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둔상에 의한 다발성 외상환자의 사망 원인과 병원 내 사망률의 패턴 분석
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김형원 | - |
dc.contributor.author | 이승환 | - |
dc.contributor.author | 이재길 | - |
dc.contributor.author | 정명재 | - |
dc.date.accessioned | 2015-01-06T17:36:19Z | - |
dc.date.available | 2015-01-06T17:36:19Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 2288-5862 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/100291 | - |
dc.description.abstract | Purpose: This study evaluates patterns of in-hospital mortality and causes of death in blunt poly-trauma patients.Methods: Data of blunt poly-trauma patients admitted between 2011 and 2013 were retrospectively collected and analyzed. Poly-trauma was defined as an Injury Severity Score (ISS) was greater than 15. The following variables were extracted and analyzed: age, sex, ISS, Revised Trauma Score (RTS), injury mechanism, cause of death, and patterns in-hospital mortality rate. Results: Two hundred and ten patients with blunt poly-trauma were admitted. Injuries occurred predominately in the age group of 45∼64 years. Injuries occurred predominantly in males (70%). Traffic accidents (67.6%) and falls (30.5%) were the main causes of trauma. Forty-six patients (21.9%) died in the study sample. Six patients (13%) died within one hour, 23 (23.9%) between one and four hours after arrival to emergency room, six (6.5%) died during the first two weeks of hospitalization, and six (6.5%) died in the fourth week of hospitalization. The median ISS of those who died was 39.5 (20.5∼70.5) and median RTS was 4.01 (1.85∼6.15). The major cause of early death was exsanguination (39.1%), followed by central nervous system injury (34.8%). Sepsis or multi-organ failure (26.1%) were the predominant causes of late death. Conclusion: The in-hospital mortality rate is similar to other studies. However, cause of death and injury mechanisms of blunt poly-trauma death are somewhat different from other countries. Recognition of these injury and mortality patterns will help improve the trauma system. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 67~72 | - |
dc.relation.isPartOf | Journal of Acute Care Surgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 둔상에 의한 다발성 외상환자의 사망 원인과 병원 내 사망률의 패턴 분석 | - |
dc.title.alternative | Patterns of In-hospital Mortality and Causes of Death in Blunt Poly-trauma Patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 홍태화 | - |
dc.contributor.googleauthor | 이승환 | - |
dc.contributor.googleauthor | 김형원 | - |
dc.contributor.googleauthor | 정명재 | - |
dc.contributor.googleauthor | 이재길 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02937 | - |
dc.contributor.localId | A01152 | - |
dc.contributor.localId | A03070 | - |
dc.contributor.localId | A03597 | - |
dc.relation.journalcode | J01220 | - |
dc.subject.keyword | Multiple trauma | - |
dc.subject.keyword | Epidemiology | - |
dc.subject.keyword | Mortality | - |
dc.contributor.alternativeName | Kim, Hyung Won | - |
dc.contributor.alternativeName | Lee, Seung Hwan | - |
dc.contributor.alternativeName | Lee, Jae Gil | - |
dc.contributor.alternativeName | Jung, Myung Jae | - |
dc.contributor.affiliatedAuthor | Lee, Seung Hwan | - |
dc.contributor.affiliatedAuthor | Kim, Hyung Won | - |
dc.contributor.affiliatedAuthor | Lee, Jae Gil | - |
dc.contributor.affiliatedAuthor | Jung, Myung Jae | - |
dc.citation.volume | 4 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 67 | - |
dc.citation.endPage | 72 | - |
dc.identifier.bibliographicCitation | Journal of Acute Care Surgery, Vol.4(2) : 67-72, 2014 | - |
dc.identifier.rimsid | 57570 | - |
dc.type.rims | ART | - |
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