Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea
Background After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to eval...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2020-05-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00430 |
| _version_ | 1798026223034564608 |
|---|---|
| author | Joo Sung Jung Dong Hee Kang Nam Kyu Lim |
| author_facet | Joo Sung Jung Dong Hee Kang Nam Kyu Lim |
| author_sort | Joo Sung Jung |
| collection | DOAJ |
| description | Background After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to evaluate the role of the plastic surgery department in treating severe trauma patients.
Methods From January 2012 to December 2018, we enrolled 366 severe trauma patients with an Injury Severity Score (ISS) over 15 who received treatment by specialists in the plastic surgery department. Of these patients, 298 (81.4%) were male, and their mean age was 51.35 years (range, 6–91 years). The average ISS was 22.01 points (range, 16–75 points).
Results The most common diagnosis was facial trauma (95.1%), and facial bone fracture (65.9%) was most common injury within this subgroup. Patients were referred to 1.8 departments on average, with the neurosurgery department accounting for a high proportion of collaborations (37.0%). The most common cause of trauma was traffic accidents (62.3%), and the average length of stay in the general ward and intensive care unit was 36.90 and 8.01 days, respectively. Most patients were discharged home (62.0%) without additional transfer or readmission.
Conclusions Through this study, we scoped out the role of the specialty of plastic surgery in the multidisciplinary team at regional trauma centers. These results may have implications for trauma system planning. |
| first_indexed | 2024-04-11T18:31:51Z |
| format | Article |
| id | doaj.art-4625fbe4d0dd4bbfa9b60b0f3eea833f |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T18:31:51Z |
| publishDate | 2020-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-4625fbe4d0dd4bbfa9b60b0f3eea833f2022-12-22T04:09:25ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712020-05-01470322322710.5999/aps.2020.004303737Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South KoreaJoo Sung Jung0Dong Hee Kang1Nam Kyu Lim2Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, KoreaDepartment of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, KoreaDepartment of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, KoreaBackground After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to evaluate the role of the plastic surgery department in treating severe trauma patients. Methods From January 2012 to December 2018, we enrolled 366 severe trauma patients with an Injury Severity Score (ISS) over 15 who received treatment by specialists in the plastic surgery department. Of these patients, 298 (81.4%) were male, and their mean age was 51.35 years (range, 6–91 years). The average ISS was 22.01 points (range, 16–75 points). Results The most common diagnosis was facial trauma (95.1%), and facial bone fracture (65.9%) was most common injury within this subgroup. Patients were referred to 1.8 departments on average, with the neurosurgery department accounting for a high proportion of collaborations (37.0%). The most common cause of trauma was traffic accidents (62.3%), and the average length of stay in the general ward and intensive care unit was 36.90 and 8.01 days, respectively. Most patients were discharged home (62.0%) without additional transfer or readmission. Conclusions Through this study, we scoped out the role of the specialty of plastic surgery in the multidisciplinary team at regional trauma centers. These results may have implications for trauma system planning.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00430trauma centerssurgery, plastictraumatologyepidemiology |
| spellingShingle | Joo Sung Jung Dong Hee Kang Nam Kyu Lim Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea Archives of Plastic Surgery trauma centers surgery, plastic traumatology epidemiology |
| title | Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea |
| title_full | Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea |
| title_fullStr | Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea |
| title_full_unstemmed | Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea |
| title_short | Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea |
| title_sort | epidemiology of severe trauma patients treated by plastic surgeons a 7 year study at a single regional trauma center in south korea |
| topic | trauma centers surgery, plastic traumatology epidemiology |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00430 |
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