THỰC TRẠNG CẤP CỨU NGOẠI VIỆN BỆNH NHÂN CHẤN THƯƠNG SỌ NÃO TẠI MỘT SỐ BỆNH VIỆN TẠI HÀ NỘI

Abstract

Objective: To describe the current status of prehospital emergency interventions and clinical outcomes of patients with traumatic brain injury (TBI) at selected hospitals in Hanoi. Methods: A retrospective cross-sectional study was conducted on 65 patients aged ≥18 years who were admitted between January 1, 2025, and June 30, 2025, at three hospitals in Hanoi. Results: Males accounted for 70.8% of cases, with a mean age of 49.98 ± 18.73 years; the majority were in the working-age group (18–60 years). Traffic accidents were the leading cause of injury (58%). Overall, 66.2% of patients were transported by ambulance, and 60% received first aid from healthcare personnel, most commonly cervical spine immobilization and bleeding control. Advanced airway management was not performed at the scene. The overall mortality rate was 26.15%, of which trauma-related mortality accounted for 20%. Independent risk factors for mortality included severe TBI (AIS ≥4), ISS ≥16, prehospital hypotension, and hypoxemia. Conclusion: This study highlighted the crucial role of prehospital emergency care in improving clinical outcomes for patients with traumatic brain injury.