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KMID : 0385919920030010037
Journal of the Korean Society of Emergency Medicine
1992 Volume.3 No. 1 p.37 ~ p.43
An Analysis of the Traffic Accident Victims Who Visited Emergency Room By Injury Severity Score(Iss)
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Abstract
Injury severity measures are getting increasing importance for the quality assurance and injury research. Injury severity score (ISS) analysis is a method for the scalar measure of anatomic injury widely used and an important contribution to
trauma
research.
A retrospective study of 349 cases of the traffic accident victims who were visited to emergency room of Kangnam St. Mary's Hospital from March 1991 to August 1991 by ISS-85 was made.
In this study, we have found out following results.
1. The female/male ratio was 69:31, predominant in male and the mean age was 32.4 years.
2. The mean ISS of all traffic accident victims was 8.8¡¾10.6.
3. The mean ISS by age group showed the highest score above 7th decadein both male (14.0¡¾21.0) and female (7.8¡¾10.7).
4. By the analysis of the accident type, the incidences of pedestrian TA, passenger TA and driver TA were 51.9%, 24.0% and 23.5% respectively.
Mortalities of each accident type were 6.6% (pedestrian TA), 3.5% (passenger TA) and 2.4% (driver TA).
Mean ISS revealed the most high in pedestrian TA (10.3¡¾12.5), followed by driver TA(8.2¡¾7.7) and passenger TA (7.8¡¾8.0).
5. By the analysis of the arrival time, which was within one hour after traffic accident, the peak arrival time was from 20 hours to 22 hours (18%) and the score of the highest mean ISS was 19.8¡¾23.0 in 22-24 hours.
6. By the analysis of the day and arrival within one hour after traffic accident, the peak arrival day was Tuesday (19%) and the hightest mena ISS was 12.1¡¾10.6 on Friday.
7. The most common cause of death was head trauma (59%).
8. As the injury severity score increased. The mortality rate incresed.
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