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RISS 인기검색어
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- 저자 : 장익완 ( Ik Wan Chang ) (검색결과 2 건)
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요골두아탈구 환자에서 방사선 검사 시행과 연관된 인자 분석
장익완 ( Ik Wan Chang ),김도균 ( Do Kyun Kim ),박소영 ( So Young Park ),서동범 ( Dong Bum Suh ),정재윤 ( Jae Yun Jung ),곽영호 ( Young Ho Kwak ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.2
Purpose: In general, X-ray examinations are not recommended for radial head subluxation (pulled elbow) patients. The purpose of this study was to determine the frequency of X-ray examinations and to investigate the factors associated with the decision to perform an X-ray examination on a patient with a pulled elbow. Methods: Patients who visited the pediatric emergency department (ED) of one tertiary hospital from January 1, 2011, to December 31, 2012, with a diagnosis of radial head subluxation at discharge were enrolled in this study. Through retrospective chart reviews, factors that could have influenced the decision to perform an X-ray examination and their statistical relevance were analyzed. Results: A total 308 patients were enrolled, and 101 patients (32.8%) underwent X-ray examinations. Among the 252 patients with a typical pulled elbow, 65 underwent X-ray examination. This result showed statistical significance compared to atypical pull-elbow group (25.8% vs. 64.3%, p<0.001). Factors associated with the decision to perform an X-ray examination were analyzed using the Chi-square test and the Fisher`s exact test. The mechanism of injury and consultation with an orthopedic surgeon (p=0.001) showed statistical significance. In the multivariable logistic regression, the odds ratio (OR) for the injury mechanism was 4.7 (95% CI: 1.8~8.8, p<0.001) and that for consultation with an orthopedic surgeon was 8.0 (95% CI: 1.6~40.7, p=0.004). Conclusion: One third of patients with a pulled elbow underwent X-ray examination, and patients with an atypical mechanism of injury underwent more frequent X-ray examinations than did patients with a typical mechanism of injury. The factors that could have influenced the decision to perform an X-ray examination weremechanism of injury and consultation with an orthopedic surgeon.
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중증 외상 특성화 센터에서 사망률에 영향을 미치는 인자 분석
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 ( Seun 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
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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