중증 외상 특성화 센터에서 사망률에 영향을 미치는 인자 분석
분야
의약학 > 외과학
저자
장익완 ( Ik Wan Chang ) , 김훈 ( Hoon Kim ) , 신희준 ( Hee Jun Shin ) , 전우찬 ( Woo Chan Joen ) , 박준민 ( Joon Min Park ) , 신동운 ( Dong Wun Shin ) , 박준석 ( Jun Seok Park ) , 김경환 ( Kyung Hwan Kim ) , 박제훈 ( Je Hoon Park ) , 최승운 ( Seung Woon Choi )
발행기관
대한외상학회
간행물정보
대한외상학회지 2012년, 제25권 제4호, 188~195페이지(총8페이지)
파일형식
19400647.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: An increase in the demand for specialized Trauma Centers led to a government-driven campaign, that began in 2009. Our hospital was selected as one of the Trauma Centers, and we reviewed data on trauma patients in order to correlate the mortality at a regional Trauma Center with its contributing factors, such as the severity of the injury, the means of arrival, and the time duration before arrival at our center. Methods: Data on the patients who visited our Trauma Center from January 2010 to November 2011 were retrospectively reviewed using electronic medical records. The patients who had revised trauma scores (RTSs) less than 7 or injury severity scores (ISSs) greater than 15 were included. The patients were categorized as survivors and non-survivors, and the means of arrival as transferred or visited directly. Time durations before arrival of less than one hour were also taken intoconsideration. Results: Two hundred(200) patients were enrolled, and the mortality rate was 36.5%. The most common cause of the accident was an automobile accident, and the most common cause of death was brain injury. The RTSs and the ISSs were significantly different in the non-survivor and the survivor groups. The mortality rate of the patients who were transferred was not statistically different from that of patients who visited directly. However, a time duration before arrival of less than one hour was statistically meaningful. Conclusion: The prognosis of the trauma patients were correlated with the severity of the trauma as can be expected, but the time between the incidence of accident and the arrival at hospital and whether the presence of transfer to trauma center were not statistically significant to the prognosis. (J Trauma Inj 2012;25:188-195)
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