The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Correlation between injury and the injury severity score in geriatric traffic accident patients transported by 119 rescue services

119로 내원한 노인교통사고 환자의 손상과 손상중증도계수의 상관관계 분석

  • Park, Yu-Jin (Department of Emergency Medical Technology, Choonhae College of Health Sciences) ;
  • Kim, Byung-Woo (Department of Paramedic Science, Korea National University of Transportation)
  • 박유진 (춘해보건대학교 응급구조학과) ;
  • 김병우 (한국교통대학교 응급구조학과)
  • Received : 2016.11.23
  • Accepted : 2016.12.19
  • Published : 2016.12.31
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Abstract

Purpose: The purpose of the study was to investigate the correlation between injury and injury severity score (ISS) in geriatric traffic accident patients transported by 119 emergency medical technicians (EMTs). Methods: The subjects were 240 traffic accident patients over 65 years old transported by 119 rescue services emergency departments in Busan from January 1, 2014 to August 31, 2015. Results: ISS increased in motorcycle traffic accidents (p=.026), truck injuries (p=.005), and head and neck injury (p<.001). Vital signs were evaluated by 119 rescue EMT. ISS increased in cases of unresponsive unconsciousness (p<.001), hypotension (p=.001), and bradycardia (p<.001). The need for bleeding control and dressing by the EMTs increased ISS significantly (p=.022). Conclusion: In the initial evaluation of geriatric traffic patients, ISS can increase in motor cycle accidents and truck injuries. Due to high ISS, patients with head and neck injury, chest injury, hypotension, or tachycardia should be transferred to advanced level hospitals.

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References

  1. Lee DH, Kim SP, Kim SJ, Cho SH, Cho NS. Factors associated with the severity of injuries in old driver trauma patients. J Korean Soc Emerg Med 2009;20(2):177-84.
  2. Kim KB. The traffic accident characteristics and reduction methods of elderly pedestrian in accordance with the advent of the aging society-focused on Jeju. The Journal of the Korea Contents Association 2015;15(4):197-207. https://doi.org/10.5392/JKCA.2015.15.04.197
  3. Bergeron E. Lavoice A, Moor L, Clas D, Rossignol M. Comorbidity and age are both independent predictors of length of hospitalization in trauma patient. Can J Surg 2005;48(5):361-6. PMID: 16248133, PMCID: PMC3211888
  4. Kim JH, Do BS, Lee SB, Lee SH, Kim OR, Chung JY. Analysis of the factors that influence the incidence and the severity of geriatric trauma patients and correlation between the factor. J Korea Soc Emerg Med 2006;17(2):180-9.
  5. Hwang JY, Lee KH, Shin HJ, Cha KC, Kim H, Hwang SO. Correlation analysis of Trauma Scoring System in predictive validity in motor vehicle accident. J Korean Soc Emerg Med 2011;20(4):329-34.
  6. Kim TS, Lee KH, Kim TH, Kim OH, Cha YS, Cha KC, Hwang SO. Clinical characteristics and prognostic factors of geriatric patients involved in traffic accidents. J of Trauma and Injury 2014;27(4):101-7.
  7. Min L, Ubhayakar N, Saliba D, Kelley-Quon L, Morley E, Hiatt J, et al. The vulnerable elders survey-13 predicts hospital complications and mortality in older adults with traumatic injury: a pilot study. J Am Geriatr Soc 2011;59(8):1471-6. https://doi.org/10.1111/j.1532-5415.2011.03493.x
  8. Baker SP. O' Neil B, Haddon W Jr, Long WB. The severity score : A method for describing patients with multiple injury and evaluating emergency care. J Trauma and Acute Care Surgery 1974;14(5):187-96. https://doi.org/10.1097/00005373-197403000-00001
  9. Lee SY, Lee KH, Hwang SO, Lee JW, Moon JB, Ahn HC. Severe geriatric trauma : predictive factor of mortality. J Korean Soc Traumatol 2001;14(2):91-100.
  10. Dimich-Ward H, Guernsey JR, Pickett W, Rennie D. Hartling L, Brison RJ. Gender difference in the occurrence of farm related injuries. Occup Environ Med 2004;61:52-6.
  11. Park SJ, Lee SC, Jang HR. The influence of driving situational adaptability and chronic disease on driving behavior of elderly drivers. Korean J Clin Psychol 2008;14(2): 1-19.
  12. Shabot MM, Johnson CL. Outcome from critical care in the "oldest old" trauma patients. J Trauma and Acute Care Surgery 1995;39(2):254-60. https://doi.org/10.1097/00005373-199508000-00011
  13. Yang YM, Kim ES. The status of incidence and the prognostic factors in geriatric trauma patients. J Korean Soc Traumatol 2004;17(1):37-48.
  14. Cha JK, Kim SC, Park SO, Hong DY, Kim JW, Lee KR, et al. Comparison of Injury Patterns and Severity between younger and older rider in the motorcycle accident. J Korean Soc Emerg Med 2015;26(2):159-64.
  15. Yang YM, Ha YR, Chung SP, Kim SH, Yoo IS. Clinical significance of the triage-revised trauma score in the triage of geriatric trauma patients. J Korean Soc Emerg Med 2001;12(3):251-8.
  16. Ahn BM, Choi SP, Park JH,, Wee JH, Hong SY, Jeong SK. Clinical characteristics and risk factors in severely injured elderly trauma presenting to emergency department. J Korean Geriatr Soc 2015;19(3):138-46. https://doi.org/10.4235/jkgs.2015.19.3.138
  17. Jo YH, Shin SD, Suh GJ, Kim JS. The Effect of hospital-based emergency medical technician training on the prehospital measurement of vital signs. J Korean Soc Emerg Med 2007;18(4):267-76.
  18. Jeong JS, Hong KJ, Shin SD, Suh GJ, Song KJ. Evaluation of the appropriateness of prehospital emergency care by 119 rescue services in Seoul metropolitan area. J Korean Soc Emerg Med 2008;19(3):233-44.
  19. Kim SC, Lee JH, Lee EJ, Kim KS, Kim YJ, Shin SD, Suh GJ. A Pilot Study on the Effect of hospital based emergency medical technician training on improving the quality of prehospital assessment and intervention. J Korean Soc Emerg Med 2006;17(6):528-38.