J Trauma Inj Search

CLOSE


Journal of Trauma and Injury 2014;27(4):170-177.
Three-year Analysis of Patients and Treatment Experiences in the Regional Trauma Center of Gachon University Gil Hospital between 2011 and 2013
Yong Cheol Yoon, Jung Nam Lee, Min Chung, Yang Bin Jeon, Jae Jeong Park, Byung Chul Yu, Gil Jae Lee, Hyun Jin Cho, Dae Sung Ma, Min A Lee, Jung Ju Choi, Seong Son
Gachon University Gil Hospital Regional Trauma Center, Korea. jnlee@gilhospital.com
가천대학교 길병원 권역외상센터 3개년 내원 환자 및 치료 경험 분석(2011~2013)
윤용철, 이정남, 정민, 전양빈, 박재정, 유병철, 이길재, 조현진, 마대성, 이민아, 최정주, 손@성
가천대학교 길병원 권역외상센터
Received: 1 October 2014   • Revised: 27 November 2014   • Accepted: 28 November 2014
Abstract
PURPOSE
The first regional trauma center selected in Korea was the Gachon University Gil hospital regional trauma center; expectation on its role has been high because of its location in the Seoul metropolitan region. To determine if those expectations are being met, we analyzed the patients visiting the center and their treatment experiences for the past 3 years in order to propose a standard for the operation of a trauma center.
METHODS
The visiting route, visiting methods, performance of emergency surgery, the ward and the length of stay, the injury mechanism, the injury severity score (ISS), the department that managed the surgery, and the cause of death were analyzed for 367 patients visiting the center from its establishment in June 2011 through December 2013.
RESULTS
The mean age of the patients was 47 years (285 male and 82 female patients). A total of 187 patients directly visited the center whereas 180 were transferred to the center. Traffic accidents comprised the majority of injury mechanisms, and 178 patients underwent emergency surgery. The mean length of stay per patient was 11 days for those in the ICU and 27 days for those in a general ward. These patients occupied 4 beds in the ICU and 10 beds in the general ward per day. A total of 1.21 surgeries were performed per patient, and the mean number of surgeries performed per day was 0.49. The mean ISS was 15.91, and 183 patients (50%) had an ISS of > or =16. Thirty-one patients died; they had a mean ISS of 28.42. The most frequent cause of death was multi-organ failure. The mean number of treatment consultations during a patient's stay was 6.32. Forty-five patients (13%) were discharged from the center, and 291 (79%) were transferred to another hospital.
CONCLUSION
A systematic approach to establishing a treatment model for trauma patients, including injury mechanism, multidisciplinary treatment, and trauma surgeon intervention, is required for treating trauma patients.
Key Words: Regional trauma center; Injury severity score; Trauma model
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 53 View
  • 4 Download
Related articles in
J Trauma Inj


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
Department of Trauma Surgery, Gachon University Gil Medical Center
783 Namdong-daero, Namdong-gu, Incheon 21556, Korea
Tel: +82-10-5552-2653    Fax: +82-70-8677-6333    E-mail: office@jtraumainj.org                

Copyright © 2020 by The Korean Society of Traumatology. All rights reserved.

Developed in M2community

Close layer
prev next