단일 권역외상센터에 방문한 소아청소년 환자의 나이대별 특성과 중증외상에 영향을 미치는 인자 분석
Age group characteristics of children who visited a regional trauma center and analysis of factors affecting the severe trauma
이형원, 최재연, 장재호, 조진성, 현성열, 최우성, 우재혁,
소속 상세정보
이형원 ( Lee Hyung-Won )
Gachon University College of Medicine Gachon University Gil Medical Center Department of Emergency Medicine
최재연 ( Choi Jea-Yeon )
Gachon University College of Medicine Gachon University Gil Medical Center Department of Emergency Medicine
장재호 ( Jang Jae-Ho )
Gachon University College of Medicine Gachon University Gil Medical Center Department of Emergency Medicine
조진성 ( Cho Jin-Seong )
Gachon University College of Medicine Gachon University Gil Medical Center Department of Emergency Medicine
현성열 ( Hyun Sung-Youl )
Gachon University College of Medicine Gachon University Gil Medical Center Department of Traumatology
최우성 ( Choi Woo-Sung )
Gachon University College of Medicine Gachon University Gil Medical Center Department of Emergency Medicine
우재혁 ( Woo Jae-Hyug )
Gachon University College of Medicine Gachon University Gil Medical Center Department of Emergency Medicine
Abstract
Purpose: The aim of this study was to analyze the age group characteristics and factors associated with the severe trauma in children who visited a regional trauma center.
Methods: We reviewed children aged 18 years or younger who visited a regional trauma center, equivalent to level 1 trauma centers in the United States, in Incheon, Korea from July 2014 through December 2019. They were classified by the age groups: preschoolers (0-6 years), schoolers (7-12 years), and adolescents (13-18 years). Across the 3 age groups, event profiles, severity, and outcomes of injury were compared. Multivariable logistic regressions were used to identify factors associated with the severe trauma, defined as the Injury Severity Score of 16 or higher.
Results: Among the total of 367 children, 74 (20.2%) were preschoolers, 73 (19.9%) were schoolers, and 220 (59.9%) were adolescents. The most common injury mechanisms in the preschoolers, schoolers, and adolescents were fall (40.5%), pedestrian collision (32.9%), and motorcycle accident (38.6%), respectively. The adolescents had the highest median Injury Severity Score (13 [6-23]; P < 0.001). In the multivariable analyses, the Glasgow Coma Scale of 3-8 (odds ratio [OR], 14.60; 95% confidence interval, 5.40-39.42) had the highest OR for severe trauma, followed by injury in the abdomen or pelvic contents (OR, 11.61; 95% confidence interval, 4.66-28.89).
Conclusion: In pediatric trauma, the mechanism and severity of injury may differ according to age groups, with the severe trauma associated with injuries to the head and torso. It is advisable to have age group-specific approaches and strategies for injury prevention.
키워드
Age Groups; Emergency Service, Hospital; Injury Severity Score; Pediatrics; Trauma Centers; Wounds and Injuries
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