185 118

Cited 0 times in

외상 환자의 사망까지의 시간분포 : 3차 진료 교육병원에서의 11년간의 경험

Other Titles
 Distribution of Time to Death in Trauma Patients : A Review of 11 years' Experience at a Tertiary Care Teaching Hospital 
Authors
 김승호 ; 임훈 ; 장문준 
Citation
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.12(4) : 457~466, 2001 
Journal Title
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지) 
ISSN
 1226-4334 
Issue Date
2001
Abstract
BACKGROUND: Traumatic death occupies a high ranking in the annual national report on causes of death and causes a significant burden to society. To reduce traumatic death, an area-wide trauma care system is urgently needed, and basic mortality data will be an essential component in designing such a system. The purpose of this study was to review the experience of trauma death in a hospital to determine the pattern of time to death and the effect of the emergency medical services(EMS) system in traumatic death.0aMETHODS: A retrospective analysis of 495 traumatic deaths experienced from 1990 to 2000 was performed. Time to death, mechanism of injury, injury severity, and cause of death were reviewed. The influence of the EMS system before 1995 was compared with its influence after 1995.0aRESULTS: The mean age of the 495 patients was 41.1en the 2nd and 7th days in 9.9%, and later than the 7th day in 12.7%. The majority of early deaths occurred within 4 hr of injury, but a minor increase was noted during the 2nd week. After 1995, the ambulance transportation rate increased significantly without any difference in prehospital interventions.0aCONCLUSION: Our results showed a bimodal distribution of time to death, which reflected geographic, mechanism of injury, and trauma care system differences. We also noted deficiencies in prehospital trauma care in our EMS system. We recommend nationwide trauma registry initiatives to provide basic trauma data and to implement a quality trauma care system.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/142151
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Emergency Medicine
Yonsei Authors
사서에게 알리기
  feedback
Files in This Item:
T200101693.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse