권역외상센터가 소아 중증외상환자의 임상적 결과에 미치는 영향: 단일 기관 후향적 연구
Effect of trauma center establishment to clinical outcome of severe pediatric trauma patients: retrospective single center study
정해원, 류현욱, 이동언, 문성배, 안재윤, 김종근, 박정배, 서강석,
소속 상세정보
정해원 ( Jung Hae-Won )
Kyungpook National University School of Medicine Department of Emergency Medicine
류현욱 ( Ryoo Hyun-Wook )
Kyungpook National University School of Medicine Department of Emergency Medicine
이동언 ( Lee Dong-Eun )
Kyungpook National University School of Medicine Department of Emergency Medicine
문성배 ( Moon Sung-Bae )
Kyungpook National University School of Medicine Department of Emergency Medicine
안재윤 ( Ahn Jae-Yun )
Kyungpook National University School of Medicine Department of Emergency Medicine
김종근 ( Kim Jong-Kun )
Kyungpook National University School of Medicine Department of Emergency Medicine
박정배 ( Park Jung-Bae )
Kyungpook National University School of Medicine Department of Emergency Medicine
서강석 ( Seo Kang-Suk )
Kyungpook National University School of Medicine Department of Emergency Medicine
KMID : 0385920200310030284
Abstract
Objective: Trauma death is one of the most preventable deaths by various efforts in the healthcare sector. The establishment of a regional trauma center will aid in efforts to reduce mortality. On the other hand, the effects of trauma centers on pediatric trauma in Korea are not fully understood. This study compared the clinical outcomes of severe pediatric trauma patients before and after the regional trauma center was set into action.
Method: A cross-sectional, retrospective analysis was performed on the medical records in a single regional emergency and trauma center from November 2014 to October 2016 and from January 2017 to December 2018. The general demographic information, injury details, and clinical outcome data were collected. The cases were divided into two groups, the before and after groups, and comparisons were made.
Results: Seventy-three patients were included in the study. Thirty-seven patients were in the before group, and 36 were in the after group. The mortality (21.6% to 5.6%, P=0.04) and interhospital transfer rate (27.0% to 8.3%, P=0.03) were lower in after group than in the before group. On the other hand, the time to receive a transfusion, operation, and intensive care unit (ICU) admission did not differ significantly. The lengths of the emergency department, ICU, and hospital stay were also similar in the two groups.
Conclusion: For severe pediatric trauma patients, the mortality and transfer rates decreased after implementing the trauma center. On the other hand, the implementation itself was not identified as a major factor, and the time required to receive a definite treatment or length of stay did not change significantly.
키워드
Trauma center; Pediatrics; Mortality; Length of stay; Injury severity score
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