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Journal of the Korean Society of Traumatology 2008;21(2):78-84.
Epidemiological Multi-center Study of Blast Injury in Military Centers
Won Young Kim, Wook Jin Choi, Jong Ho Lee, Ha Young Park, Dong Ook Kim
1Department of Emergency Medicine, College of Medicine, Ulsan University, Korea.
2Department of Emergency Medicine, Capital Armed General Hospital, Korea.
3Department of Emergency Medicine, Daegu Armed General Hospital, Korea. Dongookk@hanmail.net
4Department of Emergency Medicine, DaeJeon Armed General Hospital, Korea.
5Department of Emergency Medicine, College of Medicine, Daegu Catholic University, Korea.
군내 폭발손상환자 현황에 대한 다기관연구
김원영·최욱진1·이종호2·박하영3·김동욱4
울산대학교 의과대학 서울아산병원 응급의학과, 국군수도통합병원 응급의학과1

대구통합병원 응급의학과2
대전통합병원 응급의학과3
대구가톨릭대학교병원 응급의학과4
Abstract
PURPOSE
Recently, the incidence of blast injury has been on the increase worldwide. The purpose of this study was to evaluate and analyze blast injuries in South Korea.
METHODS
This was a retrospective multi-center study of blast injuries in three tertiary military centers. The medical records of patients with blast injuries from January 2003 to December 2007 were reviewed. The injury severity was evaluated according to the Injury Severity Score (ISS), the Revised Trauma Score (RTS), and the Trauma Score and the Injury Severity Score (TRISS).
RESULTS
This study revealed epidemiological data of blast injury in the three tertiary military hospital. A total of 94 cases of blast injury had occurred. Various body regions were involved. The most frequently injured site was the upper extremity (52.1%). The mechanisms for the blast injuries were primary (41.5%), secondary (74.5%), tertiary (7.4%), and quaternary (29.8%). The mean injury-to-hospital arrival time was 3.2+/-1.7 hour. The rate of admission was 88.3%, and the rate of ICU admission was 32.5%. Thirty-six (36) cases required an emergency operation. Most were performed by an Orthopedist (55.6%), an Ophthalmologist (19.4%), or a general surgeon (13.9%). The mortality rate from blast injury was 4.3%.
CONCLUSION
This was the first paper to present data on the type of injury, the site of injury, the cause of death, and the mortality from blast injury in South Korea. Chest injury, brain injury, tertiary injury mechanisms, ISS> or = 16, and a Maximal Abbreviated Injury Scale Score (ABI)> or =4 were significantly associated with death.
Key Words: Blast injury; Bombs; Korea; Mortality
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