NGHIÊN CỨU TÌNH HÌNH CHẤN THƯƠNG VÀ KẾT QUẢ XỬ TRÍ CẤP CỨU BỆNH NHÂN BỊ TAI NẠN GIAO THÔNG TẠI BỆNH VIỆN QUÂN Y 121 NĂM 2019-2020

Abstract

Background: In order to improve the emergency and treatment capabilities of traffic injury patients in Military hospitals and contribute to solving the consequences of traffic accidents. Objectives: This study aimed to determine the rate and classification of injuries caused by traffic accidents and to assess the results of emergency management of patients with traffic accidents and factors related to the results of emergency management. Materials and methods: Choosing convenience sample of patients injured by traffic accidents or grade trauma and treatment at the Emergency Department, 121 Military Hospital met the inclusion criteria. Crosssectional descriptive studies with analysis. Interview according to the prepared questionnaire and clinical examination and view the patient's medical record. Results: Glasgow scale for traffic accident victims with head, face, neck injury: 3.72% severe, 6.12% moderate and 90.16% mild. 7.84% of closed injuries and 23.16% of open injuries. 48.84% fracture, 33.47% traumatic brain injury, 12.11% soft tissue damage, 2.82% were multiple injuries and 1.58% were visceral injuries. 96.0% of traffic accident patients were successfully treated as an emergency treatment and 4.00% managed unsuccessfully. With 0.53% (5/950) of injured patients in traffic accidents dying during treatment at 121 Military Hospital. Some factors related to the results including: family economics of patients injured by traffic accidents; the time from when a traffic accident occurred to an emergency hospital admission; severity was assessed on the Glasgow scale of the head, face, and neck trauma patients; severity assessed the Glasgow scale of patients with traumatic brain injury and traumatic lesions (p<0.05); the speed of controlling motorbike when suffering from traffic accidents and type of injury due to traffic accidents (p<0.001). Conclusions: Most of them suffered closed trauma and traumatic brain injury accounted for a high proportion. The rate of emergency management unsuccessful was 4.00%, with 0.53% dying during the treatment.