서부 경남 지역 외상 환자의 임상적 양상에 대한 기술적 연구

Descriptive Study of the Clinical Characteristics of Trauma Patients in the West Southern Kyungsangnam-do Area

  • 강창우 (경상대학교 의과대학 응급의학교실) ;
  • 박인성 (경상대학교 의과대학 응급의학교실) ;
  • 김동훈 (경상대학교 의과대학 응급의학교실)
  • Kang, Chang Woo (Department of Emergency Medicine, Gyeongsang National University) ;
  • Park, In Sung (Department of Emergency Medicine, Gyeongsang National University) ;
  • Kim, Dong Hoon (Department of Emergency Medicine, Gyeongsang National University)
  • 투고 : 2005.11.02
  • 심사 : 2005.12.07
  • 발행 : 2005.12.30

초록

Purpose: This study was conducted to gather descriptive data on trauma victims and to observe the general demographic characteristics and clinical profile of trauma victims who were admitted to a regional emergency medical center in the west southern Kyungsangnam-do area. Objects & Method: The study population consisted of 1,909 trauma patients who visited the emergency department of Gyeongsang National University Hospital between January 2003 and December 2004. The medical records were reviewed in a retrospective manner. Demographic data, the mechanism of injury, and clinical information were collected by three professional medical affairs recorders and an emergency physician and a Revised Trauma Score (RTS) and an Injury Severity Score (ISS) were calculated for each patient. Collected data were analyzed with SPSS software version 12.0. Results: Male patients outmembered female patients (M:F=2.54:1), and the mean age of the population was $40.5{\pm}21.4$ years. The mean RTS and ISS were $7.45{\pm}1.11$ and $8.40{\pm}7.44$, respectively. The seventies showed the highest ISS($10.94{\pm}8.66$). The most common mechanism of injury was motor-vehicle accidents (45.57%), followed by falls or slips(28.26%), and other blunt injuries(12.68%). The most frequent causes of death was cerebral herniation due to head injury(68.4%) and irreversible shock(26.3%). Conclusion: The present study clarified the demographic and clinical characteristics of trauma patients in the Kyungsangnam-do area. In the future, prospective clinical data collection is needed for a more sophisticated trauma study.

키워드

참고문헌

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