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논문 기본 정보

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학술저널
저자정보
Kim Hakrim (Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.) Song Kyoung Jun (Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Hospit) Hong Ki Jeong (Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.Laboratory of) Park Jeong Ho (Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.Laboratory of) Kim Tae Han (Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Hospital Boramae Medical Center, Seoul, Korea.Laboratory of Emergency Medical Services, Seoul Nation) Lee Stephen Gyung Won (Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Hospital Boramae Medical Center, Seoul, Korea.Laboratory of Emergency Medical Services, Seoul Nation)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.39 No.6
발행연도
2024.2
수록면
1 - 13 (13page)
DOI
10.3346/jkms.2024.39.e60

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Background: Previous studies showed that the prognosis for severe trauma patients is better after transport to trauma centers compared to non-trauma centers. However, the benefit from transport to trauma centers may differ according to age group. The aim of this study was to compare the effects of transport to trauma centers on survival outcomes in different age groups among severe trauma patients in Korea. Methods: Cross-sectional study using Korean national emergency medical service (EMS) based severe trauma registry in 2018–2019 was conducted. EMS-treated trauma patients whose injury severity score was above or equal to 16, and who were not out-of-hospital cardiac arrest or death on arrival were included. Patients were classified into 3 groups: pediatrics (age < 19), working age (age 19–65), and elderly (age > 65). The primary outcome was in-hospital mortality. Multivariable logistic regression analysis was conducted to evaluate the effect of trauma center transport on outcome after adjusting of age, sex, comorbidity, mechanism of injury, Revised Trauma Score, and Injury Severity Score. All analysis was stratified according to the age group, and subgroup analysis for traumatic brain injury was also conducted. Results: Overall, total of 10,511 patients were included in the study, and the number of patients in each age group were 488 in pediatrics, 6,812 in working age, and 3,211 in elderly, respectively. The adjusted odds ratio (95% confidence interval [CI]) of trauma center transport on in-hospital mortality from were 0.76 (95% CI, 0.43–1.32) in pediatrics, 0.78 (95% CI, 0.68–0.90) in working age, 0.71(95% CI, 0.60–0.85) in elderly, respectively. In subgroup analysis of traumatic brain injury, the benefit from trauma center transport was observed only in elderly group. Conclusion: We found out trauma centers showed better clinical outcomes for adult and elderly groups, excluding the pediatric group than non-trauma centers. Further research is warranted to evaluate and develop the response system for pediatric severe trauma patients in Korea.
#Age #Trauma Center #Mortality

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