|
KMID : 0191120190340080065
|
|
Journal of Korean Medical Science
2019 Volume.34 No. 8 p.65 ~ p.65
|
|
|
Preventable Trauma Death Rate after Establishing a National Trauma System in Korea
|
|
Jung Kyoung-Won
Kim Ik-Han
Park Sue-K.
Cho Hyun-Min
Park Chan-Yong
Yun Jung-Ho
Kim Oh-Hyun
Park Ju-Ok
Lee Kee-Jae
Hong Ki-Jeong
Yoon Han-Deok
Park Jong-Min
Kim Sun-Worl
Sung Ho-Kyung
Choi Jeoung-Bin
Kim Yoon
|
|
|
Abstract
|
|
|
Background: This study aimed to evaluate the current overall preventable trauma death rate (PTDR) in Korea and identify factors associated with preventable trauma death (PTD).
Methods: The target sample size for review was designed to be 1,131 deaths in 60 emergency medical institutions nationwide. The panels for the review comprised trauma specialists working at the regional trauma centers (RTCs); a total of 10 teams were formed. The PTDR and factors associated with PTD were analyzed statistically.
Results: Of the target cases, 943 were able to undergo panel review and be analyzed statistically. The PTDR was 30.5% (6.1% preventable and 24.4% possibly preventable). Those treated at a RTC showed a significantly lower PTDR than did those who were not (21.9% vs. 33.9%; P = 0.002). The PTDR was higher when patients were transferred from other hospitals than when they directly visited the last hospital (58.9% vs. 28.4%; P = 0.058; borderline significant). The PTDR increased gradually as the time from accident to death increased; a time of more than one day had a PTDR 14.99 times higher than when transferred within one hour (95% confidence interval, 4.68 to 47.98).
Conclusion: Although the PTDR in Korea is still high compared to that in developed countries, it was lower when the time spent from the accident to the death was shorter and the final destined institution was the RTC. To reduce PTDR, it is necessary to make an effort to transfer trauma patients to RTCs directly within an appropriate time.
|
|
|
KEYWORD
|
|
|
Injuries and Wounds, Trauma Center, Trauma System, Preventable Death Rate, Korea
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
    
|