@article{ref1,
title="Systematic preventable trauma death rate survey to establish the region-based inclusive trauma system in a representative province of Korea",
journal="Journal of Korean medical science",
year="2020",
author="Kwon, Junsik and Lee, Jin Hee and Hwang, Kyungjin and Heo, Yunjung and Cho, Hang Joo and Lee, John Cook Jong and Jung, Kyoungwon",
volume="35",
number="50",
pages="e417-e417",
abstract="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. <br><br>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. <br><br>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 &quot;1-3  hours&quot; than those who arrived within &quot;1 hour.&quot; 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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1011-8934",
doi="10.3346/jkms.2020.35.e417",
url="http://dx.doi.org/10.3346/jkms.2020.35.e417"
}