Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Convergence Comparative Analysis of Young-Old and Old-Old Patients Hospitalized Owing to Injury

손상으로 입원한 전·후기 노인의 융복합 비교분석

  • Suhn, Mi-Ohk (Division of Health Administration, Kwangju Women's University)
  • 선미옥 (광주여자대학교 보건행정학과)
  • Received : 2020.01.02
  • Accepted : 2020.02.20
  • Published : 2020.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to understand the differences in general characteristics, principal diagnosis, injury-related characteristics, and types of transportation accidents between young-old and old-old patients who were hospitalized owing to injury based on data from the Korean National Hospital Discharge In-Depth Injury Surveys. We used a complex sample cross tabulation analysis (chi-square test) and complex sample generalized linear model (t-test). Therefore, the primary focus of healthcare professionals working with the old-old should prevent falls in the home and increase the available medical care, financial aid plans, and psychosocial support for aging. Additionally education on traffic accident prevention and road safety is particularly important for old-old patients.

본 연구는 손상으로 입원한 노인을 전기 노인과 후기 노인으로 구분하여 전·후기 노인의 일반적 특성, 주진단명 특성, 손상관련 특성 및 운수사고 유형의 차이를 파악하고자 시행되었다. 질병관리본부의 퇴원손상심층조사 원시자료를 활용하였으며, 복합표본 교차분석(카이제곱 검정)과 복합표본 일반선형모형(t검정)을 사용하여 분석하였다. 분석결과, 일반적 특성은 전기 노인은 건강보험이 높은 반면, 후기 노인은 의료급여가 높게 나타났다. 주진단명 특성은 전기 노인은 뇌 손상이 높았고 후기 노인은 대퇴골 골절이 월등히 높았다. 손상관련 특성은 전·후기 노인 모두 낙상이 가장 높았고, 후기 노인에서 손상발생장소로 가정이나 주거지가, 일상생활 중, 의도성 자해가 높았다. 운수사고 유형은 전기 노인은 승용차 운전자가 높았고, 후기 노인은 보행자 사고가 높았다. 이러한 연구결과에 따라 후기 노인은 전기 노인에 비해 더 많은 의료서비스, 경제적 지원, 주거지 중심의 낙상 예방 대책 및 자살 등 의도적 손상 예방을 위한 사회 심리적 전략이 요구되며, 후기 노인의 보행자 교통사고 예방을 위한 교육 및 도로 등 안전한 보행 환경을 위한 노력이 요구된다.

Keywords

References

  1. J. Ahn & J. Im. (2015). Development outlook addressing the advancement into a super-aged society. Seoul: Presidential Committee for Balanced National Development.
  2. Statistics Korea. (2016). Statistics of elderly. Korean Statistical Information Service [Online]. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11760NP54&conn_path=I2
  3. S. Shin. (2016). Study on the costs and burdens of medical service use by elderly consumers. International Journal of Consumer Studies, 50(1) 33-65.
  4. Statistics Korea. (2016). Statistics of Elderly. Korean Statistical Information Service [Online]. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11760NP26&conn_path=I2
  5. J. Langley & R. Brenner. (2004). What is an injury?. Injury Prevention, 10, 69-71. DOI: 10.1136/ip.2003.003715
  6. The Korea Society for Preventive Medicine. (2019). Preventive medicine and public health. Seoul : Gye Chuk Mun Wha Sa.
  7. J. Y. Moon. (2019. 2. 26). 65 years old for standard of the elderly is from Bismarck, Germany in 1889... 80 years from United Nations. Daily Economic Newspaper [Online]. http://www.mk.co.kr/news/economy/view/2019/02/117843
  8. H. Jeon & Y. Choi. (2012). Analysis of injury-related characteristics and injury severity of elderly patients hospitalized due to injury. Journal of Korean Gerontological Nursing, 14(3), 151-161.
  9. B. M. Ahn, S. P. Choi, J. H. Park, J. H. Wee, S. Y. Hong & S. K. Jeong. (2015). Clinical characteristics and risk factors in severely injured elderly trauma presenting to emergency department. Journal of Korean Geriatric Society, 19(3), 138-146. DOI: 10.4235/jkgs.2015.19.3.13
  10. M. W. Park, K. H. Park, J. H. Cho, H. Y. Park, I. H. Kwon, W. H. Yeo, J. Lee, D. H. Park, Y. S. Yoon & Y. W. Kim. (2014). Characteristics of geriatric trauma patients transferred from long-term care hospitals: a propensity score matched analysis. Journal of The Korean Society of Emergency Medicine, 25(3), 312-317.
  11. T. Hagino, S. Ochiai, M. Wako, E. Sato, S. Maekawa & Hamada Y. (2008). Comparison of the prognosis among different age groups in elderly patients with hip fracture. Indian Journal of Orthopaedics, 42(1), 29-32. DOI: 10.4103/0019-5413.38577
  12. S. E. Son & S. K. Moon. (2013). Factors affecting the suicide ideation and attempted suicide of the elderly at risk for depression - focused on Chungcheongnam-do. Emergency Management: Theory and Praxis, 9(11), 133-154.
  13. K. T. Lim, J. E, Lee, H. E. Park, S. Y. Park & W. J. Choi. (2019). Understanding and prevention of fall-related injuries in older adults in South Korea: A Systematic Review. Physical Therapy Korea, 26(2), 34-48. DOI:10.12674/ptk.2019.26.2.034
  14. A. El-Menyar, E. Tilley, H. Al-Thani & R. Latifi. (2019). Females fall more from heights but males survive less among a geriatric population: insights from an American level 1 trauma center. BMC Geriatrics, 19(1), 238. DOI: 10.1186/s12877-019-1252-6
  15. W. W. Fu, T. S. Fu, R. Jing, S. R. McFaull & M. D. Cusimano. (2017). Predictors of falls and mortality among elderly adults with traumatic brain injury: A nationwide, population-based study. PloS One, 12(4). DOI: 10.1371/journal.pone.0175868
  16. T. S. Kim, K. H. Lee, T. H. Kim, O. H. Kim, Y. S. Cha, K. C. Cha & S. O. Hwang. (2014). Clinical characteristics and prognostic factors of geriatric patients involved in traffic accidents. Journal of Trauma and Injury, 27(4), 101-107.
  17. T. G. Hyun, S. R Yeom, S. -W. Park, D. Lee, H. B. Kim, I. J, Wang, B. G. Bae, M. K. Song & Y. Cho. (2019). Factors and their correlation with injury severity of elderly pedestrian traffic accidents. Journal of Trauma and Injury, 32(3), 143-149. https://doi.org/10.20408/jti.2019.022
  18. J. K. Cha, S. C. Kim, S. O. Park, D. Y. Hong, J. W. Kim, K. R. Lee, K. J. Baek, H. J. Jeon, J. W. Kim, K. R. Lee, K. J. Baek, H. J. Jeon, S. M. Park, J. Y. Kim & Y. S. Kwak. (2015). Comparison of injury patterns and severity between younger and older rider in the motorcycle accident. Journal of The Korean Society of Emergency Medicine, 26(2), 159-164.
  19. J. Kim. (2018). Analysis of medical fee spending trends of the younger-old and older-old (2010-2016). Health Insurance Review and Assessment Service, 12(2), 69-75.
  20. Korea Centers for Disease Control and Prevention. (2008). 2005 Injury and Operation Statistics, National Hospital Discharge Survey.
  21. Y. Yang & E. Kim. (2004). The status of incidence and the prognostic factors in geriatric trauma patients. Journal of Trauma and Injury, 17(1), 374-378.
  22. D. Lee, S. Kim, S. Kim, S Cho & N. Cho. (2009). Factors associated with the severity of injuries in old driver trauma patients. Journal of The Korean Society of Emergency Medicine, 20(2), 177-184.
  23. K. Park, S. J. Eun, E. J. Lee, C. E. Lee, D. Y. Park, K. H. Han, Y. Kim & J. S. Lee. (2008). The incidence and patterns of unintentional injuries in daily life in Korea: A nationwide study. Journal of Preventice Medicine and Public Health, 41(4). 265-271. DOI: 10.3961/jpmph.2008.41.4.265
  24. P. F. Adams, J. W. Lucas & P. M. Barnes. (2008). Summary health statistics for the U.S. population: national health interview survey, 2006. Vital and Health Statistics, 10(236), 1-104.
  25. Green Transport Movement. (2016). Rapidly Increasing Elderly Car Accidents, Any Solutions?. Green Transport Movement [Online]. http://www.greentransport.org/774
  26. J. Kim, B. Do, S. Lee, S. Lee, O. Kim & J. Chung. (2006). Analysis of the factors that influence the incidence and the severity of geriatric trauma patients and correlation between the factors. The Korean Society of Emergency Medicine, 17(2), 180-189.