Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Factors Associating Major Burn in Chemical Injury Patients due to Industrial Place Incident : A Retrospective study

산업장 화학 손상 환자에서 중증 화상에 영향을 미치는 요인

  • Shin, Hee-Jun (Department of Emergency Medicine Soonchunhyang University Bucheon Hospital/Department of Emergency Medicine and Environmental Health Center, Soonchunhyang University Gumi Hospital) ;
  • Oh, Se-Kwang (Department of Emergency Medicine and Environmental Health Center, Soonchunhyang University Gumi Hospital) ;
  • Lee, Han-You (Environmental Health Center, Soonchunhyang University Gumi Hospital/Department of Emergency Medicine, Soonchunhyang University Cheonan Hospital)
  • 신희준 (순천향대학교 부천병원 응급의학과/순천향대학교 구미병원 응급의학과/환경보건센터) ;
  • 오세광 (순천향대학교 구미병원 응급의학과/환경보건센터) ;
  • 이한유 (환경보건센터/순천향대학교 천안병원 응급의학과)
  • Received : 2016.01.20
  • Accepted : 2016.04.07
  • Published : 2016.04.30
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Abstract

This study examined the intensity of the association of factors affecting major burns by statistical analysis for patients injured by the release of chemical hazards. A total of 446 patients were evaluated as chemical injury patients, who had visited the emergency room from 1/Jan/2010 to 31/Dec/2014. The major burn was used as a dependent variable representing the severity of chemical injury. A chi-square test (CST) and binary logistic regression test (BLRA) were used as the statistical analysis method for determining the association between major burns and the independent variables. In CST, female and their presence at an incident scene, multiple site injury were associated with major burn (p<0.05). In BLRA, the presence at an incident scene and spills (comparing explosion), discharge (comparing admission) were associated with major burns (p<0.05). In this study, the presence at an incident scene was the most significant factor concerning major burns. Furthermore, gender and injury number, exposure mechanism (spill comparing explosion), and disposition (discharge comparing admission) were also associated with major burns.

본 연구는 유해 화학 물질 방출에 의해 손상 받은 환자들을 대상으로 중증 화상에 관하여 연관된 요인들의 강도를 밝힘을 목적으로 하였다. 2010년 1월 1일부터 2014년 12월 31일 까지 화학 손상으로 본원 응급실을 방문했던 총 446명의 환자를 조사 하였다. 중증 화상은 화학 손상의 중증도를 대변하는 종속변수로 사용되었다. 중증 화상과 관련이 있는 독립변수들을 밝혀내기 위한 통계 방법으로 카이 제곱 검정(Chi-square test, CST)과 이분형 로지스틱 회귀분석(Binary logistic regression test, BLRA)이 사용되었다. CST상, 중증 화상에 관하여 여성과 사고 현장에 있던 군, 다발 부위 손상 군이 동시에 연관성을 보였다(p<0.05). BLRA상 사고 현장에 있던 군과 폭발 군에 비하여 누출 군과 입원 군에 비하여 퇴원 군이 동시에 중증 화상과 관련 있었다(p<0.05). 본 연구에서는 사고 현장에 존재 여부가 중증 화상에 관하여 가장 중요한 요인 이었다. 뿐만 아니라 성별과 손상의 개수, 사고 노출 기전(폭발에 비해 누출), 응급실 진료 후 배치(입원에 비해 퇴원)가 또한 중증 화상과 관련이 있었다.

Keywords

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