동서간호학연구지 (Journal of East-West Nursing Research)

  • 제28권1호
  • /
  • Pages.10-20
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  • 2022
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  • 1226-4938(pISSN)
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  • 2671-8448(eISSN)
경희대학교 동서간호학연구소 (East-west Nursing Research Institute, Kyung Hee University)
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외상환자의 한국형 중증도 분류와 손상중증도 점수체계의 비교

Comparison between Korean Triage and Acuity Scale and Injury Severity Scoring System in Emergency Trauma Patients

  • Choi, YoonHee (Trauma Bay, Gachon University Gil Medical Center) ;
  • Kim, BoHwa (Trauma Bay, Gachon University Gil Medical Center) ;
  • Shin, JiEun (Trauma Bay, Gachon University Gil Medical Center) ;
  • Jang, MyungJin (Department of Traumatology, Gachon University Gil Medical Center) ;
  • Lee, EunJa (College of Nursing, Gachon University)
  • 투고 : 2021.09.27
  • 심사 : 2021.11.11
  • 발행 : 2022.05.31
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초록

Purpose: We compared the Korean Triage and Acuity Scale (KTAS), Injury Severity Score (ISS), and Revised Trauma Score (RTS) determined the validity of KTAS for classifying trauma patients. Methods: A retrospective chart review of 10,865 trauma patients (aged ≥15 years) who visited a single regional trauma and emergency medical center from January 1, 2016, to December 31, 2020, was conducted. Data were collected from the Korean Trauma Data Bank. Based on KTAS classification, the rates of intensive care unit admission, surgery and intervention, transfusion, emergency room (ER) and hospital mortality, and ER stay time were investigated. Data were analyzed using Chi-square test, Pearson's correlation coefficient, receiver operating characteristic curve, and area under the ROC curve. Results: In the KTAS, severe trauma patients (ISS ≥16) were classified as Level 1 (79.6%), 2 (44.8%), 3 (15.5%), 4 (4.0%) and 5 (7.6%). The following were the predictive powers of KTAS, ISS, and RTS for different parameters: surgery and intervention rate, KTAS (.71), ISS (.70), and RTS (.63); transfusion rate within 4h, KTAS (.82), ISS (.82), and RTS (.74); ER stay time within 90 min, KTAS (.72), ISS (.62), and RTS (.56); and ER mortality, KTAS (.84), ISS (.72), and RTS (.88). These findings were statistically significant (p<.001). The sensitivity and specificity of KTAS for trauma patients were .88 (.87~.90), and .38 (.37~.39), respectively. Conclusion: KTAS is a useful classification system that can predict the clinical outcomes of patients with trauma, and effectively triage acutely ill trauma patients, thus provide appropriate treatment.

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참고문헌

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