Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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A Comparison of the Effectiveness of Before and After the Regional Trauma Center's Establishment

  • Song, Bo Hyung (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Hyun, Sung Youl (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Kim, Jin Joo (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Cho, Jin Seong (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Ma, Dae Sung (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Kim, Ha Kyung (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Lee, Geun (Department of Emergency Medicine, Gachon University Gil Medical Center)
  • Received : 2016.07.13
  • Accepted : 2016.09.12
  • Published : 2016.09.30
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Abstract

Purpose: The purpose of this study was to analyze the effectiveness of regional trauma center's management. Methods: Data collected between January 2013 and December 2015 from a regional trauma center registry was retrospectively reviewed. The patients who had injury severity score (ISS) greater than 15 and over the age of 18 were included. We compared annual general characteristics, the injury mechanism, the pathway of transportation, the injury severity score, the length of stay in emergency department (ED) and hospital, the in-hospital mortality. Results: The annual numbers of enrolled patients were 337, 334 and 278, respectively. No significant differences were found in the annual patient's median ages, injury mechanism, ISS and in-hospital mortality. The annual proportions of coming from other hospital and the median length of stay in hospital were increased after establishment of regional trauma center. The annual median lengths of stay in ED were decreased remarkably. Conclusion: Through the establishment of regional trauma center, the length of stay in ED can be reduced but not in-hospital mortality. More multidisciplinary cooperation and well-organized study is needed to reduce mortality of major trauma patients and maximize effect of regional trauma center.

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