National Follow-up Survey of Preventable Trauma Death Rate in Korea

다국어 초록 (Multilingual Abstract)

Background: The preventable trauma death rate survey is a basic tool for the quality management of trauma treatment because it is a method that can intuitively evaluate the level of national trauma treatment. We conducted this study as a national biennial follow-up survey project and report the results of the review of the 2019 trauma death data in Korea.
Methods: From January 1, 2019 to December 31, 2019, of a total of 8,482 trauma deaths throughout the country, 1,692 were sampled from 279 emergency medical institutions in Korea. All cases were evaluated for preventability of death and opportunities for improvement using a multidisciplinary panel review approach.
Results: The preventable trauma death rate was estimated to be 15.7%. Of these, 3.1% were judged definitive preventable deaths, and 12.7% were potentially preventable deaths. The odds ratio for preventable traumatic death was 2.56 times higher in transferred patients compared to that of patients who visited the final hospital directly. The group that died 1 hour after the accident had a statistically significantly higher probability of preventable death than that of the group that died within 1 hour after the accident.
Conclusion: The preventable trauma death rate for trauma deaths in 2019 was 15.7%, which was 4.2%p lower than that in 2017. To improve the quality of trauma treatment, the transfer of severe trauma patients to trauma centers should be more focused.

참고문헌 (Reference)

1 김현 ; 정구영 ; 김선표 ; 김선휴 ; 노현 ; 장혜영 ; 윤한덕 ; 허윤정 ; 류현호 ; 정태오 ; 황용 ; 주정민 ; 주명돈 ; 한상균 ; 조광원 ; 최기훈 ; 박준민 ; 정현민 ; 이수복 ; 경연영 ; 유지영 ; 전우찬 ; 안지윤 ; 이장영 ; 지호진 ; 이태헌 ; 김오현 ; 차용성 ; 차경철 ; 이강현 ; 황성오, "한국의 예방 가능 외상 사망률과 외상 처치 체계의 변화" 대한응급의학회 23 (23): 189-197, 2012

2 박도중 ; 박찬용 ; 조현민 ; 이강현 ; 한호성, "한국 외상센터의 현실과 과제" 대한의사협회 60 (60): 530-532, 2017

3 윤한덕, "권역외상센터의 추진배경 및 경과" 대한의사협회 59 (59): 919-922, 2016

4 김윤 ; 정구영 ; 조광현 ; 김현 ; 안희철 ; 오세현 ; 이재백 ; 유수진 ; 이동익 ; 임태호 ; 김성은 ; 박재현, "국내 응급의료체계의 예방가능한 외상 사망률과 처치과정의 문제점" 대한응급의학회 17 (17): 385-394, 2006

5 West JG, "Validation of autopsy method for evaluating trauma care" 117 (117): 1033-1035, 1982

6 Coccolini F, "Trauma quality indicators : internationally approved core factors for trauma management quality evaluation" 16 (16): 6-, 2021

7 Pigula FA, "The effect of hypotension and hypoxia on children with severe head injuries" 28 (28): 310-314, 1993

8 World Health Organization, "The Global Burden of Disease" WHO Press 2008

9 권준식 ; Jin-Hee Lee ; 황경진 ; Heo Yunjung ; 조항주 ; 이국종 ; 정경원, "Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea" 대한의학회 35 (35): 1-13, 2020

10 MacKenzie EJ, "Review of evidence regarding trauma system effectiveness resulting from panel studies" 47 (47): S34-S41, 1999

11 MacKenzie EJ, "Review of evidence regarding trauma system effectiveness resulting from panel studies" 47 (47): S34-S41, 1999

12 Jung KY, "Problems in trauma care and preventable deaths" 12 (12): 45-56, 2001

13 Cales RH, "Preventable trauma deaths. A review of trauma care systems development" 254 (254): 1059-1063, 1985

14 Teixeira PG, "Preventable or potentially preventable mortality at a mature trauma center" 63 (63): 1338-1346, 2007

15 정경원 ; 김익한 ; Sue K. Park ; 조현민 ; 박찬용 ; 윤정호 ; 김오현 ; 박주옥 ; 이기재 ; 홍기정 ; 윤한덕 ; 박정민 ; 김선월 ; 성호경 ; 최정빈 ; 김윤, "Preventable Trauma Death Rate after Establishing a National Trauma System in Korea" 대한의학회 34 (34): 1-10, 2019

16 Jung K, "National trauma system establishment based on implementation of regional trauma centers improves outcomes of trauma care : a follow-up observational study in South Korea" 2 (2): e0000162-, 2022

17 Korean Statistical Information Service, "Leading Causes of Death Reports 1983–2019" Korean Statistical Information Service 2020

18 Korean Statistical Information Service, "Korean Standard Classification of Diseases, 7th Revision (KCD-7)"

19 Centers for Disease Control and Prevention, "Key injury and violence data"

20 Young JS, "Interhospital versus direct scene transfer of major trauma patients in a rural trauma system" 64 (64): 88-91, 1998

21 Bratton SL, "Guidelines for the management of severe traumatic brain injury. VIII. Intracranial pressure thresholds" 24 (24): S55-S58, 2007

22 World Health Organization, "Guidelines for Trauma Quality Improvement Programmes" WHO Press 2009

23 National Emergency Medical Center, "Emergency Medical Statistics Annual Report 2019"

24 Sampalis JS, "Direct transport to tertiary trauma centers versus transfer from lower level facilities : impact on mortality and morbidity among patients with major trauma" 43 (43): 288-295, 1997

25 Sanddal TL, "Analysis of preventable trauma deaths and opportunities for trauma care improvement in utah" 70 (70): 970-977, 2011

26 Huh Yo ; Kwon Junsik ; Moon Jonghwan ; Kang Byung Hee ; Kim Sora ; Yoo Jayoung ; Song Seoyoung ; Jung Kyoungwon, "An Evaluation of the Effect of Performance Improvement and Patient Safety Program Implemented in a New Regional Trauma Center of Korea" 대한의학회 36 (36): 1-13, 2021

27 National Academies of Sciences, Engineering, and Medicine, "A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury" National Academies Press 2016