Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea
Purpose We sought to assess mortality trends in chest-abdominal trauma patients, before and after the implementation of the Project Supporting Establishment of Trauma Centers (PSETC) in the Republic of Korea. Methods Data from the National Health Insurance Service claims database between 2009 to 201...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Acute Care Surgery
2024-03-01
|
| Series: | Journal of Acute Care Surgery |
| Subjects: | |
| Online Access: | http://www.jacs.or.kr/upload/pdf/jacs-2024-14-1-1.pdf |
| _version_ | 1797243188458553344 |
|---|---|
| author | Dae Ryong Kang Hye Sim Kim Ji Young Jang Ou-Hyen Kim Kiyoung Kim Un Young Choi Jiwool Ko Keum Seok Bae Hongjin Shim |
| author_facet | Dae Ryong Kang Hye Sim Kim Ji Young Jang Ou-Hyen Kim Kiyoung Kim Un Young Choi Jiwool Ko Keum Seok Bae Hongjin Shim |
| author_sort | Dae Ryong Kang |
| collection | DOAJ |
| description | Purpose We sought to assess mortality trends in chest-abdominal trauma patients, before and after the implementation of the Project Supporting Establishment of Trauma Centers (PSETC) in the Republic of Korea. Methods Data from the National Health Insurance Service claims database between 2009 to 2017 were analyzed. Patients with chest-abdominal trauma were defined as those with relevant main diagnosis codes and claims for emergency medical management fees. Mortality and cumulative data were analyzed for each year to compare mortality before and after the establishment of regional trauma centers across Korea (2014). Results In total, 29,127 patients were included in the analysis. While the annual incidence of trauma-related chest-abdominal injuries increased, mortalities decreased. In particular, the trauma incidence rate among patients over 50 years increased during the study period. Mortalities at trauma centers did not change year by year after the PSETC. Before and after 2014, when trauma centers operated under the PSETC, mortalities decreased [trauma cases before the PSETC; n = 14,321 (mortality 5.61), after the PSETC; n = 14,806 (mortality 4.96)]. Conclusion The number of patients treated for chest-abdominal injuries increased from 2009 to 2017 in Korea, whereas mortalities decreased over the same period. |
| first_indexed | 2024-04-24T18:51:09Z |
| format | Article |
| id | doaj.art-d9e5db7129884ce3a1e9acea48c27e0b |
| institution | Directory Open Access Journal |
| issn | 2288-5862 2288-9582 |
| language | English |
| last_indexed | 2024-04-24T18:51:09Z |
| publishDate | 2024-03-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj.art-d9e5db7129884ce3a1e9acea48c27e0b2024-03-27T01:49:57ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822024-03-011411810.17479/jacs.2024.14.1.1287Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South KoreaDae Ryong Kang0Hye Sim Kim1Ji Young Jang2Ou-Hyen Kim3Kiyoung Kim4Un Young Choi5Jiwool Ko6Keum Seok Bae7Hongjin Shim8 Department of Precision Medicine & Biostatistics, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea Health Insurance Review & Assessment Service, Wonju, Republic of Korea Department of Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, Republic of Korea Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wounju, Republic of Korea National Emergency Medical Center, National Medical Center, Seoul, Republic of Korea Department of Trauma Surgery, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea Department of Surgery, Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, Republic of Korea Department of Trauma Surgery, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea Department of Surgery, Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, Republic of KoreaPurpose We sought to assess mortality trends in chest-abdominal trauma patients, before and after the implementation of the Project Supporting Establishment of Trauma Centers (PSETC) in the Republic of Korea. Methods Data from the National Health Insurance Service claims database between 2009 to 2017 were analyzed. Patients with chest-abdominal trauma were defined as those with relevant main diagnosis codes and claims for emergency medical management fees. Mortality and cumulative data were analyzed for each year to compare mortality before and after the establishment of regional trauma centers across Korea (2014). Results In total, 29,127 patients were included in the analysis. While the annual incidence of trauma-related chest-abdominal injuries increased, mortalities decreased. In particular, the trauma incidence rate among patients over 50 years increased during the study period. Mortalities at trauma centers did not change year by year after the PSETC. Before and after 2014, when trauma centers operated under the PSETC, mortalities decreased [trauma cases before the PSETC; n = 14,321 (mortality 5.61), after the PSETC; n = 14,806 (mortality 4.96)]. Conclusion The number of patients treated for chest-abdominal injuries increased from 2009 to 2017 in Korea, whereas mortalities decreased over the same period.http://www.jacs.or.kr/upload/pdf/jacs-2024-14-1-1.pdfmortalitynational health insurancetrauma |
| spellingShingle | Dae Ryong Kang Hye Sim Kim Ji Young Jang Ou-Hyen Kim Kiyoung Kim Un Young Choi Jiwool Ko Keum Seok Bae Hongjin Shim Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea Journal of Acute Care Surgery mortality national health insurance trauma |
| title | Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea |
| title_full | Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea |
| title_fullStr | Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea |
| title_full_unstemmed | Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea |
| title_short | Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea |
| title_sort | mortality trends in chest abdominal trauma patients before and after the establishment of trauma centers in south korea |
| topic | mortality national health insurance trauma |
| url | http://www.jacs.or.kr/upload/pdf/jacs-2024-14-1-1.pdf |
| work_keys_str_mv | AT daeryongkang mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea AT hyesimkim mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea AT jiyoungjang mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea AT ouhyenkim mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea AT kiyoungkim mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea AT unyoungchoi mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea AT jiwoolko mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea AT keumseokbae mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea AT hongjinshim mortalitytrendsinchestabdominaltraumapatientsbeforeandaftertheestablishmentoftraumacentersinsouthkorea |