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Hoon Kim 3 Articles
Features of Patients Associated with Falls from Heights Admitted to Republican Research Center of Emergency Medicine
Abdukhakim Muminovich Khadjibaev, Pulat Karimovich Sultanov, Hoon Kim
J Trauma Inj. 2015;28(4):248-255.   Published online December 31, 2015
DOI: https://doi.org/10.20408/jti.2015.28.4.248
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  • 1 Citations
AbstractAbstract PDF
PURPOSE
study of the mutual influence of the individual anatomical regions damage in patients associated with falls from heights.
METHODS
561 medical reports of patients associated with falls from heights admitted to Republican Research Center of Emergency Medicine (RRCEM), in period of 2010-2013 yy, were analyzed retrospectively. Patient's age range was from 15 to 89. Treatment of these patients held in three stages: period of acute disorders of vital functions; relative stabilization period; stabilization of vital functions. The scope and content of medical diagnostic procedures performed on pre-hospital and intensive care stages. The severity of each injury was scored according to the AIS scale, the total severity of lesions was scored by points due to ISS. Digital material is treated by methods of mathematical statistics.
RESULTS
Falls from heights leads to associated injuries for 4 times more than isolated trauma, and increases according to height of fall and falling surface. Patients with TBIdaggerchest trauma, are most serious contingent that has highest mortality and complications (36.8%). TBIdaggermusculoskeletal system trauma are characterized by high blood loss, traumatic shock and fat embolism, forming a vicious circle.
CONCLUSION
in patients associated with falls from heights clinical manifestations of injuries mutual aggravation syndrome will be seen. TBI leads to complication of chest trauma, delayed diagnostics of abdominal and chest trauma, aggravation of coma condition. Developing of high blood loss and fat embolism in musculoskeletal system trauma leads to shock and pulmonary embolism, which increases probability of death in the presence of abdominal or chest trauma, but abdominal trauma or chest trauma has no significant effect on the severity of the musculoskeletal system trauma.
Summary

Citations

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  • Organ Donation in Uzbekistan: Achievements and Prospects for Further Development
    Abduhakim Khadjibaev, Farhod Khadjibaev, Khikmat Anvarov, Pulat Sultanov
    Experimental and Clinical Transplantation.2020; 18(Suppl2): 54.     CrossRef
Factors Contributing to Mortality for Patients at a Newly-designated Regional Trauma Center
Ikwan Chang, Hoon Kim, Hee Jun Shin, Woo Chan Joen, Joon Min Park, Dong Wun Shin, Jun Seok Park, Kyung Hwan Kim, Je Hoon Park, Seung Woon Choi
J Trauma Inj. 2012;25(4):188-195.
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AbstractAbstract PDF
PURPOSE
An increase in the demand for specialized Trauma Centers led to a government-driven campaign, that began in 2009. Our hospital was selected as one of the Trauma Centers, and we reviewed data on trauma patients in order to correlate the mortality at a regional Trauma Center with its contributing factors, such as the severity of the injury, the means of arrival, and the time duration before arrival at our center.
METHODS
Data on the patients who visited our Trauma Center from January 2010 to November 2011 were retrospectively reviewed using electronic medical records. The patients who had revised trauma scores (RTSs) less than 7 or injury severity scores (ISSs) greater than 15 were included. The patients were categorized as survivors and non-survivors, and the means of arrival as transferred or visited directly. Time durations before arrival of less than one hour were also taken intoconsideration.
RESULTS
Two hundred(200) patients were enrolled, and the mortality rate was 36.5%. The most common cause of the accident was an automobile accident, and the most common cause of death was brain injury. The RTSs and the ISSs were significantly different in the non-survivor and the survivor groups. The mortality rate of the patients who were transferred was not statistically different from that of patients who visited directly. However, a time duration before arrival of less than one hour was statistically meaningful.
CONCLUSION
The prognosis of the trauma patients were correlated with the severity of the trauma as can be expected, but the time between the incidence of accident and the arrival at hospital and whether the presence of transfer to trauma center were not statistically significant to the prognosis.
Summary
Clinical Investigation of Isolated Chest Injury
Keung Moo Lee, Dong Soo Kim, Lee Suk Woo, Hoon Kim
J Korean Soc Traumatol. 2006;19(1):35-40.
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  • 7 Download
AbstractAbstract PDF
PURPOSE
Injuries are the third leading cause of death in Korea. Isolated chest injury is not uncommon and shows high mortality and morbidity. Several scoring systems are used for triage and stratification for trauma patients, but no standard system is accepted. We aimed to analyze the accuracy of identification of isolated chest injury by using several scoring systems.
METHODS
We reviewed a total of 75 patients admitted with isolated chest injury between January 2005 and October 2005. Medical records were reviewed by using the Injury Severity Score (ISS), the Revised Trauma Score (RTS), and the Trauma and Injury Severity Score (TRISS). The scoring systems were compared by using statistics methods.
RESULTS
The overall predictive accuracy of the TRISS was 12.5%, 12.0% greater than those of the RTS and the ISS. By using the area under the receiver operating characteristic (AUROC) curve, the TRISS showed an excellent discriminative power (AUROC 0.931) compared to the ISS (AUROC 0.926) and the RTS (AUROC 0.872).
CONCLUSION
Compared with the RTS and the ISS, the TRISS is an easily applied tool with excellent prognostic abilities for isolated chest trauma patients. However, the TRISS, the ISS, and the RTS showed high specificity and low sensitivity, so another scoring system is required for triage and stratification of isolated chest injury patients.
Summary

J Trauma Inj : Journal of Trauma and Injury