patients(2014-2016) Proportion of refer-in patients %refer-in patients by hospital level by hospital level 60.1 Refer in(2014-16) Total 24-hr dead cases(2014-16) 3826 36.8 2300 20.9 1516 14.5 558 6.5 38 182 11 76 0 13 3 46 0.0 A S M1 M2 F1 F2 A S M1 M2 F1 F2 Inhospital traumatic(S*) 24-hr dead patients(2014-2016) by diagnosis 5660 3391 74.8% 843 100 59.9 14.9 24-h dead TBI-24-h dead (S06*) Abdominal injury-24-h dead (S36*) Proportion of 24-hr trauma death diagnosis 5660 71.5% 1583 507 412 334 354 234 246 156 100 28.0 9.0 7.3 5.9 6.3 4.1 4.3 136 2.4 2.8 84 1.5 24-h dead SDH (S065*) Diff.brain Liver Focal brain Subarach. Other EDH (S064*) other spleen Unspecified injury (S361*) injury Hrg (S066*) specified abdominal (S360*) intracranial (S062*) (S063*) intracranial injury injury injury (S368*) (S069*) (S068*) Total AdjRW per year for traumatic dead patients 29546.7065 18853.7084 81.5% 2950.586 2281.2619 TBI-dead (S06*)-Total AdjRW Abdominal injury-dead Fx. Femur-dead (S72*)-Total S*-total dead-Total AdjRW (S36*)-Total AdjRW AdjRW Specific mortality by diagnosis 105555 63030 13.8% mortality : abdominal injury 10364 10595 9.8 1466 13.8 1107 1.8 TBI-dead (S06*) Abdominal injury-dead Fx. Femur-dead (S72*) (S36*) Traumatic brain injury (TBI exclude cerebral concussion) : Region 1 Total(2014-16) Mortality (N=1031/6369) เขต 1 6369 เขต 1 16.19 ลําพูน 454 ลําพูน 16.52 ลําปาง 1163 ลําปาง 16.77 แมฮองสอน 59 แมฮองสอน 11.86 แพร 510 แพร 18.24 พะเยา 443 พะเยา 9.71 นาน 584 นาน 20.72 เชียงใหม 1683 เชียงใหม 10.46 เชียงราย 1473 เชียงราย 21.79 Traumatic brain injury (TBI exclude cerebral concussion) : Region 1 (A,S-hospital level) Total(2014-16) Mortality(N=980/5355) TOTAL (A+S) 5355 TOTAL (A+S) 18.30 ผลรวม (S) 1693 ผลรวม (S) 18.49 รพ.ศรีสังวาลย 27 รพ.ศรีสังวาลย 14.81 รพ.ลําพูน 389 รพ.ลําพูน 18.77 รพ.แพร 472 รพ.แพร 19.70 รพ.พะเยา 279 รพ.พะเยา 9.32 รพ.นาน 526 รพ.นาน 22.24 ผลรวม (A) 3662 ผลรวม (A) 18.21 รพ.ลําปาง 1112 รพ.ลําปาง 17.45 รพ.นครพิงค 1190 รพ.นครพิงค 12.86 รพ.เชียงรายประชานุเคราะห 1360 รพ.เชียงรายประชานุเคราะห 23.53 Traumatic brain injury (TBI exclude cerebral concussion) : Region 2 Total(2014-16) Mortality(N=646/3432) เขต 2 3432 เขต 2 18.82 อุตรดิตถ 822 อุตรดิตถ 18.86 สุโขทัย 290 สุโขทัย 11.72 เพชรบูรณ 834 เพชรบูรณ 24.22 พิษณุโลก 1095 พิษณุโลก 17.99 ตาก 391 ตาก 14.83 Traumatic brain injury (TBI exclude cerebral concussion) : Region 2 (A,S-hospital level) Total(2014-16) Mortality(N=599/2922) TOTAL (A+S) 2922 TOTAL (A+S) 20.50 ผลรวม (S) 1076 ผลรวม (S) 22.96 รพ.สุโขทัย 115 รพ.สุโขทัย 15.65 รพ.สมเด็จพระเจาตากสิน… 144 รพ.สมเด็จพระเจาตากสิน… 11.81 รพ.แมสอด 200 รพ.แมสอด 19.00 รพ.เพชรบูรณ 617 รพ.เพชรบูรณ 28.20 ผลรวม (A) 1846 ผลรวม (A) 19.07 รพ.อุตรดิตถ 799 รพ.อุตรดิตถ 19.40 รพ.พุทธชินราช 1047 รพ.พุทธชินราช 18.82 Traumatic brain injury (TBI exclude cerebral concussion) : Region 3 Total(2014-16) Mortality(N=639/3358) เขต 3 3358 เขต 3 19.03 อุทัยธานี 226 อุทัยธานี 13.72 พิจิตร 454 พิจิตร 17.62 นครสวรรค 1840 นครสวรรค 22.55 ชัยนาท 328 ชัยนาท 13.72 กําแพงเพชร 510 กําแพงเพชร 13.33 Traumatic brain injury (TBI exclude cerebral concussion) : Region 3 (A,S-hospital level) Total(2014-16) Mortality(N=621/2969) TOTAL (A+S) 2969 TOTAL (A+S) 20.92 ผลรวม (S) 1256 ผลรวม (S) 16.96 รพ.อุทัยธานี 164 รพ.อุทัยธานี 18.90 รพ.พิจิตร 331 รพ.พิจิตร 20.85 รพ.ชัยนาทนเรนทร 292 รพ.ชัยนาทนเรนทร 15.41 รพ.กําแพงเพชร 469 รพ.กําแพงเพชร 14.50 ผลรวม (A) 1713 ผลรวม (A) 23.82 รพ.สวรรคประชารักษ 1713 รพ.สวรรคประชารักษ 23.82 Traumatic brain injury (TBI exclude cerebral concussion) : Region 4 Total(2014-16) Mortality(N=900/3957) เขต 4 3957 เขต 4 22.74 อางทอง 205 อางทอง 18.05 สิงหบุรี 313 สิงหบุรี 7.99 สระบุรี 932 สระบุรี 23.18 ลพบุรี 591 ลพบุรี 25.04 พระนครศรีอยุธยา 639 พระนครศรีอยุธยา 25.67 ปทุมธานี 429 ปทุมธานี 23.54 นนทบุรี 459 นนทบุรี 29.19 นครนายก 389 นครนายก 19.28 Traumatic brain injury (TBI exclude cerebral concussion) : Region 4 (A,S-hospital level) Total(2014-16) Mortality(N=817/3315) TOTAL (A+S) 3315 TOTAL (A+S) 24.65 ผลรวม (S) 1571 ผลรวม (S) 21.45 รพ.อางทอง 175 รพ.อางทอง 21.14 รพ.สิงหบุรี 230 รพ.สิงหบุรี 7.83 รพ.พระนารายณมหาราช 420 รพ.พระนารายณมหาราช 25.95 รพ.ปทุมธานี 366 รพ.ปทุมธานี 26.78 รพ.นครนายก 380 รพ.นครนายก 19.74 ผลรวม (A) 1744 ผลรวม (A) 27.52 รพ.สระบุรี 775 รพ.สระบุรี 24.26 รพ.พระนั่งเกลา 424 รพ.พระนั่งเกลา 31.37 รพ.พระนครศรีอยุธยา 545 รพ.พระนครศรีอยุธยา 29.17 Traumatic brain injury (TBI exclude cerebral concussion) : Region 5 Total(2014-16) Mortality(1064/5762) เขต 5 5762 เขต 5 18.47 สุพรรณบุรี 992 สุพรรณบุรี 26.81 สมุทรสาคร 554 สมุทรสาคร 15.52 สมุทรสงคราม 197 สมุทรสงคราม 16.75 ราชบุรี 857 ราชบุรี 16.34 เพชรบุรี 646 เพชรบุรี 16.56 ประจวบคีรีขันธ 833 ประจวบคีรีขันธ 13.09 นครปฐม 915 นครปฐม 21.20 กาญจนบุรี 768 กาญจนบุรี 16.80 Traumatic brain injury (TBI exclude cerebral concussion) : Region 5 (A,S-hospital level) Total(2014-16) Mortality(N=992/5106) TOTAL (A+S) 5106 TOTAL (A+S) 19.43 2168 16.10 รพ.หัวหิน 450 รพ.หัวหิน 13.56 185 17.84 รพ.พหลพลพยุหเสนา 638 รพ.พหลพลพยุหเสนา 17.24 633 16.90 รพ.ประจวบคีรีขันธ 214 รพ.ประจวบคีรีขันธ 13.55 48 18.75 ผลรวม (A) 2938 ผลรวม (A) 21.89 485 16.70 รพ.ราชบุรี 672 รพ.ราชบุรี 17.71 878 22.10 รพ.เจาพระยายมราช 903 รพ.เจาพระยายมราช 27.57 Traumatic brain injury (TBI exclude cerebral concussion) : Region 6 Total(2014-16) Mortality(1248/5745) เขต 6 5745 เขต 6 21.72 สระแกว 600 สระแกว 16.50 สมุทรปราการ 689 สมุทรปราการ 20.32 ระยอง 1304 ระยอง 21.17 ปราจีนบุรี 449 ปราจีนบุรี 23.39 ตราด 163 ตราด 19.02 ชลบุรี 1297 ชลบุรี 22.82 ฉะเชิงเทรา 542 ฉะเชิงเทรา 26.20 จันทบุรี 701 จันทบุรี 22.68 Traumatic brain injury (TBI exclude cerebral concussion) : Region 6 (A,S-hospital level) Total(2014-16) Mortality(1224/5313) TOTAL (A+S) 5313 TOTAL (A+S) 23.04 ผลรวม (S) 760 ผลรวม (S) 17.11 รพ.สมเด็จพระยุพราชสระแกว 556 รพ.สมเด็จพระยุพราชสระแกว 17.45 รพ.บางละมุง 46 รพ.บางละมุง 4.35 รพ.ตราด 158 รพ.ตราด 19.62 ผลรวม (A) 4553 ผลรวม (A) 24.03 รพ.สมุทรปราการ 579 รพ.สมุทรปราการ 23.14 รพ.ระยอง 1258 รพ.ระยอง 21.94 รพ.พุทธโสธร 498 รพ.พุทธโสธร 28.51 รพ.พระปกเกลา 665 รพ.พระปกเกลา 23.61 รพ.ชลบุรี 1194 รพ.ชลบุรี 24.29 รพ.เจาพระยาอภัยภูเบศร 359 รพ.เจาพระยาอภัยภูเบศร 26.46 Traumatic brain injury (TBI exclude cerebral concussion) : Region 7 Total(2014-16) Mortality(683/4551) เขต 7 4551 เขต 7 15.01 รอยเอ็ด 1221 รอยเอ็ด 11.96 มหาสารคาม 698 มหาสารคาม 8.88 ขอนแกน 2248 ขอนแกน 19.08 กาฬสินธุ 384 กาฬสินธุ 11.98 Traumatic brain injury (TBI exclude cerebral concussion) : Region 7 (A,S-hospital level) Total(2014-16) Mortality(679/4207) TOTAL (A+S) 4207 TOTAL (A+S) 16.14 ผลรวม (S) 950 ผลรวม (S) 11.26 รพ.มหาสารคาม 663 รพ.มหาสารคาม 9.35 รพ.กาฬสินธุ 287 รพ.กาฬสินธุ 15.68 ผลรวม (A) 3257 ผลรวม (A) 17.56 รพ.รอยเอ็ด 1176 รพ.รอยเอ็ด 12.33 รพ.ขอนแกน 2081 รพ.ขอนแกน 20.52 Traumatic brain injury (TBI exclude cerebral concussion) : Region 8 Total(2014-16) Mortality(744/4833) เขต 8 4833 เขต 8 15.39 อุดรธานี 2062 อุดรธานี 17.99 หนองบัวลําภู 109 หนองบัวลําภู 14.68 หนองคาย 439 หนองคาย 9.79 สกลนคร 1333 สกลนคร 14.40 เลย 467 เลย
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