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- Mortality Reduction in Major Trauma Patients after Establishment of a Level I Trauma Center in Korea: A Single-Center Experience
- Young Il Roh, Hyung Il Kim, Yong Sung Cha, Kyoung-Chul Cha, Hyun Kim, Kang Hyun Lee, Sung Oh Hwang, Oh Hyun Kim
- J Trauma Inj. 2017;30(4):131-139. Published online December 30, 2017
- DOI: https://doi.org/10.20408/jti.2017.30.4.131
- 5,442 View
- 77 Download
- 6 Citations
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Abstract
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Supplementary Material Purpose Trauma systems have been shown to decrease injury-related mortality. The present study aimed to compare the mortality rates of patients with major trauma (injury severity score >15) treated before and after the establishment of a level I trauma center.
Methods During this 20-month study, participants were divided into pre-trauma center and trauma center groups, and trauma and injury severity score (TRISS) method was used to compare mortality rates during 10-month periods before and after the establishment of the trauma center (October 2013 to July 2014 vs. October 2014 to July 2015).
Results Of the 541 total participants, 278 (51.5%) visited after the establishment of the trauma center. The Z and W statistics indicated better outcomes in the trauma center group than in the pre-trauma center group (Z statistic, 2.635 vs. ?0.700; W statistic, 4.640). The trauma center group also exhibited meaningful reductions in the time interval from the emergency department (ED) visit to emergency surgery (118.0 minutes vs. 142.5 minutes,
p =0.020) and the interval from the ED visit to intensive care unit admission (202.0 minutes vs. 259.0 minutes,p =0.035) relative to the pre-trauma center group.Conclusions The TRISS and multivariate analysis revealed significant improvements in survival rates in the trauma center group, compared to the pre-trauma center group.
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Citations
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- Development and Validation of a Korean Trauma and Injury Severity Score (K-TRISS) Model for Predicting Trauma Outcomes
Jungsub So, Kyoungwon Jung, Junsik Kwon, Byung Hee Kang, Yo Han Lee, Eun Hae Lee, Chan Ik Park, Jayun Cho, Hoonsung Park, Seoyoung Song, Jayoung Yoo, Inhae Heo
Journal of Korean Medical Science.2025;[Epub] CrossRef - Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea
Dae Ryong Kang, Hye Sim Kim, Ji Young Jang, Ou-Hyen Kim, Kiyoung Kim, Un Young Choi, Jiwool Ko, Keum Seok Bae, Hongjin Shim
Journal of Acute Care Surgery.2024; 14(1): 1. CrossRef - Intentionally self-injured patients have lower mortality when treated at trauma centers versus non-trauma centers in South Korea
Jin Woo, Han Zo Choi, Jongkyeong Kang
Trauma Surgery & Acute Care Open.2024; 9(1): e001258. CrossRef - The Feedback Form and Its Role in Improving the Quality of Trauma Care
Hany Bahouth, Roi Abramov, Moran Bodas, Michael Halberthal, Shaul Lin
International Journal of Environmental Research an.2022; 19(3): 1866. CrossRef - Survival benefit of direct transport to trauma centers among patients with unintentional injuries in Korea: a propensity score-matched analysis
Dong Jun Lee, Seok Hoon Ko, Jongkyeong Kang, Myung Chun Kim, Han Zo Choi
Clinical and Experimental Emergency Medicine.2022; 10(1): 37. CrossRef - Machine Learning Model to Predict Ventilator Associated Pneumonia in patients with Traumatic Brain Injury: The C.5 Decision Tree Approach
Ahmad Abujaber, Adam Fadlalla, Diala Gammoh, Hassan Al-Thani, Ayman El-Menyar
Brain Injury.2021; 35(9): 1095. CrossRef
Original article- Survival Rate and Neurologic Outcome for Patients after Traumatic Cardiac Arrest
- Shin Woong Park, Sung Youl Hyun, Jin Joo Kim, Yong Su Lim, Jin Sung Cho, Hyuk Jun Yang, Won Bin Park, Jae Hyug Woo, Jae Ho Jang
- J Trauma Inj. 2013;26(3):190-197.
- 1,521 View
- 9 Download
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Abstract
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- PURPOSE
Trauma is one of the major cause of death in Korea. This study focused on the survival rate and the neurologic outcome for patients with traumatic cardiac arrest (CA) at one emergency center.
METHODS
We retrospectively reviewed the medical records of patients with traumatic CA who were seen at a regional emergency medical center from January 2010 to December 2011. From among major trauma patients at that medical center, adults older than 18 years of age who had CA were included in this study. CA included out-of-hospital CA with arrival at the Emergency Department (ED) within three hours and in-hospital CA. We checked the survival rate and the neurologic outcome.
RESULTS
A total of 61 patients were analyzed: 32 patients had return of spontaneous circulation (ROSC), 6 patients survived to discharge (survival rate: 9.84%), and 4 were still alive 90 days after discharge. The Cerebral performance category (CPC) scores at 6 months after discharge showed 1 good and 5 poor in neurologic outcomes. Factors such as initial rhythm of CA, part with major injury, Revised Trauma Score (RTS) and pH, were significant for ROSC, survival, and neurologic outcome in patients with traumatic CA.
CONCLUSION
In this study, patients who had traumatic CA showed a 9.84% survival rate and a 1.64% good neurologic outcome. The results are poorer than those for CA caused by disease. Multi-center, prospective studies are needed. -
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