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학술저널
저자정보
Yongho Shin (Samsung Medical Center) Won Cul Cha (Samsung Medical Center) 윤희 (삼성서울병원) 황승연 (성균관대학교 의과대학 삼성서울병원 응급의학과) 신태건 (성균관대학교 의과대학 삼성서울병원 응급의학과) 심민섭 (성균관대학교 의과대학 삼성서울병원 응급의학교실) 조익준 (성균관대학교 의과대학 삼성서울병원 응급의학교실) 김태림 (삼성서울병원)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.9
발행연도
2020.1
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1 - 9 (9page)

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Background: This study described and analysed the features of powered mobility device (PMD)-related injuries and compared elderly and younger adult injuries. Methods: Data from Korea Emergency Department-based Injury In-depth Surveillance (EDIIS) database involving eight emergency departments in 2011–2016 were analysed. The inclusion criteria were injuries sustained during the use of PMDs. The variables were compared between adults aged ≥ 65 years and younger adults. Primary and secondary outcomes were severe trauma and poor clinical course accordingly. The logistic regression analysis was used to identify risk factors for study outcomes. Results: A total of 231 adults were enrolled, of whom 150 were ≥ 65 years of age. The total number of PMD-related injuries and the proportion of elderly injured patients increased annually, and most injuries occurred on the roadway and did not involve crash opponents. By multivariate analysis, patients aged ≥ 65 years had a higher injury severity score (adjusted odds ratio [AOR], 2.78; 95% confidence interval [CI], 1.50–5.40) and had a higher incidence of intensive care unit admissions, surgery, and death (AOR, 2.42; 95% CI, 1.16–5.28). Conclusion: Given the higher number and severity of injuries sustained among elderly adults ≥ 65 years of age shown in this study, we recommend that safety educations, such as the use of protective equipment and the safe driving on the roadway, are considered for PMD users ≥ 65 years of age.

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