자동차안전학회지 (Journal of Auto-vehicle Safety Association)

한국자동차안전학회 (Korean Auto-vehicle Safety Association)
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정면충돌 시 차량 탑승자의 하지 손상기전에 대한 분석

Analysis of Lower Extremity Injury Mechanism Centered on Frontal Collision in Occupant Motor Vehicle Crashes

  • 이희영 (연세대학교 원주의과대학 응급의학교실) ;
  • 이정훈 (연세대학교 원주의과대학 응급의학교실) ;
  • 전혁진 (춘해보건대학교 응급구조학과) ;
  • 김호중 (순천향대학교 부천병원 응급의학과) ;
  • 김상철 (충북대학교병원 응급의학과) ;
  • 윤영한 (한국교육기술대학교 메카트로닉스공학부) ;
  • 이강현 (연세대학교 원주의과대학 응급의학교실)
  • 투고 : 2018.05.25
  • 심사 : 2018.12.11
  • 발행 : 2018.12.31
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초록

Injury mechanisms of lower extremity injuries in motor vehicle accidents are focused on fractures, sprains, and contusions. The purpose of this study is to evaluate the analysis of lower extremity injury mechanism in occupant motor vehicle accident by using Hospital Information System (HIS) and reconstruction program, based on the materials related to motor vehicle accidents. Among patients who visited the emergency department of Wonju Severance Christian Hospital due to motor vehicle accidents from August 2012 to February 2014, we collected data on patients with agreement for taking the damaged vehicle's photos. After obtaining the verbal consent from the patient, we asked about the cause of the accident, information on vehicle involved in the accident, and the location of car repair shop. The photos of the damaged vehicle were taken on the basis of front, rear, left side and right side. Damage to the vehicle was presented using the CDC code by analytical study of photo-images of the damaged vehicle, and a trauma score was used for medical examination of the severity of the patient's injury. Among the 1,699 patients due to motor vehicle crashes, 88 (5.2%) received a diagnosis of lower extremity fracture and 141 (8.3%) were the severe who had ISS over 15. Nevertheless during 19 months for research, it was difficult to build up in-depth database about motor vehicle crashes. It has a limitation on collecting data because not only the system for constructing database about motor vehicle crash is not organized but also the process for demanding materials is not available due to prevention of personal information. For accurate analysis of the relationship between occupant injury and vehicle damage in motor vehicle crashes, build-up of an in-depth database through carrying out various policies for motor vehicle crashes is necessary for sure.

키워드

JCOJAX_2018_v10n4_7_f0001.png 이미지

Fig. 1 Description of the damaged car by CDC code

Table 1 Collision characteristics, included the number and the percentage of the patients

JCOJAX_2018_v10n4_7_t0001.png 이미지

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