한국응급구조학회지 (The Korean Journal of Emergency Medical Services)

  • 제25권3호
  • /
  • Pages.37-48
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  • 2021
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  • 1738-1606(pISSN)
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  • 2384-2091(eISSN)
한국응급구조학회 (The Korea Society of Emergency Medical Services)
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한국의 중증외상 사망률의 지역적 차이에 대한 비교 연구

Comparative study of geographic differences of severe trauma mortality in Korea

  • 정태욱 (국립중앙의료원 응급의학과) ;
  • 조지연 (질병관리청 손상예방관리과) ;
  • 김성호 (분당서울대학교병원 응급의학과)
  • Jeong, Tae-Wook (Department of Emergency Medical Service, National Medical Center) ;
  • Jo, Ji-Yeon (Division of Chronic Diseases Control & Research, Korea Centers for Diseases Control and Prevention) ;
  • Kim, Seong-Ho (Department of Emergency Medical Service, Seoul National University Bundang Hospital)
  • 투고 : 2021.11.05
  • 심사 : 2021.12.28
  • 발행 : 2021.12.31
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초록

Purpose: Mortality due to trauma is relevant to both low-income and high-income countries. A diversity of causes leads to mortality such as, socioeconomic status and geographic factors. This study sought to differentiate between cases of mortality in a metropolitan city and a rural area, with data from critical trauma patients. Methods: Community-based severe trauma surveillance data from 2018 was used in this study. Logistic regression was conducted to compare the odds ratios between deaths that occurred in a metropolitan city and a rural area. Multiple logistic regression by controlling variables such as type of medical institution and injury severity score was conducted to estimate the effect on the trauma patients. Results: In total, 28,217 participants were selected as total population. We observed that the odds of death decreased as the level of the trauma center increased. Compared to the metropolitan city, the odds ratio of rural areas was 1.44. The odds ratio increased as the injury severity score increased. Conclusion: This study suggests that the mortality of critical trauma patients is higher in rural areas than in metropolitan cities. More studies are needed to expand on this.

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참고문헌

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