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RISS 인기검색어
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- 저자 : 진수근 ( Su Guun Jin ) (검색결과 1 건)
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응급의료전달체계의 각 요인이 중증외상환자의 예후에 미치는 영향 분석
임득호 ( Du Ko Lim ),정태녕 ( Tae Nyoung Chung ),이창재 ( Chang Jae Lee ),진수근 ( Su Guun Jin ),김의중 ( Eui Chung Kim ),최성욱 ( Sung Wook Choi ),김옥준 ( Ok Jun Kim ) 대한외상학회 2011 大韓外傷學會誌 Vol.24 No.2
Purpose: A few studies have assessed the factors affecting the prognoses for major trauma patients and those improving the circumstances when dealing with the trauma system. In that light, we analyzed factors, such as pre-hospital factors, the time to admission, the length of stay in the emergency department (ED) and emergency operation, influencing the outcomes for trauma patients. Methods: The patients who visited our emergency department from April 1, 2009, to February 29, 2011, due to major trauma were enrolled in the study. The inclusion criterion was a revised trauma score (RTS) < 7 or injury severity score (ISS) ≥ 16. We used reviews of medical records, to analyze each step of emergency medical care with respect to patients` sex, age, visit time and visit date. Continuous variables were described as a median with an interquartile range, and we compared the variables between the survival and the mortality groups by using the Mann-Whitney U test. Fisher`s exact test was used for nominal variables. Using the variables that showed statistical significance in univariate comparisons, we performed a logistic regression analysis, and we tested the model`s adequacy by the using the Hosmer-Lemeshow method. Results: A total of 261 patients with major trauma satisfied either the RTS score criterion or the ISS score criterion. Excluding 12 patients with missing data, 249 patients were included in this study. The overall mortality rate was 16.9%. Time to ED arrival, time to admission, time of ED stay, RTS, ISS, and visit date being a holiday showed statistically significant differences between the survival and the mortality groups in the univariate analysis. RTS, ISS, length of ED stay, and visit date being a holiday showed statistical significance in the multivariate analysis. Conclusion: The mortality rate did not show a significant relationship with the time to ED arrival, use of 119, on time to admission. Rather, it elicited a quite significant correlation with the trauma scoring system (RTS and ISS), the time of ED stay, and the visit date being a holiday.
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