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논문 기본 정보

자료유형
학술저널
저자정보
Hongjin Shim (Department of Surgery, Armed Forces Trauma Center, Armed Forces Capital Hospital) Dae Ryong Kang (Department of Precision Medicine and Biostatistics, Yonsei University Wonju College of Medicine) Hye Sim Kim (Health Insurance Review & Assessment Service) Ji Young Jang (Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea) Ou-Hyen Kim (Department of Emergency Medicine, Yonsei University Wonju College of Medicine) Kiyoung Kim (National Emergency Medical Center, National Medical Center) Un Young Choi (Department of Trauma Surgery, Yonsei University Wonju College of Medicine) Ji Wool Ko (Department of Surgery, Korea University Guro Hospital) Keum Seok Bae (Department of Surgery, Yonsei University Wonju College of Medicine)
저널정보
대한외상중환자외과학회 Journal of Acute Care Surgery Journal of Acute Care Surgery Vol.14 No.1
발행연도
2024.3
수록면
1 - 8 (8page)
DOI
10.17479/jacs.2024.14.1.1

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Purpose: We sought to assess mortality trends in chest-abdominal trauma patients, before and after theimplementation of the Project Supporting Establishment of Trauma Centers (PSETC) in the Republic ofKorea. Methods: Data from the National Health Insurance Service claims database between 2009 to 2017 wereanalyzed. Patients with chest-abdominal trauma were defined as those with relevant main diagnosiscodes and claims for emergency medical management fees. Mortality and cumulative data were analyzedfor each year to compare mortality before and after the establishment of regional trauma centers acrossKorea (2014). Results: In total, 29,127 patients were included in the analysis. While the annual incidence of trauma-related chest-abdominal injuries increased, mortalities decreased. In particular, the trauma incidencerate among patients over 50 years increased during the study period. Mortalities at trauma centers didnot change year by year after the PSETC. Before and after 2014, when trauma centers operated underthe PSETC, mortalities decreased [trauma cases before the PSETC; n = 14,321 (mortality 5.61), after thePSETC; n = 14,806 (mortality 4.96)]. Conclusion: The number of patients treated for chest-abdominal injuries increased from 2009 to 2017 inKorea, whereas mortalities decreased over the same period.

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