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J Korean Soc Emerg Med > Volume 27(5); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(5): 404-413.
Preventable Trauma Death Rate in Daegu, South Korea
Sungbae Moon1, Suk Hee Lee1, Hyun Wook Ryoo1, Jong Kun Kim1, Jae Yun Ahn1, Sung Jin Kim2, Jae Cheon Jeon2, Kyung Woo Lee3, Ae Jin Sung3, Yun Jeong Kim4, Dae Ro Lee4, Byung Soo Do5, Sin Ryul Park5, Jin-Seok Lee6
1Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea
2Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
3Daegu Catholic University Medical Center, Daegu, Korea
4Daegu Fatima Hospital, Daegu, Korea
5Yeungnam University College of Medicine, Daegu, Korea
6Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea
Correspondence  Suk Hee Lee ,Tel: 053-420-6400, Fax: 053-428-2820, Email: mycozzy@naver.com,
Received: May 26, 2016; Revised: May 31, 2016   Accepted: July 25, 2016.  Published online: October 30, 2016.
This study was performed to investigate the preventable death rate (PDR) in Daegu, South Korea, and to assess both its affecting- and preventable-factors to improve the treatment of regional trauma patients.
All cases of traumatic death that occurred between January 2012 and December 2012 in five hospitals in Daegu were analyzed retrospectively by a panel review. Cases were classified into preventable (P) and non-preventable deaths (NP). We determined the affecting factors of trauma deaths and preventable factors during trauma care.
The PDR was 25.2%. Significant differences by mode of arrival, day of injury, cause of death, and time of emergency department (ED) arrival were observed between P and NP groups. According to the logistic regression analysis, preventability was associated with patients transferred from other hospitals, ED arrival at night and dawn, and non-head injuries. A total of 145 preventable factors were discovered in 59 preventable trauma deaths. When we categorized by location, the ED was the most common, with 71 cases, followed by 57 prehospital preventable factors. When we classified the preventable factors by process, 76.8% were process-related and 23.4% were structure-related.
Our study is valuable to build an adequate trauma system in Daegu as it provides the baseline quality control data. Efforts to mediate the preventable factors were revealed in this study, and continuous reviews to calculate and track the PDR are needed to evaluate the local trauma system and establish a system specific to Daegu.
Key words: Death, Injuries, Outcome and process assessment
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