• Journal of Trauma and Injury
• /
• v.28 no.1
• /
• pp.15-20
• /
• 2015

Purpose: Vascular injuries caused by traffic, industrial accidents and by outside activities have increased in Korea. Especially, vascular injuries to the extremities can lead to limb loss and even mortality if they are not appropriately treated. The aim of the study was to evaluate the surgical outcomes of femoropopliteal vascular management after trauma. Methods: The medical records of 12 patients with femoropopliteal vascular injuries who were treated at Dankook University Hospital from 2011 to 2013 were reviewed. Iatrogenic vascular injuries were excluded. The clinical data including the causes of injury, associated injuries and surgical outcomes were analyzed retrospectively. Results: All patients were male, with a mean age of $46.8{\pm}16.3years$ (range: 26~69 years). The causes of vascular injuries were four traffic accidents, three industrial accidents, two iron plates, one outside activity, one glass injury and one knife injury. The average transit time between the place of the accident place and the emergency department was $3.0{\pm}2.1$ (0.5~12.5) hours, and the average preparation time for surgery was $8.0{\pm}6.7$ (1.7~23.3) hours. The anatomic injuries included the popliteal vessel in seven cases and the femoral vessel in five cases. The average Injury Severity Score (ISS) was $12.0{\pm}5.0$ (5~17), and the average Mangled Extremity Severity Score (MESS) was $5.7{\pm}2.1$ (2~9). The operation methods were four interposition grafts, three end-to-end anastomoses, two direct repairs and three patch angioplasties. One case required amputation of the injured extremity. Conclusion: Early recognition and revascularization of the injured vessel are mandatory to reduce limb loss and to obtain satisfactory outcomes. Therefore, careful/rapid evaluation of the vascular injuries and timely/successful surgical treatment are the keys to salvaging an injured limb.

• Journal of Korean Society of Transportation
• /
• v.23 no.4 s.82
• /
• pp.47-55
• /
• 2005

In recent years, the rapid growth of vehicles have increased traffic crashes. Since they can cause the economic losses and have put the life qualify in danger, there should be numerous efforts to reduce traffic crashes. To reduce traffic crashes, this research seeks to improve the safety of intersections by analysing causations of injury severity with Ordered Probability Model. This research applied the Ordered Probit Model, which assumes that ${\epsilon}_i$(random error) is normally distributed, for model calibration and used $p^2$ (likelihood ratio) and $x^2$ (Chi-square) for model selection. The results show that minor road traffic, heavy vehicle rates, major and minor right-turn rates, presence of lightings, speed limits, instructive line for left-turn traffic are significant factors affecting crash severities at signalized intersections.

• Journal of Auto-vehicle Safety Association
• /
• v.11 no.3
• /
• pp.7-12
• /
• 2019

AEB (Autonomous Emergency Braking system), a system in which vehicles automatically recognize forward objects or pedestrians and actively brake when forward collisions are expected, has been mandated by NHTSA (National Highway Traffic Safety Administration) and IIHS (Insurance Institute for Highway Safety) for all vehicles sell in the United States since 2022, and AEB research is also actively underway in korea. In this study, it can be confirmed that the passenger injury is reduced according to the AEB detection distance when it is assumed that the AEB is mounted in the actual event generated from KIDAS (Korea New Car Assessment Program) data through various analysis programs.

• Journal of Korean Society of Transportation
• /
• v.29 no.4
• /
• pp.43-51
• /
• 2011

Since a variety of factors are associated with crash occurrence, the analysis of causes of crash is a hard task for traffic researchers and engineers. Among contributing factors leading to crash, the characteristics of driver is of keen interest. This study attempted to identify factors affecting the severity of pedestrian in the collision between pedestrian and vehicle. In particular, our analyses were focused on the novice driver. A binary logistic regression technique was adopted for the analyses. The results showed that driver's age, crash location, and the frequency of violations were dominant factors for the severity. Findings are expected to be useful information for deffective policy- and education-based countermeasures.

• The Journal of The Korea Institute of Intelligent Transport Systems
• /
• v.18 no.2
• /
• pp.12-28
• /
• 2019

Road geometry is one of the many factors that cause crashes, but the effect on traffic accident depends on weather conditions even under the same road geometry. This study identifies the variables affecting the crash severity by matching the highway accident data and weather data for 14 years from 2001 to 2014. A hierarchical ordered Logit model is used to reflect the effects of road geometry and weather condition interactions on crash severity, as well as the correlation between individual crashes in a region. Among the hierarchical models, we apply a random intercept model including interaction variables between road geometry and weather condition and a random coefficient model including regional weather characteristics as upper-level variables. As a result, it is confirmed that the effects of toll, ramp, downhill slope of 3% or more, and concrete barrier on the crash severity vary depending on weather conditions. It also shows that the combined effects of road geometry and weather conditions may not be linear depending on rainfall or snowfall levels. Finally, we suggest safety improvement measures based on the results of this study, which are expected to reduce the severity of traffic accidents in the future.

• Journal of Trauma and Injury
• /
• v.36 no.4
• /
• pp.329-336
• /
• 2023

Purpose: In this study, we aimed to compare the characteristics of patients with trauma by age group in a single center in Korea to identify the clinical characteristics and analyze the risk factors affecting mortality. Methods: Patients aged ≥18 years who visited the Chungbuk National University Hospital Regional Trauma Center between January 2016 and December 2022 were included. The accident mechanism, severity of the injury, and outcomes were compared by classifying the patients into group A (18-64 years), group B (65-79 years), and group C (≥80 years). In addition, logistic regression analysis was performed to identify factors affecting death. Results: The most common injury mechanism was traffic accidents in group A (40.9%) and slipping in group B (37.0%) and group C (56.2%). Although group A had the highest intensive care unit admission rate (38.0%), group C had the highest mortality rate (9.5%). In the regression analysis, 3 to 8 points on the Glasgow Coma Scale had the highest odds ratio for mortality, and red blood cell transfusion within 24 hours, intensive care unit admission, age, and Injury Severity Score were the predictors of death. Conclusions: For patients with trauma, the mechanism, injured body region, and severity of injury differed among the age groups. The high mortality rate of elderly patients suggests the need for different treatment approaches for trauma patients according to age. Identifying factors affecting clinical patterns and mortality according to age groups can help improve the prognosis of trauma patients in the future.

• Journal of Trauma and Injury
• /
• v.26 no.3
• /
• pp.175-182
• /
• 2013

Purpose: Crushing injuries by car tires result from a combination of friction, shearing, and compression forces and the severity of injury is influenced by the acceleration. Because car-tire injuries of the lower leg in children are common these days but they have received little attention; thus, our purpose was to look closely into this problem. Methods: A retrospective analysis was conducted of data from children under 15 years old age who visited an emergency department because of a car-tire-related crushing injury to the lower leg in pedestrian traffic accident from January 2008 to September 2012. The patient's age, sex, site of injury, degree of injury, associated injuries, type of surgery, and complications were reviewed. Results: There were 39 children, the mean age was 8.0 years, and 71.8% were boys. The dorsal part of the leg was involved most frequently. According to the severity classification, 15 children were grade I, 6 were grade II, and 18 were grade III. Among 24 patients, 13 were treated with skin graft and 3 were treated using a sural flap. Twelve patients developed complications, such as hypertrophic scarring, contractures, and deformities with significant bone loss. Conclusion: Various degrees of skin or soft tissue defects were caused in children by car tires. In this study, patients were often also had tendon or bone damage. Proper and timely initial treatments are needed to reduce the incidence of infection, the number of operative procedures, and the hospital stay.

• Journal of Trauma and Injury
• /
• v.23 no.2
• /
• pp.68-74
• /
• 2010

Purpose: The purpose of this study is, first, to analyze the risk factors that influence the severity of injury in pediatric multiple trauma patients and, second, to present solutions for the problems related to the treatment of such patients. Our living situations are so complicated that the danger of accidents is truly open to children who are not prepared. We need to draw attention to the increased numbers of various accidents involving children. Methods: We studied patients who visited the Emergency Medical Center at Chosun University Hospital from January 1, 2006, to December 31, 2008. Using medical records, we evaluated the general characteristics: the mechanism of injury, the vital signs, the revised trauma score (RTS), the injury severity score (ISS), and the hemoglibin value, which was checked at the time of visit, and the presence or the absence of emergent on regular surgery. We divided the level of injury as follows: light level (1-8 points), mid level (9-15 points), and serious level (above 16 points). We analyzed the medical data by using SPSS 17.0 for windows. Results: The average age of the patients examined was 8.6 years. The number of 6- to 11-year-old patients was 96, which was the largest, but the degree of injury severity was the highest among infant (0-2 years), according to ISS 7.95(${\pm}6.85$). The frequency of accidents was highest on sunny days, and most accidents occurred from 16:00 to 20:00. The cause of multiple trauma for children was the greatest in the traffic accident, (95 patients, 49.0%). In addition, the trauma caused by traffic accidents showed the highest ISS value ($9.02{\pm}6.42$) and the most serious degree (P=0.004). The ISS level of injury ($8.40{\pm}6.64$) for patients moved from a secondary hospital was higher than that ($6.49{\pm}5.57$) for patients who visited the medical center directly. The severity of injury was highest for patients who used a 119 ambulance ($8.84{\pm}5.80$). According to the injured parts of body, Injuries to the arms and the feet most frequent (79 patients, 40.7%), but the level of injury was the highest for internal organs and chest, $16.42{\pm}8.56$ and $11.23{\pm}6.97$, respectively. Conclusion: We used Abbreviated Injury Scale (AIS) in order to examine the characteristics by injured body part for pediatric multiple trauma patients. Because the degree of injury was the highest for internal organs or the chest, we need to more seriously examine and provide for patients who are suspected of having injuries to the internal organs or the chest. We need to quickly determine the need for surgery in patients with serious injuries to the arms and the feet, which is the greatest in frequency. In particular, we need to consider the surgical care of patients who are not very high in the severity of injury to their brains.

• Journal of Trauma and Injury
• /
• v.28 no.3
• /
• pp.219-221
• /
• 2015

Subclavian injuries in blunt trauma are reported in less than 1% of all arterial injuries or chest related injuries. We report a female 68 yr-old patient whom has visited our emergency center due to a motorcycle traffic accident with complaints of right chest wall and shoulder pain. Her injury severity score was 22 and she was found with a comminuted clavicle fracture and subclavian artery injury. She developed delayed symptoms of pallor, pain and motor weakness with loss of pulse in her right arm. Attempts at intervention failed and thus, she underwent emergency artificial graft bypass from her subclavian artery to her brachial artery. Her postoperative course was uneventful and she is happy with the results. Although rare, a high index of suspicion for the injury must be noted and the inevitable surgical option must always be considered.

• Journal of Korean Society of Transportation
• /
• v.5 no.2
• /
• pp.55-72
• /
• 1987

The work analyzes the existing situation and defines special problems concerning traffic accidents in the two countries. The report is divided into three parts: 1) Using the global approach of SMEED, the data were evaluated using multiple regression analysis, and homogeneous groups of countries were defined by cluster analysis. In the global approach, the linear model is better than SMEED's non-linear model in explaining the number of fatalities. Among the different groups of countries, the linear approach was found to be better suited for industrialized countries and the non-linear approach better for the developing countries. T도 comparison of traffic fatality data for the Federal Republic the developing countries. The comparison of traffic fatality data for the Federal Republic of Germany and the Republic of Korea showed different regression equations during the same time period. 2) The BOX/JENKINS time series analysis on a monthly basis points out clearly similar seasonal patterns for the two countries over the years studied. The decrease in traffic accidents following the intensification of the safety belt requirement was proved in the ARIMA model. It amounts to 7 to 8 percent fewer personal injury accidents and fatal accidents. The identified increase in safety in the Federal Republic of Germany since the 1970s is mainly due to the reduction of accident severity in residential areas. 3) Speeds and headways on motorways in th3e two countries were also compared. The measurements point out that German road users drive faster, take more risks, and accept shorter time gaps than Korean road users. However, the accident statistics show accident rates for Korea that are several times higher than those in the Federal Republic of Germany.