The Medical journal of Malaysia · 2026
Epidemiology of major trauma in Malaysia: Preliminary findings from the Malaysian Trauma Registry.
СтатьяНазвание и аннотация: Перевод в очереди
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Ahmad I K B, Shah J M Y, Rossman H, Yeoh C C, Aylwin C, Shamila M A, Rathini I
Аннотация
INTRODUCTION: Epidemiological data regarding major trauma in Malaysia is limited due to the unavailability of a sustainable trauma registry (TR). Recognising its importance, a national TR known as the Malaysian Trauma Registry (MTR) was established in 2020. This study aims to investigate the epidemiology of major trauma in Malaysia utilising data from the MTR.
MATERIALS AND METHODS: A retrospective analysis of the MTR data from 1st January 2021 to 30th April 2024 was conducted. This study focused on major trauma patients who presented at the participating hospitals or were transferred from other healthcare facilities and met the MTR enrolment criteria. A total of 2774 patients were included in the analysis.
RESULTS: The most frequently affected group by major trauma was young males aged 15-44. Road traffic accidents (RTAs) were the leading cause of injury, followed by falls. More than half of the patients arrived at the hospital via ambulance, with a median time of 45 minutes from the emergency call to hospital arrival. In the emergency department (ED), nearly 80% of the patients were treated in a shared resuscitation bay, and the trauma team was activated for only one-third of cases. The most common type of Computed Tomography (CT) performed was CT brain. The median time from arrival to first CT was 95 minutes. Approximately 19.5% of patients were directly sent from the ED to the operating theatre for emergency surgery, while 19.6% required admission to the intensive care unit. The head and neck were the most frequently injured body regions (31.7%), with the head and thorax having the highest severity according to the Abbreviated Injury Scale. The median Injury Severity Score was 13 (IQR 7-19), and the median length of hospital stay was 4.4 days (IQR 1.9-10.6 days). The in-hospital mortality rate was 10.9%, with the highest rates observed among young males aged 15-44 and those involved in RTAs.
CONCLUSION: This study has highlighted the burden of major trauma and provided insight into the current quality of trauma care in Malaysia. The information gathered will be used to understand the standard of the existing trauma system and assist in designing trauma care enhancement plans.
MATERIALS AND METHODS: A retrospective analysis of the MTR data from 1st January 2021 to 30th April 2024 was conducted. This study focused on major trauma patients who presented at the participating hospitals or were transferred from other healthcare facilities and met the MTR enrolment criteria. A total of 2774 patients were included in the analysis.
RESULTS: The most frequently affected group by major trauma was young males aged 15-44. Road traffic accidents (RTAs) were the leading cause of injury, followed by falls. More than half of the patients arrived at the hospital via ambulance, with a median time of 45 minutes from the emergency call to hospital arrival. In the emergency department (ED), nearly 80% of the patients were treated in a shared resuscitation bay, and the trauma team was activated for only one-third of cases. The most common type of Computed Tomography (CT) performed was CT brain. The median time from arrival to first CT was 95 minutes. Approximately 19.5% of patients were directly sent from the ED to the operating theatre for emergency surgery, while 19.6% required admission to the intensive care unit. The head and neck were the most frequently injured body regions (31.7%), with the head and thorax having the highest severity according to the Abbreviated Injury Scale. The median Injury Severity Score was 13 (IQR 7-19), and the median length of hospital stay was 4.4 days (IQR 1.9-10.6 days). The in-hospital mortality rate was 10.9%, with the highest rates observed among young males aged 15-44 and those involved in RTAs.
CONCLUSION: This study has highlighted the burden of major trauma and provided insight into the current quality of trauma care in Malaysia. The information gathered will be used to understand the standard of the existing trauma system and assist in designing trauma care enhancement plans.