Analysis of Delayed Diagnosis of Pediatric and Adolescent Patients Injured by Minor Trauma

경미한 외상을 받은 소아.청소년 환자의 지연 진단에 대한 고찰

  • Choi, Jee Ahn (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Park, Won Bin (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Kim, Jin Joo (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Jo, Jin Sung (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Kim, Jae Kwang (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Lim, Yong Su (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Hyun, Sung Yeol (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Jeong, Ho Seong (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Yang, Hyuk Jun (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Lee, Gun (Department of Emergency Medicine, Gachon University Gil Hospital)
  • 최지안 (가천의대 길병원 응급의학과) ;
  • 박원빈 (가천의대 길병원 응급의학과) ;
  • 김진주 (가천의대 길병원 응급의학과) ;
  • 조진성 (가천의대 길병원 응급의학과) ;
  • 김재광 (가천의대 길병원 응급의학과) ;
  • 임용수 (가천의대 길병원 응급의학과) ;
  • 현성열 (가천의대 길병원 응급의학과) ;
  • 정호성 (가천의대 길병원 응급의학과) ;
  • 양혁준 (가천의대 길병원 응급의학과) ;
  • 이근 (가천의대 길병원 응급의학과)
  • Received : 2009.08.21
  • Accepted : 2009.11.25
  • Published : 2009.12.30

Abstract

Purpose: To analyze delayed diagnosis, we collected date on pediatric and adolescent patients who had been admitted to the Emergency Department with injuries due to minor trauma Methods: We retrospectively analyzed the age distribution, trauma mechanism, time interval for each affected body region at delayed diagnosis, hospital stay, and outcome for 161 pediatric and adolescent patients who had been admitted to the Emergent Department of Gachon University Gil Hospital from January 2006 to September 2008. Results: The incidence of delayed diagnosis in pediatric and adolescent trauma was 11.8% in our retrospective review of 161 pediatric and adolescent patients. Lengths of hospitalization were longer in patients with delayed diagnosis (p<0.05). Patients with delayed diagnosis were more often transferred to other hospitals than patients with non-delayed diagnosis (p<0.05). The time intervals for each different affected body regions at delayed diagnosis were significantly different, but the hospital stays were not. There were no statistical significance to age on affected body region. Conclusion: From this study, we found that admission result and hospital stay were statistically significant differences between the delayed-diagnosis patient group and the non-delayed-diagnosis patient group. Finally, we must follow up pediatric and adolescent patients with minor trauma, closely considering missed injuries.

Keywords

References

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