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질병 환자와 비교한 외상 환자의 임상적 특성: 한국 단일 권역응급의료센터 연구

Characteristics of children with trauma compared to those with disease in the emergency department: a Korean single regional emergency medical center study

대한소아응급의학회지 2020년 7권 2호 p.108 ~ 113
황요섭, 조하영, 유혜원, 김영미, 김혜영,
소속 상세정보
황요섭 ( Hwang Yo-Sub ) - Pusan National University School of Medicine Pusan National University Hospital Department of Pediatrics
조하영 ( Jo Ha-Young ) - Pusan National University School of Medicine Pusan National University Hospital Department of Pediatrics
유혜원 ( Yoo Hye-Won ) - Pusan National University School of Medicine Pusan National University Hospital Department of Pediatrics
김영미 ( Kim Young-Mi ) - Pusan National University School of Medicine Pusan National University Hospital Department of Pediatrics
김혜영 ( Kim Hye-Young ) - Pusan National University School of Medicine Pusan National University Hospital Department of Pediatrics

Abstract


Purpose: Trauma is the leading cause of death and disability in children. We aimed to compare the clinical characteristics of children with trauma and disease.

Methods: We reviewed the medical records of children (< 19 years) who visited the emergency department of Pusan National University Hospital from 2016 through 2018. Data on the age, age group, sex, details of trauma or disease, severe trauma or disease (Korean Triage Acuity Scale 1-2), hospitalization rate (overall and intensive care unit [ICU]), hospital length of stay, in-hospital mortality, and the Injury Severity Score were compared between the children with trauma and those with disease.

Results: In a total of 10,205 children, 3,028 (29.7%) had trauma. The children with trauma were older than those with disease (median age, 78.5 months [interquartile range, 35.0-165.0] vs. 49.0 [16.0-120.0]; P < 0.001). Boys were more common in the former group than the latter (63.7% vs. 56.3%; P < 0.001). The most common injury mechanism was traffic accident (16.0%), followed by fall and foreign body. The overall hospitalization rate was higher in the children with disease (17.1% vs. 35.9%; P < 0.001). However, the children with trauma underwent more frequent ICU hospitalization, and showed higher in-hospital mortality rate and longer hospital length of stay than those with disease (all P < 0.001). The children with severe trauma showed higher median age, percentage of boys, in-hospital mortality, and ICU hospitalization rate, and longer hospital length of stay than those with severe disease (all P < 0.001).

Conclusion: Children with trauma tend to be older, and their condition may be more critical in severity than those with disease. This difference is more prominent in those with severe trauma or disease.

키워드

Accidents, Traffic; Emergency Service, Hospital; Pediatrics; Triage; Wounds and Injuries

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