TY - JOUR
PY - 2015//
TI - Preventable trauma death rate in Daegu, South Korea
JO - Clinical and experimental emergency medicine
A1 - Moon, Sungbae
A1 - Lee, Suk Hee
A1 - Ryoo, Hyun Wook
A1 - Kim, Jong Kun
A1 - Ahn, Jae Yun
A1 - Kim, Sung Jin
A1 - Jeon, Jae Cheon
A1 - Lee, Kyung Woo
A1 - Sung, Ae Jin
A1 - Kim, Yun Jeong
A1 - Lee, Dae Ro
A1 - Do, Byung Soo
A1 - Park, Sin Ryul
A1 - Lee, Jin-Seok
SP - 236
EP - 243
VL - 2
IS - 4
N2 - OBJECTIVE: This study investigated the preventable death rate in Daegu, South Korea, and assessed affecting factors and preventable factors in order to improve the treatment of regional trauma patients.
METHODS: All traumatic deaths between January 2012 and December 2012 in 5 hospitals in Daegu were analyzed by panel review, which were classified into preventable and non-preventable deaths. We determined the factors affecting trauma deaths and the preventable factors during trauma care.
RESULTS: There were overall 358 traumatic deaths during the study period. Two hundred thirty four patients were selected for the final analysis after excluding cases of death on arrival, delayed death, and unknown causes. The number of preventable death was 59 (25.2%), which was significantly associated with mode of arrival, presence of head injury, date, and time of injury. A multivariate analysis revealed that preventable death was more likely when patients were secondly transferred from another hospital, visited hospital during non-office hour, and did not have head injuries. The panel discovered 145 preventable factors, which showed that majority of factors occurred in emergency departments (49.0%), and were related with system process (76.6%).
CONCLUSION: The preventable trauma death rate in Daegu was high, and mostly process-related.
Language: en
LA - en SN - 2383-4625 UR - http://dx.doi.org/10.15441/ceem.15.085 ID - ref1 ER -