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Characteristics and Outcomes of Trauma Patients via Emergency Medical Services

Authors
 Dae Hyun Cho  ;  Jae Gil Lee 
Citation
 Journal of Trauma and Injury, Vol.30(4) : 120-125, 2017 
Journal Title
 Journal of Trauma and Injury 
ISSN
 1738-8767 
Issue Date
2017
Keywords
Trauma ; Emergency medical services
Abstract
Purpose ; The aim of this study was to identify clinical outcome and characteristics of trauma patients via emergency medical services (EMS). Methods ; Medical records of the trauma patients visiting the emergency department were retrospectively collected and analyzed from January 2015 to June 2016 in the single institution. Of 529 registered patients, 371 patients were transported by - were enrolled. The parameters including age, gender, injury mechanism, Glasgow coma scale on arrival, presence of shock (systemic blood pressure <90 mmHg) on arrival, time to arrival from accident to emergency room (ER), need for emergency procedures such as operation or angioembolization, need for intensive care unit (ICU) admission, injury severity score (ISS), the trauma and injury severity score, revised trauma score (RTS), length of stay, and mortality rate were collected. The SAS version 9.4 (SAS Institute, Cary, NC, USA) was used for the data analysis. Results ; Arrival time from the field to the ER was significantly shorter in EMS group. However, overall outcomes including mortalities, length of stay in the ICU and hospital were same between both groups. Age, ISS, RTS, and injury mechanisms were significantly different in both groups. ISS, RTS, and age showed significant influence on mortality statistically (p<0.05). Conclusions ; The time to arrival of EMS was fast but had no effect on length of hospital stay, mortality rate. Further research that incorporates pre-hospital factors influence clinical outcomes should be conducted to evaluate the effectiveness of such a system in trauma care of Korea.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161697
DOI
10.20408/jti.2017.30.4.120
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
이재길(Lee, Jae Gil)
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