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논문 기본 정보

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학술저널
저자정보
정경원 (아주대학교) 김익한 (서울대학교) Sue K. Park (Seoul National University) 조현민 (부산대학교) 박찬용 (원광대학교병원 외상외과) 윤정호 (단국대학교) 김오현 (연세대학교) 박주옥 (한림대학교) 이기재 (한국방송통신대학교) 홍기정 (서울대학교병원) 윤한덕 (국립중앙의료원 중앙응급의료센터) 박정민 (국립중앙의료원) 김선월 (국립중앙의료원) 성호경 (서울대학교) 최정빈 (서울대학교) 김윤 (서울대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.34 No.8
발행연도
2019.1
수록면
1 - 10 (10page)

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Background: This study aimed to evaluate the current overall preventable trauma death rate (PTDR) in Korea and identify factors associated with preventable trauma death (PTD). Methods: The target sample size for review was designed to be 1,131 deaths in 60 emergency medical institutions nationwide. The panels for the review comprised trauma specialists working at the regional trauma centers (RTCs); a total of 10 teams were formed. The PTDR and factors associated with PTD were analyzed statistically. Results: Of the target cases, 943 were able to undergo panel review and be analyzed statistically. The PTDR was 30.5% (6.1% preventable and 24.4% possibly preventable). Those treated at a RTC showed a significantly lower PTDR than did those who were not (21.9% vs. 33.9%; P = 0.002). The PTDR was higher when patients were transferred from other hospitals than when they directly visited the last hospital (58.9% vs. 28.4%; P = 0.058; borderline significant). The PTDR increased gradually as the time from accident to death increased; a time of more than one day had a PTDR 14.99 times higher than when transferred within one hour (95% confidence interval, 4.68 to 47.98). Conclusion: Although the PTDR in Korea is still high compared to that in developed countries, it was lower when the time spent from the accident to the death was shorter and the final destined institution was the RTC. To reduce PTDR, it is necessary to make an effort to transfer trauma patients to RTCs directly within an appropriate time.

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