J Korean Soc Traumatol.  2016 Sep;29(3):68-75. 10.20408/jti.2016.29.3.68.

A Comparison of the Effectiveness of Before and After the Regional Trauma Center's Establishment

• Song BH
• Hyun SY
• Kim JJ
• Cho JS
• Ma DS
• Kim HK
• Lee G

• KMID: 2359005
• DOI: http://doi.org/10.20408/jti.2016.29.3.68

Abstract

PURPOSE
The purpose of this study was to analyze the effectiveness of regional trauma center's management.
METHODS
Data collected between January 2013 and December 2015 from a regional trauma center registry was retrospectively reviewed. The patients who had injury severity score (ISS) greater than 15 and over the age of 18 were included. We compared annual general characteristics, the injury mechanism, the pathway of transportation, the injury severity score, the length of stay in emergency department (ED) and hospital, the in-hospital mortality.
RESULTS
The annual numbers of enrolled patients were 337, 334 and 278, respectively. No significant differences were found in the annual patient's median ages, injury mechanism, ISS and in-hospital mortality. The annual proportions of coming from other hospital and the median length of stay in hospital were increased after establishment of regional trauma center. The annual median lengths of stay in ED were decreased remarkably.
CONCLUSION
Through the establishment of regional trauma center, the length of stay in ED can be reduced but not in-hospital mortality. More multidisciplinary cooperation and well-organized study is needed to reduce mortality of major trauma patients and maximize effect of regional trauma center.

Keyword

Regional trauma center; Injury severity score; Length of stay; Mortality rate

MeSH Terms

Emergency Service, Hospital
Hospital Mortality
Humans
Injury Severity Score
Length of Stay
Mortality
Retrospective Studies
Transportation
Trauma Centers