Preventable trauma death rate in Daegu, South Korea

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 a...

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Main Authors: Sungbae Moon, Suk Hee Lee, Hyun Wook Ryoo, Jong Kun Kim, Jae Yun Ahn, Sung Jin Kim, Jae Cheon Jeon, Kyung Woo Lee, Ae Jin Sung, Yun Jeong Kim, Dae Ro Lee, Byung Soo Do, Sin Ryul Park, Jin-Seok Lee
Format: Article
Language:English
Published: The Korean Society of Emergency Medicine 2015-12-01
Series:Clinical and Experimental Emergency Medicine
Subjects:
Online Access:http://www.ceemjournal.org/upload/pdf/ceem-15-085.pdf
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author Sungbae Moon
Suk Hee Lee
Hyun Wook Ryoo
Jong Kun Kim
Jae Yun Ahn
Sung Jin Kim
Jae Cheon Jeon
Kyung Woo Lee
Ae Jin Sung
Yun Jeong Kim
Dae Ro Lee
Byung Soo Do
Sin Ryul Park
Jin-Seok Lee
author_facet Sungbae Moon
Suk Hee Lee
Hyun Wook Ryoo
Jong Kun Kim
Jae Yun Ahn
Sung Jin Kim
Jae Cheon Jeon
Kyung Woo Lee
Ae Jin Sung
Yun Jeong Kim
Dae Ro Lee
Byung Soo Do
Sin Ryul Park
Jin-Seok Lee
author_sort Sungbae Moon
collection DOAJ
description 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.
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spelling doaj.art-a5732b444d1c404898516d14ceb5cebc2023-02-23T05:33:26ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252015-12-012423624310.15441/ceem.15.08564Preventable trauma death rate in Daegu, South KoreaSungbae Moon0Suk Hee Lee1Hyun Wook Ryoo2Jong Kun Kim3Jae Yun Ahn4Sung Jin Kim5Jae Cheon Jeon6Kyung Woo Lee7Ae Jin Sung8Yun Jeong Kim9Dae Ro Lee10Byung Soo Do11Sin Ryul Park12Jin-Seok Lee13 Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea Department of Emergency Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea Department of Emergency Medicine, Daegu Catholic University Medical Center, Daegu, Korea Department of Emergency Medicine, Daegu Catholic University Medical Center, Daegu, Korea Department of Emergency Medicine, Daegu Fatima Hospital, Daegu, Korea Department of Emergency Medicine, Daegu Fatima Hospital, Daegu, Korea Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, KoreaObjective 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.http://www.ceemjournal.org/upload/pdf/ceem-15-085.pdfdeathwounds and injuriesoutcome and process assessmentsecondary prevention
spellingShingle Sungbae Moon
Suk Hee Lee
Hyun Wook Ryoo
Jong Kun Kim
Jae Yun Ahn
Sung Jin Kim
Jae Cheon Jeon
Kyung Woo Lee
Ae Jin Sung
Yun Jeong Kim
Dae Ro Lee
Byung Soo Do
Sin Ryul Park
Jin-Seok Lee
Preventable trauma death rate in Daegu, South Korea
Clinical and Experimental Emergency Medicine
death
wounds and injuries
outcome and process assessment
secondary prevention
title Preventable trauma death rate in Daegu, South Korea
title_full Preventable trauma death rate in Daegu, South Korea
title_fullStr Preventable trauma death rate in Daegu, South Korea
title_full_unstemmed Preventable trauma death rate in Daegu, South Korea
title_short Preventable trauma death rate in Daegu, South Korea
title_sort preventable trauma death rate in daegu south korea
topic death
wounds and injuries
outcome and process assessment
secondary prevention
url http://www.ceemjournal.org/upload/pdf/ceem-15-085.pdf
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