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교통사고로 한방병원에 입원한 환자에 대한 후향적 통계 분석

Retrospective Statistical Analysis on Patients Admitted to a Korean Medicine Hospital by Traffic Accident

  • 김홍경 (대전대학교 한의과대학 침구의학교실) ;
  • 김정일 (대전대학교 리버럴아츠칼리지 통계학과) ;
  • 김영일 (대전대학교 한의과대학 침구의학교실)
  • Kim, Hong-Kyoung (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Jeong-il (Dept. of Statistics, H-Liveral Arts College, Daejeon University) ;
  • Kim, Young-il (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • 투고 : 2020.12.24
  • 심사 : 2021.02.18
  • 발행 : 2021.03.01

초록

Objectives: The purpose of this study was to investigate characteristics of patients who were admitted to an oriental medicine hospital by traffic accident. Methods: The medical charts of 346 patients admitted to an oriental medicine hospital from June 1, 2017 to May 31, 2018 were analyzed. The Numbering Rating Scale (NRS) and duration of hospitalization were used to evaluate characteristics of the patients. Results: Acupuncture, Moxibustion, Infralux were used to treat all the patients. The most frequently used herbal medication was Danggwisu-san(22.25%). 87 patients(25.14%) visited the outpatient department after being discharged from the hospital. The most frequent complaint in terms of pain was cervical pain(82.7%) and of systemic symptom was headache(23.7%). Men and younger aged patients showed higher therapeutic effect than women and older ages. The most common duration of hospitalization was 2~4 days(42.73%) and positively correlated with therapeutic effect. The most frequent interval between time of injury and visit to the hospital was from 0-1 days(68.90%) and showed no relationship with therapeutic effect. The most frequent admission pathway was "Directly to the hospital"(57.51%). Admission pathway was proportionally associated with duration of hospitalization and treatment results were not. The most common vehicle type involved in the traffic accidents was a sedan(72.25%), accident type was a rear-end collision(43.64%) and showed no relationship with therapeutic effect. Conclusions: In this study, therapeutic effects were highly correlated among men, younger ages, and duration of hospital stay, and was not for interval days, admission pathway, vehicle type, and accident type.

키워드

참고문헌

  1. National Law Information Center. Act on special cases concerning the settlement of traffic accidents.
  2. National Police Agency. Statistical report of traffic accident in 2016
  3. Health Insurance Review & Assessment Service. Statistical report of medical expenses by car insurance in 2017.
  4. Kim EG, Cha YY. A study on characteristics of skin resistance variability (SRV) in the traffic accident patients prescribed Dangkisoo-san (Dangguixu-san). Journal of Korean Medicine Rehabilitation. 2008;18(3):119-132.
  5. The society of Korean Medicine Rehabilitation. Korean Medicine Rehabilitation Vol 3. Seoul: Publisher of Gunja. 2011:179, 204-5, 341.
  6. Shin JH, Oh MS. The retrospective analysis of 1,162 traffic accident inpatients in Korean medicine hospital. Journal of Korean Medicine Rehabilitation. 2013;23(4), 233-250.
  7. Jo MG, Ahn HM, Na SS. A clinical analysis of Admission Patients in Korean Medicine Hospital due to Traffic Accident. Journal of Medical Gi-Gong. 2017;17(1):109-126.
  8. Song YI, Jin KS, Shin HL, Yoon IJ, Choi SH, Oh MS. The clinical analysis of traffic accident patients treated by oriental medicine. Journal of Korean Medicine Rehabilitation. 2005;15(2):77-89.
  9. Patrick D. wall, Ronald Mozack. Painology. Seoul:Publisher of Jungdam. 2002:483-484.
  10. Do HJ, Shin YS, Kim CE, Song HS, Shin JK, Gang BG, Kim ES. Clinical Analysis of 2,048 Musculoskeletal Patients Who Visited the Traffic Accident Clinic of a Korean Medicine Hospital. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2016;11:11-23.
  11. Park TY, Lee JH, Ko YS, Woo YM, Song YS, Shin BC. The statistical study of 84 traffic accident patients hospitalized in Oriental medical hospital. The Journal of Korea CHUNA Manual Medicine. 2005;6(1):31-40.
  12. Kim BC, Han EJ, Lee YJ, Lee MJ. The statistics study of admission patients to the oriental medical hospital due to traffic accident. J Korean Med Rehabil. 2002:12(1):31-39.
  13. Kook KH, Oh MS. The analysis of 509 admission patients in Korean medical hospital due to traffic accident. JORM. 2012;22(4):169-183.
  14. Yoon IJ, Oh MS, Song JW. Clinical analysis of 112 traffic accident patients. Journal of Korean Medicine Rehabilitation. 1998;8(1):317-332
  15. Kim EG, Lee DG, Jeong WJ, Cho HS, Bae JI, Kim SH, Kim KH. The Clinical Study on 500 Cases with Traffic Accident Patients Admitted in Oriental Medical Hospital. Journal of Acupuncture Research. 2009;26(5):29-38.
  16. Cho SW, Go KH, Nam JH, Kim BH, Lee IS. The Clinical Study on 34 Admission Patients to Oriental Medical Hospital due to Traffic Accident. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2006;1(2):101-109.
  17. Jeon DH, Lee EJ, Oh MS. The Influential Factors Associated with Hospitalization Period of Patients from Traffic Accident by Groups: A Korean Medicine Hospital Experience, Respective Chart Review. Journal of Korean Medicine Rehabilitation. 2016;26(2):133-44. https://doi.org/10.18325/jkmr.2016.26.2.133
  18. Kang JH, Jang SG, Lee H, Lee BR. The clinical study on 37 cases of whiplash injury patients which caused by traffic accident. Journal of Acupuncture Research. 2002;19(3):180-191.
  19. Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine 2005;30:1331-4. https://doi.org/10.1097/01.brs.0000164099.92112.29
  20. Farrar JT, Young JP Jr, LaMoreaux L, Werth JL, Poole RM. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain 2001;94:149-58. https://doi.org/10.1016/S0304-3959(01)00349-9
  21. Michener LA, Snyder AR, Leggin BG. Responsiveness of the numeric pain rating scale in patients with shoulder pain and the effect of surgical status. Journal of sport rehabilitation. 2011 Feb 1;20(1):115. https://doi.org/10.1123/jsr.20.1.115
  22. Jang KJ, Jwa CS, Yi HJ, Jeon HJ, Kim GH. Factors Associated with Post-Concussion Syndrome after Mild Head Injury. Journal of Korean Neurotraumatology Society. 2008;4(1):31-36. https://doi.org/10.13004/jknts.2008.4.1.31
  23. Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. Korean Journal of Acupunct. 2007;24(2):77-97.
  24. White A. Measuring pain. Acupunct. Med. 1998;16(2):83-7. https://doi.org/10.1136/aim.16.2.83
  25. Jeong SH, Lee HH, Lee GE, Choi JH, Kim D, Lee JH. The Domestic Trends of Korean Medical Treatments for Neck Pain Caused by Whiplash Injury. Journal of Korean Medicine Rehabilitation. 2017;27(4):11-19. https://doi.org/10.18325/jkmr.2017.27.4.11
  26. Shim KB. The determination of risk group and severity by traffic accidents types-Focusing on Seoul City. International journal of highway engineering. 2009;