Characteristics of Pediatric and Adolescent Trauma-Database Review of Single Level Trauma Center in Gangwon Province

Lee, Tae Han; Jung, Pil Young; Kwon, Hye Youn; Shim, Hongjin; Jang, Ji Young; Bae, Keum Seok; Kim, Seongyup

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자료유형: 학술저널

저자정보: Lee, Tae Han (Department of Surgery, Yonsei University Wonju College of Medicine) Jung, Pil Young (Department of Surgery, Yonsei University Wonju College of Medicine) Kwon, Hye Youn (Department of Surgery, Yonsei University Wonju College of Medicine) Shim, Hongjin (Department of Surgery, Yonsei University Wonju College of Medicine) Jang, Ji Young (Department of Surgery, Yonsei University Wonju College of Medicine) Bae, Keum Seok (Department of Surgery, Yonsei University Wonju College of Medicine) Kim, Seongyup (Department of Surgery, Yonsei University Wonju College of Medicine)

저널정보: 대한외상학회 Journal of trauma and injury : JTI Journal of trauma and injury : JTI 제30권 제3호

발행연도: 2017.1

수록면: 75 - 79 (5page)

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Purpose: Although trauma is the most common cause of death under age 18, Korean national pediatric trauma data has lack of clinical data. This study is to prepare manpower resources, equipment, and make a correct policy decision on pediatric trauma victims Methods: The study enrolled 528 patients under age 16 with traumatic injury visited Wonju Severance Christian Hostpital Trauma Center, from February 12, 2015 to December 31, 2016. We analyzed the distribution of gender, age, place and time of the accident, injury mechanism, injury severity, and injured organ by medical record. Results: The major injury mechanisms were blunt injury in 485 (91.90%), penetrating injury in 27 (5.10%), burn in 13 (2.50%), near drowning in 2 (0.40%), and foreign body ingestion in 1 (0.20%). Ninety-seven (18.4%) patients were injured at home and 67 (12.7%) patients were injured at school. The overall mortality rate was 1.13% (n=6). 5 mortalities were related to automobile accident and one was fall down. Mean Injury Severity Score (ISS) was 4 (2, 8). No statistical significance was observed in the mean ISS between each age group. The peak time of accident occurrence was between 16 and 17 o'clock. The mean ISS was higher in blunt injury group than penetrating injury with statistical significance ($6.50{\pm}7.60$ vs. $3.00{\pm}8.10$; p<0.05). The most common injury site was upper extremity. Mean ISS was highest in thorax injury. However, mean ISS of thorax injury was higher with statistical significance only compared with face, neck and upper extremity injury. Conclusions: We reported our pediatric trauma patients data of our hospital level I trauma center, which is the only one level I trauma center of Gangwon Province. These data is useful to prevent and prepare for pediatric trauma.

#Injury #Pediatric emergency medicine

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