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1 "Sungyoul Hyun"
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Original Article
Trauma Volume and Performance of a regional Trauma Center in Korea: Initial 5-year analysis
Byungchul Yu, Giljae Lee, Min A Lee, Kangkook Choi, Sungyoul Hyun, Yangbin Jeon, Yong-Cheol Yoon, Jungnam Lee
J Trauma Inj. 2020;33(1):31-37.   Published online March 30, 2020
DOI: https://doi.org/10.20408/jti.2020.004
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  • 9 Citations
AbstractAbstract PDF
Purpose

We aimed to evaluate the trauma volume and performance indicators during the first 5-year period of operation in a single regional trauma center.

Methods

We analyzed prospectively collected data from the Korean Trauma Data Bank for a single regional trauma center between January 2014 and December 2018. More than 250 variables were analyzed. We calculated the predicted survival rates using the trauma and injury severity score (TRISS) method.

Results

In total, there were 16,103 trauma admissions during the first 5 years; trauma activation was performed in 5,105 of these cases. Over 70% of the patients were men, and most of the admitted patients were within the age groups of 55–59 years for men and 75–79 years for women. Analyses were performed considering two patient groups: the total patient group and the group of those with severe trauma (injury severity score [ISS] >15). The median ISS, revised trauma score, and TRISS of the two groups were 5 (interquartile range [IQR] 4–10), 22 (IQR 17–27), and 7.6±0.99 and 6.74±1.9, 0.95±0.13, 0.81±2.67, respectively. Of the total patient group, 801 patients (5%) died in the hospital, whereas of the group of patients with ISS >15, 526 (19.5%) died. The direct transportation of patients to the regional trauma center increased year by year. The emergency room stay time and time to entering the operating room showed a decrease until 2017; however, these parameters increased again in 2018.

Conclusions

The trauma volume in the regional trauma center is appropriate, and some improvements could be observed after its establishment. However, performance indicators reveal the prematurity of the trauma center and its potential for further improvements. Moreover, the development of a national trauma system, beyond regional trauma centers, is required.

Summary

Citations

Citations to this article as recorded by  
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    Revista do Colégio Brasileiro de Cirurgiões.2024;[Epub]     CrossRef
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    Revista do Colégio Brasileiro de Cirurgiões.2024;[Epub]     CrossRef
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    Hong Kong Journal of Emergency Medicine.2023; 30(4): 225.     CrossRef
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    Annals of Surgical Treatment and Research.2023; 104(2): 61.     CrossRef
  • Multifaceted Analysis of the Environmental Factors in Severely Injured Trauma: A 30-Day Survival Analysis
    Sung Woo Jang, Hae Rim Kim, Pil Young Jung, Jae Sik Chung
    Healthcare.2023; 11(9): 1333.     CrossRef
  • Prioritization of Injury Prevention and Management Programs and R&D Projects: Survey Using the Delphi Technique and Analytic Hierarchy Process
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    Asia Pacific Journal of Public Health.2023;[Epub]     CrossRef
  • Changes in the Deceased-Donor Trend in Korea: Establishment of Regional Trauma Centers and KODA
    Jeong-Moo Lee
    Journal of Clinical Medicine.2022; 11(5): 1239.     CrossRef
  • An Evaluation of the Effect of Performance Improvement and Patient Safety Program Implemented in a New Regional Trauma Center of Korea
    Yo Huh, Junsik Kwon, Jonghwan Moon, Byung Hee Kang, Sora Kim, Jayoung Yoo, Seoyoung Song, Kyoungwon Jung
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Artificial intelligence to predict in-hospital mortality using novel anatomical injury score
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    Scientific Reports.2021;[Epub]     CrossRef

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