Factors Contributing to Mortality for Patients at a Newly-designated Regional Trauma Center

중증 외상 특성화 센터에서 사망률에 영향을 미치는 인자 분석

  • Chang, Ikwan (Department of Emergency Medicine, Inje University Ilsanpaik Hospital) ;
  • Kim, Hoon (Department of Emergency Medicine, Inje University Ilsanpaik Hospital) ;
  • Shin, Hee Jun (Department of Emergency Medicine, Inje University Ilsanpaik Hospital) ;
  • Joen, Woo Chan (Department of Emergency Medicine, Inje University Ilsanpaik Hospital) ;
  • Park, Joon Min (Department of Emergency Medicine, Inje University Ilsanpaik Hospital) ;
  • Shin, Dong Wun (Department of Emergency Medicine, Inje University Ilsanpaik Hospital) ;
  • Park, Jun Seok (Department of Emergency Medicine, Inje University Ilsanpaik Hospital) ;
  • Kim, Kyung Hwan (Department of Emergency Medicine, Inje University Ilsanpaik Hospital) ;
  • Park, Je Hoon (Department of Surgery, Inje University Ilsanpaik Hospital) ;
  • Choi, Seung Woon (Department of Emergency Medicine, Inje University Sanggyepaik Hospital)
  • 장익완 (인제대학교 일산백병원 응급의학교실) ;
  • 김훈 (인제대학교 일산백병원 응급의학교실) ;
  • 신희준 (인제대학교 일산백병원 응급의학교실) ;
  • 전우찬 (인제대학교 일산백병원 응급의학교실) ;
  • 박준민 (인제대학교 일산백병원 응급의학교실) ;
  • 신동운 (인제대학교 일산백병원 응급의학교실) ;
  • 박준석 (인제대학교 일산백병원 응급의학교실) ;
  • 김경환 (인제대학교 일산백병원 응급의학교실) ;
  • 박제훈 (인제대학교 일산백병원 외과학교실) ;
  • 최승운 (인제대학교 상계백병원 응급의학교실)
  • Received : 2012.07.27
  • Accepted : 2012.09.20
  • Published : 2012.12.31

Abstract

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.

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