Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Analysis of Abdominal Trauma Patients Using National Emergency Department Information System

  • Song, In-Gyu (Department of Surgery, National Medical Center) ;
  • Lee, Jin Suk (Department of Surgery, National Medical Center) ;
  • Jung, Sung Won (Department of Surgery, National Medical Center) ;
  • Park, Jong-Min (Department of Surgery, National Medical Center) ;
  • Yoon, Han Deok (Department of National Trauma System Management Office, National Medical Center) ;
  • Rhee, Jung Tak (Department of National Trauma System Management Office, National Medical Center) ;
  • Kim, Sun Worl (Department of National Trauma System Management Office, National Medical Center) ;
  • Lim, Borami (Department of National Trauma System Management Office, National Medical Center) ;
  • Kim, So Ra (Department of National Trauma System Management Office, National Medical Center) ;
  • Jung, Il-Young (Departmentn of Surgery, Asan Medical Center, Ulsan University)
  • Received : 2016.09.01
  • Accepted : 2016.12.10
  • Published : 2016.12.31
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Abstract

Purpose: To develop an inclusive and sustainable trauma system as the assessment of burden of injuries is very much important. The purpose of this study was to evaluate the estimates and characteristics of abdominal traumatic injuries. Methods: The data were extracted from the National Emergency Department Information System. Based on Korean Standard Classification for Disease 6th version, which is the Korean version of International Classification of Disease 10th revision, abdominal injuries were identified and abdominal surgeries were evaluated with electronic data interchange codes. Demographic factors, numbers of surgeries and clinical outcomes were also investigated. Results: From 2011 to 2014, about 24,696 patients with abdominal trauma were admitted to the hospitals annually in South Korea. The number of patients who were admitted to regional and local emergency medical centers was 8,622 (34.91%) and 15,564(63.02%), respectively. Based on National Emergency Department Information System, liver was identified as the most commonly injured abdominal solid organ (39.50%, 9,754/24,696, followed by spleen (17.57%, 4,338/24,696) and kidney (12.94%, 3,195/24,696). Conclusion: This study shows that the demand for abdominal trauma care is considerable in South Korea and most of the patients with abdominal trauma were admitted to regional or local emergency centers. The results of this study can be used as good source of information for staffs to ensure proper delivery of abdominal trauma care in trauma centers nationally.

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