Journal of The Korean Society of Emergency Medicine (대한응급의학회지)

The Korean Society of Emergency Medicine (대한응급의학회)
권호 표지

Relationship between emergency department crowding and initial management, mortality of severe trauma patients

응급실 과밀화와 중증외상환자의 초기 처치 및 사망률과의 연관성

  • Park, Chang Won (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Ahn, Jae Yun (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Seo, Kang Suk (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Park, Jung Bae (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Mi Jin (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Jong Kun (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Ryoo, Hyun Wook (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Yun Jeong (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Dong Eun (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Moon, Sungbae (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Choe, Jae Young (Department of Emergency Medicine, School of Medicine, Kyungpook National University)
  • 박창원 (경북대학교 의과대학 응급의학교실) ;
  • 안재윤 (경북대학교 의과대학 응급의학교실) ;
  • 서강석 (경북대학교 의과대학 응급의학교실) ;
  • 박정배 (경북대학교 의과대학 응급의학교실) ;
  • 이미진 (경북대학교 의과대학 응급의학교실) ;
  • 김종근 (경북대학교 의과대학 응급의학교실) ;
  • 류현욱 (경북대학교 의과대학 응급의학교실) ;
  • 김윤정 (경북대학교 의과대학 응급의학교실) ;
  • 이동언 (경북대학교 의과대학 응급의학교실) ;
  • 문성배 (경북대학교 의과대학 응급의학교실) ;
  • 최재영 (경북대학교 의과대학 응급의학교실)
  • Received : 2018.06.10
  • Accepted : 2018.09.17
  • Published : 2018.12.31

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Abstract

Objective: This study examined whether emergency department (ED) crowding influences the timing of the initial assessment and treatment in severe trauma patients, as well as their mortality rates. Methods: This retrospective, observational study was conducted between January 2015 and October 2016, and included adult severe trauma patients who presented to the ED. The emergency department occupancy rate (EDOR) was used to measure ED crowding. The patients were divided into four groups using the EDOR quartile. The timeliness of the initial assessment and treatment in the four groups as well as the mortality rates were compared. Results: This study investigated 307 patients. The timing of the first computed tomography (CT) and laboratory test order, CT and laboratory test result acquisition, first transfusion, and patient transfer from the ED to the operating room were similar in the four groups. Multivariable logistic regression analysis did not show a significant difference in mortality between the groups. Conclusion: ED crowding was not associated with delays in the initial assessment and treatment of severe trauma patients, or in their mortality rates.

Keywords

References

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