일개 외상외과에서의 중증외상환자 1년 치료 경험 분석

김태연; 정경원; 권준식; 김지영; 백숙자; 송서영; 강찬숙; 이국종

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자료유형: 학술저널

저자정보: 김태연 (아주대학교 의과대학 응급의학교실) 정경원 (아주대학교 의과대학 응급의학교실) 권준식 (아주대학교 의과대학 응급의학교실) 김지영 (아주대학교 의과대학 응급의학교실) 백숙자 (아주대학교 의과대학 응급의학교실) 송서영 (아주대학교 의과대학 응급의학교실) 강찬숙 (아주대학교 의과대학 응급의학교실) 이국종 (아주대학교 의과대학 응급의학교실)

저널정보: 대한외상학회 Journal of trauma and injury : JTI Journal of trauma and injury : JTI 제24권 제1호

발행연도: 2011.1

수록면: 37 - 44 (8page)

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Purpose: Recently, social interest in an organized trauma system for the treatment of patients has been increasing in government and academia and the establishment of trauma center is being considered across the country. However, establishing such a system has not been easy in Korea, because enormous experiences and resources are necessary. The objectives of this study were (1) to estimate a trauma patient's demands during the course of treatment and (2) to provide appropriate direction for trauma centers to be established in Korea. Methods: The records of 207 patients who were admitted to the Department of Trauma Surgery in Ajou University Medical Center due to trauma were retrospectively reviewed for a 1 year period from March 2010 to February 2011. Patients were reviewed for general characteristics, number of hospital days, numbers and kinds of surgeries, numbers and kinds of consultations, ISS (Injury Severity Score) and number of patients with ISS more than 15. Results: All 207 patients were enrolled. The average number of hospital days was 36.7 days. The ICU stay was 15.9 days, and the general ward stay was 20.8 days. Admitted patients occupied 9.02 beds in ICU and 11.80 beds in the general ward per day. The average number of surgeries per patient was 1.4, and surgery at the Department of Trauma Surgery was most common. Number of consultations per patient was 14.23, and consultations with orthopedic surgeons were most common. The average ISS was 18.6. The number of patients with ISS more than 15 was 141 (61.8%) and the average number of patients treated per trauma surgeon as a major trauma patient was 94.3. The number of mortalities was 20, and the mortality rate was 9.7%. Conclusion: To reduce mortality and to provide proper treatment of patients with major trauma, hospitals need some number of beds, especially in the ICU, to treat patients and to prepare them for emergent surgery. An appropriate number of trauma surgeons and various specialists for consultation are also needed.

#Trauma center #Trauma system #Trauma surgeon #Consultation

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