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Mortality Reduction in Major Trauma Patients after Establishment of a Level I Trauma Center in Korea: A Single-Center Experience
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논문 기본 정보

Type
Academic journal
Author
Roh, Young Il (Department of Emergency Medicine, Yonsei University Wonju College of Medicine) Kim, Hyung Il (Department of Emergency Medicine, Yonsei University Wonju College of Medicine) Cha, Yong Sung (Department of Emergency Medicine, Yonsei University Wonju College of Medicine) Cha, Kyoung-Chul (Department of Emergency Medicine, Yonsei University Wonju College of Medicine)
Journal
The Korean Society of Traumatology Journal of trauma and injury : JTI Journal of trauma and injury : JTI 제30권 제4호
Published
2017.1
Pages
131 - 139 (9page)

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Mortality Reduction in Major Trauma Patients after Establishment of a Level I Trauma Center in Korea: A Single-Center Experience
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Purpose: Trauma systems have been shown to decrease injury-related mortality. The present study aimed to compare the mortality rates of patients with major trauma (injury severity score >15) treated before and after the establishment of a level I trauma center. Methods: During this 20-month study, participants were divided into pre-trauma center and trauma center groups, and trauma and injury severity score (TRISS) method was used to compare mortality rates during 10-month periods before and after the establishment of the trauma center (October 2013 to July 2014 vs. October 2014 to July 2015). Results: Of the 541 total participants, 278 (51.5%) visited after the establishment of the trauma center. The Z and W statistics indicated better outcomes in the trauma center group than in the pre-trauma center group (Z statistic, 2.635 vs. -0.700; W statistic, 4.640). The trauma center group also exhibited meaningful reductions in the time interval from the emergency department (ED) visit to emergency surgery (118.0 minutes vs. 142.5 minutes, p=0.020) and the interval from the ED visit to intensive care unit admission (202.0 minutes vs. 259.0 minutes, p=0.035) relative to the pre-trauma center group. Conclusions: The TRISS and multivariate analysis revealed significant improvements in survival rates in the trauma center group, compared to the pre-trauma center group.
#Trauma centers #Mortality #Wounds and injuries #Injury severity score #Survival rate

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