지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
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Purpose: This study was undertaken to investigate preventable trauma death and trauma care errors contributing to death on Jeju Island.
Methods: A retrospective study was conducted on all trauma deaths between January 2008 and May 2010 at five emergency departments (ED) in Jeju. Of the 165 deaths,101 patients included for study after excluding death within one hour or after one week. Injury severity was scored according to the Injury Severity Score (ISS) and survival probability (Ps) was calculated. Trauma care errors were coded to six categories: pre-hospital, ED, operating room,intensive care unit, general ward, and inter-hospital transfer.
In addition, system inadequacy, problems in treatment,diagnosis, and procedures were analyzed. Patient records were reviewed independently and preventability was determined by agreement.
Results: The preventable death rate was 35.6%, and the mean ISS was 25.25±10.78. Of all 149 inappropriate cares,66.4% contributed to death. Of the 121 treatment-related problems, 88 problems occurred in the ED. Of the 18 system-related problems, 12 were in the pre-hospital phase.
Seventy of the 96 problems associated with deaths occurred in the ED, and 12 of 29 problems in the pre-hospital phase.
Conclusion: The preventable death rate was high.
Inappropriate care rendered in the treatment process in the ED and system-related errors in the pre-hospital phase were major contributors to preventable trauma deaths. To reduce preventable deaths, more efforts are required on organizing trauma team management and improving care errors during the pre-hospital and inter-hospital transfer.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
http://kosis.kr/
Department of safe community / 2010 / 2009 Injury surveillancereport / Kyungshin :186~197
MacKenzie EJ / 1999 / Review of evidence regarding trauma systemeffectiveness resulting from panel studies / J Trauma 47(3):34~41
Esposito TJ / 1995 / Analysis of preventable trauma deaths and inappropriatetrauma care in a rural state / J Trauma 39:955~962
McDermott FT / 1996 / Evaluationof the medical management and preventability of death in137 road traffic fatalities in Victoria, Australia: anoverview. Consultative Committee on Road TrafficFatalities in Victoria / J Trauma 40:520~533
Department of safe community / 2010 / 2009 Injury surveillancereport / Kyungshin :186~197
MacKenzie EJ / 1999 / Review of evidence regarding trauma systemeffectiveness resulting from panel studies / J Trauma 47(3):34~41
Esposito TJ / 1995 / Analysis of preventable trauma deaths and inappropriatetrauma care in a rural state / J Trauma 39:955~962
McDermott FT / 1996 / Evaluationof the medical management and preventability of death in137 road traffic fatalities in Victoria, Australia: anoverview. Consultative Committee on Road TrafficFatalities in Victoria / J Trauma 40:520~533
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