Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Comparison of the Characteristics according to Injury Severity Score between Elderly and Non-elderly with Trauma

노인과 비노인 외상환자의 손상중증도에 따른 특성 비교

  • Kim, Hyunju (College of Nursing, Chonnam National University, Division of Medical Audit, Chonnam National University Hospital) ;
  • Kim, Younkyoung (College of Nursing, Chonnam National University)
  • 김현주 (전남대학교 일반대학원, 전남대학교병원 진료비심사과) ;
  • 김윤경 (전남대학교 간호대학)
  • Received : 2018.06.25
  • Accepted : 2018.08.28
  • Published : 2018.08.31
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Abstract

Purpose: This study examined the characteristic of the Injury Severity Score (ISS) of Korean geriatric patients with a traumatic injury in a nationally representative sample to determine the optimal cutoff of ISS of mortality according to age. Methods: The subjects were 3,018 non-elderly patients and 1,584 elderly patients with an ISS and Korean Triage and Acuity Scale (KTAS) in 2016 from the data of the Health Insurance Review and Assessment Service. The traumatic characteristics of the elderly and non-elderly were compared by stratifying the ISS. Receiver Operating Characteristic (ROC) curve analysis was used to find the optimal cutoff of ISS of mortality according to age. Results: The elderly were more prone to severe trauma than the non-elderly were. The distribution of KTAS grades was lower, even though the severity of ISS was as high as that of the non-elderly. The optimal cutoff score of the ISS for mortality in the ROC curve was lower in elderly over 65 years than in the other age group. Conclusion: The elderly are more prone to severe trauma and death than non-elderly, even though their ISS is low. Therefore, a strategy to prevent elderly from experiencing serious trauma and managing their geriatric trauma actively is needed.

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