다발성 중증 외상 환자들의 치료에 대한 응급 외상팀 운영의 효과

• Published in: Daehan oe'sang haghoeji Vol. 22; no. 2; pp. 172 - 178
• Main Authors: 이성화, Seong Hwa Lee, 조석주, Suck Joo Cho, 염석란, Seok Ran Yeom, 류지호, Ji Ho Ryu, 정진우, Jin Woo Jung, 한상균, Sang Kyun Han, 김용인, Yong In Kim, 박맹렬, Maeng Real Park, 김영대, Young Dae Kim
• Format: Journal Article
• Language: Korean
• Published: 대한외상학회 30-12-2009
• Subjects: Effect; Emergency trauma team; Multiple severe trauma; 의학일반; Multiple severe trauma; Emergency trauma team; Effect
• EISSN: 2287-1683
• ISSN: 1738-8767; 2799-4317

Purpose: We performed this study to determine how the emergency trauma team affects the treatment of patients with multiple severe trauma and to discuss the effect and the direction of the emergency trauma team`s management. Methods: We performed a retrospective analysis of 518 patients who visited our emergency department with severe trauma from August 2006 to July 2008. We divided the severe trauma patients into 2 groups: patients before and after trauma team management (Group 1 and Group 2). Then, we compared demographic characteristics, mechanisms of injury, and treatment outcomes (lengths of stay in the ED, admission ratio, and in-hospital mortality) between the 2 groups. In the same way, patients with multiple severe trauma were divided into 2 groups, that are patients before and after trauma team management (Group 3 and Group 4) and analyzed. Results: There was no significant difference, except mean age, between groups 1 and 2. In group 4 patients, compared to group 3 patients, the lengths of stay in the ED were lower (p value<0.001), and the admission ratio were higher (p value=0.017), but there was no significant difference in the in-hospital mortality between the groups 3 and 4. Conclusion: When patients with multiple severe trauma visit the ED, the emergency trauma team`s management can decrease the lengths of stay in the ED and increase the admission ratio, but does not produce a decrease in the in-hospital mortality rate. Further investigations of emergency trauma team management are needed to improve treatment outcomes for patients with multiple severe trauma. (J Korean Soc Traumatol 2009;22:172-78)