Journal of Trauma and Injury

  • 제22권2호
  • /
  • Pages.172-178
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  • 2009
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

다발성 중증 외상 환자들의 치료에 대한 응급 외상팀 운영의 효과

Effect of the Emergency Trauma Team's Management on the Treatment of Patients with Multiple Severe Trauma

  • 이성화 (부산대학교 의과대학 응급의학교실) ;
  • 조석주 (부산대학교 의과대학 응급의학교실) ;
  • 염석란 (부산대학교 의과대학 응급의학교실) ;
  • 류지호 (부산대학교 의과대학 응급의학교실) ;
  • 정진우 (부산대학교 의과대학 응급의학교실) ;
  • 한상균 (부산대학교 의과대학 응급의학교실) ;
  • 김용인 (부산대학교 의과대학 응급의학교실) ;
  • 박맹렬 (부산대학교 의과대학 응급의학교실) ;
  • 김영대 (부산대학교 의과대학 흉부외과학교실)
  • Lee, Seong Hwa (Department of Emergency Medicine, Pusan National University College of Medicine) ;
  • Cho, Suck Joo (Department of Emergency Medicine, Pusan National University College of Medicine) ;
  • Yeom, Seok Ran (Department of Emergency Medicine, Pusan National University College of Medicine) ;
  • Ryu, Ji Ho (Department of Emergency Medicine, Pusan National University College of Medicine) ;
  • Jung, Jin Woo (Department of Emergency Medicine, Pusan National University College of Medicine) ;
  • Han, Sang Kyun (Department of Emergency Medicine, Pusan National University College of Medicine) ;
  • Kim, Yong In (Department of Emergency Medicine, Pusan National University College of Medicine) ;
  • Park, Maeng Real (Department of Emergency Medicine, Pusan National University College of Medicine) ;
  • Kim, Young Dae (Department of Thoracic Surgery, Pusan National University College of Medicine)
  • 투고 : 2009.08.03
  • 심사 : 2009.10.05
  • 발행 : 2009.12.30
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초록

Purpose: We performed this study to determine how the emergency trauma team affects the treatment of patients with multiple severe trauma and to discuss the effect and the direction of the emergency trauma team's management. Methods: We performed a retrospective analysis of 518 patients who visited our emergency department with severe trauma from August 2006 to July 2008. We divided the severe trauma patients into 2 groups : patients before and after trauma team management (Group 1 and Group 2). Then, we compared demographic characteristics, mechanisms of injury, and treatment outcomes (lengths of stay in the ED, admission ratio, and in-hospital mortality) between the 2 groups. In the same way, patients with multiple severe trauma were divided into 2 groups, that are patients before and after trauma team management (Group 3 and Group 4) and analyzed. Results: There was no significant difference, except mean age, between groups 1 and 2. In group 4 patients, compared to group 3 patients, the lengths of stay in the ED were lower (p value < 0.001), and the admission ratio were higher (p value = 0.017), but there was no significant difference in the in-hospital mortality between the groups 3 and 4. Conclusion: When patients with multiple severe trauma visit the ED, the emergency trauma team' management can decrease the lengths of stay in the ED and increase the admission ratio, but does not produce a decrease in the in-hospital mortality rate. Further investigations of emergency trauma team management are needed to improve treatment outcomes for patients with multiple severe trauma.

키워드

참고문헌

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