수도권지역 일개 전문 응급의료센터로 내원한 외상환자의 연령군별 특성

Epidemiologic Analysis of the Trauma Patients Visiting an Urban Specialized-emergency Medical Center

  • 조규종 (울산대학교 의과대학 서울아산병원 응급의학교실) ;
  • 문이상 (울산대학교 의과대학 서울아산병원 응급의학교실) ;
  • 강희동 (울산대학교 의과대학 서울아산병원 응급의학교실) ;
  • 손유동 (울산대학교 의과대학 서울아산병원 응급의학교실) ;
  • 오범진 (울산대학교 의과대학 서울아산병원 응급의학교실) ;
  • 김원 (울산대학교 의과대학 서울아산병원 응급의학교실) ;
  • 임경수 (울산대학교 의과대학 서울아산병원 응급의학교실)
  • Cho, Gyu Chong (Department of Emergency Medicine, College of Medicine, Ulsan University) ;
  • Mun, Lee Sang (Department of Emergency Medicine, College of Medicine, Ulsan University) ;
  • Kang, Hui Dong (Department of Emergency Medicine, College of Medicine, Ulsan University) ;
  • Sohn, You Dong (Department of Emergency Medicine, College of Medicine, Ulsan University) ;
  • Oh, Bum Jin (Department of Emergency Medicine, College of Medicine, Ulsan University) ;
  • Kim, Won (Department of Emergency Medicine, College of Medicine, Ulsan University) ;
  • Lim, Kyoung Soo (Department of Emergency Medicine, College of Medicine, Ulsan University)
  • 투고 : 2005.10.21
  • 심사 : 2005.11.17
  • 발행 : 2005.12.30

초록

Background: Although trauma has been the major cause of death in korea, there are few reports describing the epidemiologic characteristics of trauma victims according to age-group. Thus, this study aimed to describe the epidemiologic characteristics of trauma victims visiting an urban emergency medical center in Korea. Method: This study was conducted with all trauma victims who visited the emergency departments of Asan Medical Center from April 11, 2005 to May 10, 2005. After the subjects were divided into three groups such as child (${\leq}14$ years old), adult(15-64 years old) and elderly(${\geq}65$ years old), the prehospital courses, injury mechanisms, injury severities and clinical results were compared. Result: Among total 5,927 patients who visited the emergency medical center, 896(15.1%) patients were trauma victims. Although child under the age of 15 comprised 28.7% of the total trauma victims, less severe injuries(injury severity score < 9) accounted for 97.7% of the cases. The hospitalization rate for injury among child was 21.5%. however, although elderly aged 65 comprised only 5.9% of the total trauma victims, more severe injuries(injury severity score ${\geq}9$) accounted for 30.2% of the cases. The hospitalization rate for injury among elderly was 56.4%. Conclusion: Patterns of injury and clinical results by age-group were considerably different. less severe and non-hospitalized injuries were more common in child than other age-groups. while severe and hospitalized injuries were common in elderly.

키워드

참고문헌

  1. 통계청. 사망원인 통계. 2004
  2. Wendy LW, Joan OS. Injury surveillance in Victoria, Austrailia: Developing comprehensive injury incidence estimates. Accid Anal Prev 2000 ; 32 : 277 - 86 https://doi.org/10.1016/S0001-4575(99)00121-9
  3. 질병관리본부. 손상감시정보. 2005;7(1)
  4. 정구영, 임경수, 민용일, 이삼범, 김세경. 응급환자의 현황과 응급의료의 실태. 대한응급의학회지 1996 ; 8 ( 3 ) : 441 - 461
  5. 송대기, 이계균, 문성하, 정경석. 외상 후 사망한 환자의 임상적 분석. 대한외상학회지 1995 ; 8 ( 1 ) : 104 - 11
  6. 김경환. 외상환자의 결과에 영향을 미치는 요인들. 대한외상학회지 1996 ; 9 ( 2 ) : 168 - 73
  7. 신용원, 한호용, 최상용, 송병주, 박신희, 김진승. 급성기 외상성 사망 환자의 고찰. 대한외상학회지 1997 ; 10 ( 2 ) : 127 - 34
  8. 김기창, 이문수, 백무준, 김창호, 송옥평, 박희주. 외상으로 인한 사망환자의 임상적 통계학적 고찰. 대한외상학회지 1996 ; 9 ( 2 ) : 174 - 81
  9. 통계청. 인구조사통계. 2004
  10. 장문준, 김성중, 송근정, 조광현, 김인병, 최성욱, 이한식. 손상정도계수와 외상치를 이용한 외상환자의 분석. 대한응급의학회지 1993 ; 4 ( 2 ) : 73 - 82
  11. Morrison A, Stone DH, Doraiswamy N, Ramsay L. Injury surveillance in an accident and emergency department: A year in the life of CHIRPP. Arch Dis Child 1999;80:533-6 https://doi.org/10.1136/adc.80.6.533
  12. 최성혁, 문철규, 전정민, 문준동, 이성우, 홍윤식. 노인외상 환자의 예후인자. 대한응급의학회지 1999 ; 10 ( 2 ) : 276 - 87
  13. 양영모, 김은숙. 노인외상 환자의 밧생 실태 및 예후에 관한 조사. 대한외상학회지 2005;17(1):37-48
  14. Schawb CW, Kauder DR. Trauma in the geriatric patient. Arch Surg 1992;127:701-6 https://doi.org/10.1001/archsurg.1992.01420060077011
  15. Demarest GB, Osler TM. Injuries in the elderly. Geriatrics 1990;45(8):36-42