손상으로 입원한 노인의 손상 관련 특성과 손상 중증도 영향요인 분석 : 퇴원손상심층조사 자료를 이용하여

다국어 초록 (Multilingual Abstract)

Purpose: This study was carried out to identify the characteristics and risk factor of geriatric trauma. Methods: Based on the in-depth Injury Patient Surveillance System data from 2006 to 2008, 11,514 geriatric patients were identified from the system data of 67,688 patients. The New Injury Severity Score [NISS] was used to analyse parametric factors. Data were analyzed with the SPSS 19.0 program. Results: NISS of elderly people between the ages of 65 and 74 was lower than that of people 75 and over. The severity of geriatric trauma in these patients was related to gender (male), residence (urban), intentional accidents, and poisoning. Femur fractures, lumbar spine, and pelvis fractures were most common diagnosis in these patients. Men had more frequent head traumas than women. Conclusion: The findings indicate a need for public health education programs that include safety and health behavior in the home area of geriatric populations. Nurses should also provide more information related to first aid and regional medical facilities for emergency care, and when health care providers assess elderly trauma patients, they should consider the specific situations of older people.

참고문헌 (Reference)

1 이원경, "학령전기 어린이에게 발생하는 생활안전영역의 비의도적 손상" 대한응급의학회 20 (20): 288-296, 2009

2 김미령, "전기, 후기 여성노인의 삶의 질 및 영향요인 비교 연구" 한국사회복지학회 58 (58): 197-222, 2006

3 이은정, "우리나라 주택 내에서 발생하는 비의도적 손상의 양상" 대한예방의학회 43 (43): 84-92, 2010

4 최현림, "우리나라 노인의학의 현재와 미래" 대한노인병학회 15 (15): 71-79, 2011

5 양영자, "손자녀 교육을 위해 이농한 후기 여성노인의 삶에 대한 생애사적 연구" 한국노년학회 27 (27): 235-254, 2007

6 이준엽, "도시와 농촌 지역 노인 외상 환자에 대한 임상적 비교" 대한응급의학회 19 (19): 506-512, 2008

7 배지연, "노인의 위험행동에 관한 탐색적 고찰" 한국노년학회 26 (26): 785-800, 2006

8 김정호, "노인 외상환자의 중증도에 영향을 주는 요인 및 상관관계 분석" 대한응급의학회 17 (17): 180-189, 2006

9 이운정, "노인 급성 약물 중독 환자의 임상적 고찰" 대한노인병학회 13 (13): 24-30, 2009

10 Korea Consumer Agency, "The actual safety condition of elderly care facilities" Consumer Safety Department 2011

11 Jones, J. M., "That which does not kill you can makeyou stronger(and more satisfied with life): The contributionof personal and social changes to well-being after braininjury" 26 (26): 353-369, 2011

12 Borkar, S. A., "Severe head injury in the elderly:risk factor assessment and outcome analysis in a series of100 consecutive patients at a level 1 trauma centre" 8 (8): 77-82, 2011

13 Heffernan, D. S., "Normal presenting vital signs are unreliable in geriatric blunt trauma victims" 69 (69): 813-820, 2010

14 International Classification of External Causes of Injuries, "International Classification of External Causes of Injuries (ICECI) version 1.2"

15 Choi, Y. H., "Elderly and health (4th ed.)" Hyunmoonsa 2010

16 Korea Consumer Agency, "Elderly accidental injury survey" Consumer Safety Department 2010

17 Werman, H. A., "Development of statewide geriatric patients trauma triage criteria" 26 (26): 170-179, 2011

18 Korean Centers for Disease Control and Prevention, "Data analysis & statistics of 2005 In-depth Injury Patient Surveillance System" 2007

19 Statistics Korea, "Annual report on the cause of death statistics"

20 Ministry of Health and Welfare, "Analysis & monitoring of emergency medical care vulnerable site and effective support for emergency health care resources" Seoul National University 2010

21 Statistics Korea, "2010 Statistics of elderly"

22 Korean Centers for Disease Control and Prevention, "2008 Guideline of In-depth Injury Patient SurveillanceSystem raw materials utilization"