ArticleJournal of Korean medical science2020
Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea.
Article in Journal of Korean medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- A nationwide comparison of epidemiologic characteristics and outcomes between intentional and unintentional severe external-cause injuries in Korea, 2016-2020.Injury epidemiology · 2026Article
- Right patient to the right place: the impact of a 6-year regional trauma centre-led prehospital education programme on EMS triage and patient outcomes.BMC emergency medicine · 2025Article
- Trends in Preventable Trauma Death Rates in Korea: A Follow-up Study of the Trauma System's Performance.Journal of Korean medical science · 2025Article
- Development and Validation of a Korean Trauma and Injury Severity Score (K-TRISS) Model for Predicting Trauma Outcomes.Journal of Korean medical science · 2025Article
- Article
- Understanding Regional Trauma Centers and managing a trauma care system in South Korea: a systematic review.Annals of surgical treatment and research · 2023Review
- National Follow-up Survey of Preventable Trauma Death Rate in Korea.Journal of Korean medical science · 2022Article
- A Propensity Score-Matched Comparison of In-Hospital Mortality between Dedicated Regional Trauma Centers and Emergency Medical Centers in the Republic of Korea.Emergency medicine international · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundTrauma mortality review is the first step in assessing the quality of the trauma treatment system and provides an important basis for establishing a regional inclusive trauma system. This study aimed to obtain a reliable measure of the preventable trauma death rate in a single province in Korea.
methodsFrom January to December 2017, a total of 500 sample cases of trauma-related deaths from 64 hospitals in Gyeonggi Province were included. All cases were evaluated for preventability and opportunities for improvement using a multidisciplinary panel review approach.
resultsOverall, 337 cases were included in the calculation for the preventable trauma death rate. The preventable trauma death rate was estimated at 17.0%. The odds ratio was 3.97 folds higher for those who arrived within "1-3 hours" than those who arrived within "1 hour." When the final treatment institution was not a regional trauma center, the odds ratio was 2.39 folds higher than that of a regional trauma center. The most significant stage of preventable trauma death was the hospital stage, during which 86.7% of the cases occurred, of which only 10.3% occurred in the regional trauma center, whereas preventable trauma death was more of a problem at emergency medical institutions.
conclusionThe preventable trauma death rate was slightly lower in this study than in previous studies, although several problems were noted during inter-hospital transfer; in the hospital stage, more problems were noted at emergency medical care facilities than at regional trauma centers. Further, several opportunities for improvements were discovered regarding bleeding control.
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