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ASSESSMENT OF THE CONTRASTING FACTORS IN THE SURVIVAL RATE OF ROAD INJURIES AT VARIOUS TERTIARY HEALTHCARE CENTERS

Dr. Arsalan Nawaz, Abdul Rehman Butt, Dr. Muhammad Saad

Objective: Assessment of the contrasting factors in road injury survival including three tertiary care hospitals of an urban area. Methods: We conducted this study-based survey in the timeframe of September 2017 to October 2018 at Services Hospital, Lahore on all road traffic injury victims representing the three-health care centres. In this survey complete record of the patient is maintained including gender, mode, age and any delay in approaching hospital. Data were stratified by the hospital of presentation. A logistic regression model was formed, and the survival possibility was evaluated after balancing different risk factors, comprising patient data and severity of the injury. Results: The study comprised of 93,657 victims, but there is a lack of complete information in 6,458 (6.89%) study subjects, counting the information about survival. Generally, 83,837 (89.5%) were males; 64,269 (74%) were aged between 16 and 45 years; 84,016 (95%) had injury severity score of 15; however, the survival rate was 84,141 (96.5%). Conclusion: Remarkable variations were found in risk-adjusted survival of road injury victims representing public hospitals. These variations underlined the differences in chances for improvement and the process of care. Keywords: Surveillance, Survival, Road Traffic Injuries, Trauma System, Outcome.

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