추락환자의 예후인자로서 외상지수와 추락높이의 의의

서경수; 박순태; 하우송; 최상경; 홍순찬; 이영준; 정은정; 정치영; 정상호; 주영태

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자료유형: 학술저널

저자정보: 서경수 (경상대학교 의과대학 외과학교실) 박순태 (경상대학교 의과대학 외과학교실) 하우송 (경상대학교 의과대학 외과학교실) 최상경 (경상대학교 의과대학 외과학교실) 홍순찬 (경상대학교 의과대학 외과학교실) 이영준 (경상대학교 의과대학 외과학교실) 정은정 (경상대학교 의과대학 외과학교실) 정치영 (경상대학교 의과대학 외과학교실) 정상호 (경상대학교 의과대학 외과학교실) 주영태 (경상대학교 의과대학 외과학교실)

저널정보: 대한외상학회 Journal of trauma and injury : JTI Journal of trauma and injury : JTI 제22권 제1호

발행연도: 2009.1

수록면: 12 - 17 (6page)

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Purpose: In this study, the prognostic significance of the Injury Severity Score (ISS) and the height of fall in free-fall patients were investigated. Methods: The medical records of 179 victims of falls from a height who were brought alive to the Emergency Department of Gyeongsang National University Hospital between January 2003 and December 2007 were analyzed. The age, the sex of the patients, the rate of admission, the hospital stay, the site of injury, the severity of injury, the rate of surgery, the site of the fall and the presence of alcohol intoxication were evaluated by using a retrospective review of the medical records. Injury severity was measured by using the ISS. Patients were categorized into four subgroups according to the height from where they had fallen. The data were statistically analyzed with using SPSS ver. 10.0. Results: The admission rates for the subgroups with falls of less than 3 stories were significantly lower than those for the subgroups with higher heights of falls (70.7% vs. 100%, p<0.05). These two subgroups showed statistically significant differences in mean hospital stay ($17.11{\pm}24.88$ vs. $56.73{\pm}49.21$, p<0.05), rate of operation (30.6% vs. 53.8%, p<0.05), and mean ISS ($6.86{\pm}4.97$ vs. $13.96{\pm}9.14$, p<0.05). In the correlation analysis, the ISS and the mean hospital stay showed the highest correlation with correlation coefficient of 0.666. Conclusion: In this retrospective analysis of 179 free-fall patients, we evaluated the prognostic factors affecting the outcomes for the free-fall patients. The patients who had fallen from heights of 3 stories or higher showed statistically significant higher rates of admission, longer durations of hospital stay, higher ISSs, and higher operation rates. The most accurate factor in predicting the length of hospital stay was the ISS.

#Accidental falls #Injury Severity Score #ISS)

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