J Acute Care Surg.
2018 Apr;8(1):7-12. 10.17479/jacs.2018.8.1.7.
Analysis of Neck Trauma Patients Using the Korean National Emergency Department Information System
- Affiliations
-
- 1Department of Surgery, National Medical Center, Seoul, Korea. sungwon94@naver.com
- 2National Trauma System Management Office, National Medical Center, Seoul, Korea.
- 3Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- KMID: 2434949
- DOI: http://doi.org/10.17479/jacs.2018.8.1.7
Abstract
- PURPOSE
Trauma is a leading cause of death, even in previously healthy and disease-free individuals, and the mortality rate is very high in neck trauma patients. On the other hand, there have been few studies related to neck injuries. This study examined the characteristics and treatment results of trauma-related neck injuries using the data from Korean National Emergency Department Information System.
METHODS
Neck trauma patients were classified using the 6th Korean Standard Disease Classification system. The patients' demographic factors, number of surgeries, and clinical results were investigated. Statistical analysis was conducted using SPSS to evaluate the annual differences in the demographic factors; mortality according to the site of injury and type of surgery; and mechanisms of injury.
RESULTS
From 2011 to 2014, 2,458 neck trauma patients were treated in hospitals in South Korea. The number of patients admitted to regional and local emergency medical centers was 883 (35.9%) and 1,502 (61.1%), respectively. No significant annual differences were observed in age, sex ratio, location of treatment center, mortality, and injury site (vascular, tracheal, or esophageal). In addition, no significant differences in the cause of injury, performed surgery (%), and mortality according to the injured organ were observed.
CONCLUSION
This study revealed no annual changes in neck injury patients or differences in mortality according to injured organs. This study can be used as a basis for national research on organ-specific injuries, and may help predict the demand for future support projects for the establishment of regional trauma centers.
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