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Journal of Trauma and Injury 2012;25(4):188-195.
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
1Department of Emergency Medicine, Inje University Ilsanpaik Hospital, Korea. i0297@paik.ac.kr
2Department of Surgery, Inje University Ilsanpaik Hospital, Korea.
3Department of Emergency Medicine, Inje University Sanggyepaik Hospital, Korea.
중증 외상 특성화 센터에서 사망률에 영향을 미치는 인자 분석
장익완∙김 훈∙신희준∙전우찬∙박준민∙신동운∙박준석∙김경환∙박제훈1∙최승운2
인제대학교 일산백병원 응급의학교실, 1인제대학교 일산백병원 외과학교실, 2인제대학교 상계백병원 응급의학교실
Received: 27 July 2012   • Revised: 18 September 2012   • Accepted: 20 September 2012
Abstract
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.
Key Words: Trauma centers; Injury severity score; Mortality


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