ArticleInternational journal of critical illness and injury science
Effect of using a head injury fast-track system on reducing the mortality rate among severe head injury patients in Southern Thailand: A retrospective study with historical control.
Article in International journal of critical illness and injury science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Development and validation of a deep learning model for automatic detection of depressed skull fractures from CT scans.BMC medical imaging · 2026Article
- Cost-effectiveness of intracranial pressure monitoring in severe traumatic brain injury in Southern Thailand.Acute and critical care · 2025Article
- The Impact of the Pandemic of COVID-19 on the Head Injury Fast-Track System and Surgical Outcome.Asian journal of neurosurgery · 2024Article
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Authors and funding
6 authors.
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Abstract
contextHead injuries are the leading cause of traumatic morbidity and mortality. Timely proper management can reduce the mortality rate.
aimsThis study aimed to examine the effects of a fast-track system on reducing head injury mortality using the data in Southern Thailand. SETTINGS AND
designA retrospective study of data from the medical records of severe head injury patients admitted to Hatyai Hospital from October 2012 to May 2017. SUBJECTS AND
methodsThe records of subjects were selected for participants aged more than 11 years, having Glasgow Coma Score (GCS) <9, no injuries in other organs, and neither hypoxemia nor hypotension. A total of 193 participants fulfilling these criteria were analyzed. Of these, 108 participants were managed in the fast track. STATISTICAL ANALYSIS USED: The fast-track group was compared with normal track participants by using logistic regression after preliminary analysis to identify the risk factors using the Chi-squared tests.
resultsAfter adjustment for confounders, namely acute subdural hematoma, linear skull fracture and diffuse brain injury, and mortality in the fast-track group (13%) was significantly lower than that in the nonfast track group (22.4%).
conclusionsUsing the fast-track system can reduce mortality from severe head injuries and should be implemented in the health services system.
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