Association between Response time and Mortality in Drowning Patients in Thailand Mr.Phichet Nongchang Dr PH 567110001-5 Faculty of Public Health, Khon.

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Presentation transcript:

Association between Response time and Mortality in Drowning Patients in Thailand Mr.Phichet Nongchang Dr PH Faculty of Public Health, Khon Kaen University

INTRODUCTION INTRODUCTION Injuries account for nearly 10% of total global mortality. Drowning is the 3rd leading cause of unintentional injury death, accounting for 7% of all injury-related deaths, low- and middle-income countries account for 96% of unintentional drowning deaths (WHO)

Drowning In Thailand 2008, drowning was the second cause of death in injuries (4,065 cases)

INTRODUCTION INTRODUCTION Emergency medical services (EMS) Response time effected improving patient outcomes. It is not yet clear for Thailand

To determine association between response times and mortality in drowning patients in Thailand OBJECTIVE OBJECTIVE

MATERIALS AND METHODS Cross sectional analytical Thailand EMS database. National Institute for Emergency Medicine (NIEM) Across country (except Bangkok)

Study Outcome The primary outcome: mortality of drowning on emergent patients (out-of-hospital) Independent variables: response time Scene time, Transport time CPR, Gender, Age, Region

Statistical Analysis Statistical analysis by Stata version 12.0 Descriptive statistics (frequency and percentage) multiple logistic regression Odds Ratios, 95% Confidence Intervals, and p-value.

RESOULT Total number of ALS service case (n = 437,770) Drowning Patients (n= 2,047) Drowning Patients (n= 2,047) Emergent of Drowning Patients (Red Code) (n=1,255) Emergent of Drowning Patients (Red Code) (n=1,255) Exclude with other case (435,723) Excluded with Urgent, Non-urgent and other (792)

Demographic Characteristics Demographic Characteristics

CharacteristicN% Response times (Mean: SD) 1, : 16.8 Scene times (Mean: SD) 1, : 19.8 Transport times (Mean: SD) 1, : 10.8 Death on drowning (Out-of-hospital)1,

Multivariable Analysis CharacteristicOR Adjust 95%CIP-Value Response times Scene times Transport times Male – CPR <0.001

Multivariable Analysis CharacteristicOR Adjust 95%CIP-Value Region Central East Northeast North South

Multivariable Analysis CharacteristicOR Adjust 95%CIP-Value Age Less or equal – – – or greater

DISSCUSSION

CONCLUSIONS Response times was no association mortality in emergent drowning Patients in Thailand Further study should be conducted to the pre-hospital factors effect survival of drowning, and the effectiveness of CPR for drowning survival.

THANK YOU for your attention