ArticleJournal of Korean medical science2025
Trends in Preventable Trauma Death Rates in Korea: A Follow-up Study of the Trauma System's Performance.
Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Incidence and mortality of severe trauma in South Korea: A nationwide registry-based cohort study, 2016 to 2024.Medicine · 2026Article
- Impact of the emergency medical services crew size (2 vs. ≥3 personnel) on prehospital performance and survival in severe trauma: a nationwide cohort study in Korea.Journal of trauma and injury · 2026Article
- Korea's preventable trauma death rate falls to single digits: what comes next?Journal of trauma and injury · 2026Article
- Factors affecting in-hospital mortality in hypotensive blunt trauma: a retrospective observational study.Journal of Yeungnam medical science · 2026Article
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Authors and funding
19 authors.
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Abstract
backgroundThe preventable trauma death rate (PTDR) is a key measure of trauma system performance. This study, the fourth follow-up since the implementation of trauma centers in South Korea, aimed to evaluate trends in PTDR and assess the mid-term performance of the trauma system. The study utilized consistent methods with previous analyses to ensure comparability and continuity.
methodsA total of 8,490 trauma deaths occurred in 2021, and 1,688 patients from 265 medical institutions were included in the study. A multidisciplinary panel review was conducted to assess the preventability of mortality and identify opportunities for improvement. The results were compared with those from previous studies on the PTDR.
resultsOf the 1,688 sampled patients, the PTDR was calculated for 929. The overall PTDR was estimated at 13.9%, with a definitive preventable death rate of 2.9% and a potentially preventable death rate of 12.7%. The reduction in PTDR was not statistically significant compared to the 2019 study, which reported a rate of 15.7% (
conclusionIn 2021, the PTDR was 13.9%, showing a slight reduction compared to the 2019 study. This study primarily evaluated the performance of Korea's trauma system, with findings highlighting both progress and persistent challenges. Although the study was conducted during the coronavirus disease 2019 pandemic, its potential indirect impact on trauma care is acknowledged as an area for further research. Addressing systemic limitations remains essential for further reducing preventable trauma deaths.
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