Initial Trauma Database in a University Hospital in Malaysia

Authors

  • Affirul Chairil Ariffin Department of Surgery, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia
  • Mohamed Hajhamad Department of Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Firdaus Hayati Department of Surgery, Faculty of Medicine and Health Sciences
  • Nornazirah Azizan Department of Pathobiology and Medical Diagnostic, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Zamri Zuhdi Department of Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Azlanudin Azman Department of Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Ikhwan Sani Mohamad Department of Surgery, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • Hairol Othman Department of Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Razman Jarmin Department of Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Jae Gil Lee Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea

DOI:

https://doi.org/10.51200/bjms.v13i3.1175

Keywords:

trauma, injuries, trauma severity index, data banks, registries

Abstract

Trauma is a major health problem in Malaysia. An understanding of the trauma epidemiology is important in developing a reliable trauma service. The aim of this study is to understand the pattern of trauma in our institution and to highlight the need for a dedicated trauma service. In this database, 142 cases were included. Majority were males (127, 89.4%). Most common injury types are motor vehicle accidents (87.3%) followed by falls (7.7%), and stabs (3.5%). Most Injury Severity Score (ISS) falls under moderate score with 38.7%. Mean Abbreviated Injury Score (AIS) was 3 with most involving the chest and 90% of the patients have injuries involving at least 2 regions. Average hospital length of stay (LOS) was 11.4 days ±11.5 SD; with most patients (71.8%) were discharged without permanent disability. The mortality rate was 9.2% with all having ISS>16. ISS found to be strongly related to longer hospital stay and worse outcome (0.59, p < 0.0001, 0.4, p < 0.0001). This data is equivalent to the compared registries from 4 different trauma centres. However, steps need to be taken to improve this database. In conclusion, this university hospital receives a reasonable load of trauma cases yearly which is equivalent with other trauma centres. The increasing trauma cases will benefit from an implementation of a dedicated trauma service. This trauma database needs more depth in its elements and better data handling to ensure a quality and complete registry.

Author Biography

Firdaus Hayati, Department of Surgery, Faculty of Medicine and Health Sciences

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, 88400 Kota Kinabalu, Sabah

Published

2019-09-28

How to Cite

Ariffin, A. C., Hajhamad, M., Hayati, F., Azizan, N., Zuhdi, Z., Azman, A., Mohamad, I. S., Othman, H., Jarmin, R., & Lee, J. G. (2019). Initial Trauma Database in a University Hospital in Malaysia. Borneo Journal of Medical Sciences (BJMS), 13(3), 19. https://doi.org/10.51200/bjms.v13i3.1175
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