Cargando…
Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea
BACKGROUND: Trauma mortality review is the first step in assessing the quality of the trauma treatment system and provides an important basis for establishing a regional inclusive trauma system. This study aimed to obtain a reliable measure of the preventable trauma death rate in a single province i...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Medical Sciences
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769700/ https://www.ncbi.nlm.nih.gov/pubmed/33372420 http://dx.doi.org/10.3346/jkms.2020.35.e417 |
_version_ | 1783629383262535680 |
---|---|
author | Kwon, Junsik Lee, Jin-Hee Hwang, Kyungjin Heo, Yunjung Cho, Hang Joo Lee, John Cook-Jong Jung, Kyoungwon |
author_facet | Kwon, Junsik Lee, Jin-Hee Hwang, Kyungjin Heo, Yunjung Cho, Hang Joo Lee, John Cook-Jong Jung, Kyoungwon |
author_sort | Kwon, Junsik |
collection | PubMed |
description | BACKGROUND: Trauma mortality review is the first step in assessing the quality of the trauma treatment system and provides an important basis for establishing a regional inclusive trauma system. This study aimed to obtain a reliable measure of the preventable trauma death rate in a single province in Korea. METHODS: From January to December 2017, a total of 500 sample cases of trauma-related deaths from 64 hospitals in Gyeonggi Province were included. All cases were evaluated for preventability and opportunities for improvement using a multidisciplinary panel review approach. RESULTS: Overall, 337 cases were included in the calculation for the preventable trauma death rate. The preventable trauma death rate was estimated at 17.0%. The odds ratio was 3.97 folds higher for those who arrived within “1–3 hours” than those who arrived within “1 hour.” When the final treatment institution was not a regional trauma center, the odds ratio was 2.39 folds higher than that of a regional trauma center. The most significant stage of preventable trauma death was the hospital stage, during which 86.7% of the cases occurred, of which only 10.3% occurred in the regional trauma center, whereas preventable trauma death was more of a problem at emergency medical institutions. CONCLUSION: The preventable trauma death rate was slightly lower in this study than in previous studies, although several problems were noted during inter-hospital transfer; in the hospital stage, more problems were noted at emergency medical care facilities than at regional trauma centers. Further, several opportunities for improvements were discovered regarding bleeding control. |
format | Online Article Text |
id | pubmed-7769700 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-77697002021-01-04 Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea Kwon, Junsik Lee, Jin-Hee Hwang, Kyungjin Heo, Yunjung Cho, Hang Joo Lee, John Cook-Jong Jung, Kyoungwon J Korean Med Sci Original Article BACKGROUND: Trauma mortality review is the first step in assessing the quality of the trauma treatment system and provides an important basis for establishing a regional inclusive trauma system. This study aimed to obtain a reliable measure of the preventable trauma death rate in a single province in Korea. METHODS: From January to December 2017, a total of 500 sample cases of trauma-related deaths from 64 hospitals in Gyeonggi Province were included. All cases were evaluated for preventability and opportunities for improvement using a multidisciplinary panel review approach. RESULTS: Overall, 337 cases were included in the calculation for the preventable trauma death rate. The preventable trauma death rate was estimated at 17.0%. The odds ratio was 3.97 folds higher for those who arrived within “1–3 hours” than those who arrived within “1 hour.” When the final treatment institution was not a regional trauma center, the odds ratio was 2.39 folds higher than that of a regional trauma center. The most significant stage of preventable trauma death was the hospital stage, during which 86.7% of the cases occurred, of which only 10.3% occurred in the regional trauma center, whereas preventable trauma death was more of a problem at emergency medical institutions. CONCLUSION: The preventable trauma death rate was slightly lower in this study than in previous studies, although several problems were noted during inter-hospital transfer; in the hospital stage, more problems were noted at emergency medical care facilities than at regional trauma centers. Further, several opportunities for improvements were discovered regarding bleeding control. The Korean Academy of Medical Sciences 2020-11-25 /pmc/articles/PMC7769700/ /pubmed/33372420 http://dx.doi.org/10.3346/jkms.2020.35.e417 Text en © 2020 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kwon, Junsik Lee, Jin-Hee Hwang, Kyungjin Heo, Yunjung Cho, Hang Joo Lee, John Cook-Jong Jung, Kyoungwon Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea |
title | Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea |
title_full | Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea |
title_fullStr | Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea |
title_full_unstemmed | Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea |
title_short | Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea |
title_sort | systematic preventable trauma death rate survey to establish the region-based inclusive trauma system in a representative province of korea |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769700/ https://www.ncbi.nlm.nih.gov/pubmed/33372420 http://dx.doi.org/10.3346/jkms.2020.35.e417 |
work_keys_str_mv | AT kwonjunsik systematicpreventabletraumadeathratesurveytoestablishtheregionbasedinclusivetraumasysteminarepresentativeprovinceofkorea AT leejinhee systematicpreventabletraumadeathratesurveytoestablishtheregionbasedinclusivetraumasysteminarepresentativeprovinceofkorea AT hwangkyungjin systematicpreventabletraumadeathratesurveytoestablishtheregionbasedinclusivetraumasysteminarepresentativeprovinceofkorea AT heoyunjung systematicpreventabletraumadeathratesurveytoestablishtheregionbasedinclusivetraumasysteminarepresentativeprovinceofkorea AT chohangjoo systematicpreventabletraumadeathratesurveytoestablishtheregionbasedinclusivetraumasysteminarepresentativeprovinceofkorea AT leejohncookjong systematicpreventabletraumadeathratesurveytoestablishtheregionbasedinclusivetraumasysteminarepresentativeprovinceofkorea AT jungkyoungwon systematicpreventabletraumadeathratesurveytoestablishtheregionbasedinclusivetraumasysteminarepresentativeprovinceofkorea |