Early experience of a regional trauma center in Gangwon province: First step toward organizing a regional trauma system

Kwangmin Kim, Hongjin Shim, Pil Young Jung, Seongyup Kim, Hui Jae Bang, Hye Youn Kwon, Young Un Choi, Keum Seok Bae, Ji Young Jang

Research output: Contribution to journalArticle

Abstract

Background: The Korean Ministry of Health and Welfare decided to establish a trauma medical service system to reduce preventable deaths. OO hospital in Gangwon Province was selected as a regional trauma center and was inaugurated in 2015. Objectives: This study examines the impact of this center, comparing mortality and other variables before and after inaugurating the center. Methods: Severely injured patients (injury severity score > 15) presenting to OO hospital between January 2014 and December 2016 were enrolled and categorized into two groups: before trauma center (n = 365) and after trauma center (n = 904). Patient characteristics, variables, and patient outcomes (including mortality rate) before and after the establishment of trauma centers were compared accordingly for both groups. Risk factors for in-hospital mortality were also identified. Results: Probability of survival using trauma and injury severity score (%) method was significantly lower in the after trauma center group (81.3 ± 26.1) than in the before trauma center group (84.7 ± 21.0) (p = 0.014). In-hospital mortality rates were similar in both groups (before vs after trauma center group: 13.2% vs 14.2%; p = 0.638). The Z and W statistics revealed higher scores in the after trauma center group than in the before trauma center group (Z statistic, 4.69 vs 1.37; W statistic, 4.52 vs 2.10); 2.42 more patients (per 100 patients) survived after trauma center establishment. Conclusion: Although the mortality rates of trauma patients remained unchanged after the trauma center establishment, the Z and W statistics revealed improvements in the quality of care.

Original languageEnglish
JournalHong Kong Journal of Emergency Medicine
DOIs
Publication statusAccepted/In press - 2019 Jan 1

Fingerprint

Trauma Centers
Wounds and Injuries
Injury Severity Score
Mortality
Hospital Mortality
Quality of Health Care

All Science Journal Classification (ASJC) codes

  • Emergency Medicine

Cite this

Kim, Kwangmin ; Shim, Hongjin ; Jung, Pil Young ; Kim, Seongyup ; Bang, Hui Jae ; Kwon, Hye Youn ; Choi, Young Un ; Bae, Keum Seok ; Jang, Ji Young. / Early experience of a regional trauma center in Gangwon province : First step toward organizing a regional trauma system. In: Hong Kong Journal of Emergency Medicine. 2019.
@article{a5f95184008a4dc18297a6c5ec3013d1,
title = "Early experience of a regional trauma center in Gangwon province: First step toward organizing a regional trauma system",
abstract = "Background: The Korean Ministry of Health and Welfare decided to establish a trauma medical service system to reduce preventable deaths. OO hospital in Gangwon Province was selected as a regional trauma center and was inaugurated in 2015. Objectives: This study examines the impact of this center, comparing mortality and other variables before and after inaugurating the center. Methods: Severely injured patients (injury severity score > 15) presenting to OO hospital between January 2014 and December 2016 were enrolled and categorized into two groups: before trauma center (n = 365) and after trauma center (n = 904). Patient characteristics, variables, and patient outcomes (including mortality rate) before and after the establishment of trauma centers were compared accordingly for both groups. Risk factors for in-hospital mortality were also identified. Results: Probability of survival using trauma and injury severity score ({\%}) method was significantly lower in the after trauma center group (81.3 ± 26.1) than in the before trauma center group (84.7 ± 21.0) (p = 0.014). In-hospital mortality rates were similar in both groups (before vs after trauma center group: 13.2{\%} vs 14.2{\%}; p = 0.638). The Z and W statistics revealed higher scores in the after trauma center group than in the before trauma center group (Z statistic, 4.69 vs 1.37; W statistic, 4.52 vs 2.10); 2.42 more patients (per 100 patients) survived after trauma center establishment. Conclusion: Although the mortality rates of trauma patients remained unchanged after the trauma center establishment, the Z and W statistics revealed improvements in the quality of care.",
author = "Kwangmin Kim and Hongjin Shim and Jung, {Pil Young} and Seongyup Kim and Bang, {Hui Jae} and Kwon, {Hye Youn} and Choi, {Young Un} and Bae, {Keum Seok} and Jang, {Ji Young}",
year = "2019",
month = "1",
day = "1",
doi = "10.1177/1024907919831157",
language = "English",
journal = "Hong Kong Journal of Emergency Medicine",
issn = "1024-9079",
publisher = "Medcom Limited",

}

Early experience of a regional trauma center in Gangwon province : First step toward organizing a regional trauma system. / Kim, Kwangmin; Shim, Hongjin; Jung, Pil Young; Kim, Seongyup; Bang, Hui Jae; Kwon, Hye Youn; Choi, Young Un; Bae, Keum Seok; Jang, Ji Young.

In: Hong Kong Journal of Emergency Medicine, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Early experience of a regional trauma center in Gangwon province

T2 - First step toward organizing a regional trauma system

AU - Kim, Kwangmin

AU - Shim, Hongjin

AU - Jung, Pil Young

AU - Kim, Seongyup

AU - Bang, Hui Jae

AU - Kwon, Hye Youn

AU - Choi, Young Un

AU - Bae, Keum Seok

AU - Jang, Ji Young

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: The Korean Ministry of Health and Welfare decided to establish a trauma medical service system to reduce preventable deaths. OO hospital in Gangwon Province was selected as a regional trauma center and was inaugurated in 2015. Objectives: This study examines the impact of this center, comparing mortality and other variables before and after inaugurating the center. Methods: Severely injured patients (injury severity score > 15) presenting to OO hospital between January 2014 and December 2016 were enrolled and categorized into two groups: before trauma center (n = 365) and after trauma center (n = 904). Patient characteristics, variables, and patient outcomes (including mortality rate) before and after the establishment of trauma centers were compared accordingly for both groups. Risk factors for in-hospital mortality were also identified. Results: Probability of survival using trauma and injury severity score (%) method was significantly lower in the after trauma center group (81.3 ± 26.1) than in the before trauma center group (84.7 ± 21.0) (p = 0.014). In-hospital mortality rates were similar in both groups (before vs after trauma center group: 13.2% vs 14.2%; p = 0.638). The Z and W statistics revealed higher scores in the after trauma center group than in the before trauma center group (Z statistic, 4.69 vs 1.37; W statistic, 4.52 vs 2.10); 2.42 more patients (per 100 patients) survived after trauma center establishment. Conclusion: Although the mortality rates of trauma patients remained unchanged after the trauma center establishment, the Z and W statistics revealed improvements in the quality of care.

AB - Background: The Korean Ministry of Health and Welfare decided to establish a trauma medical service system to reduce preventable deaths. OO hospital in Gangwon Province was selected as a regional trauma center and was inaugurated in 2015. Objectives: This study examines the impact of this center, comparing mortality and other variables before and after inaugurating the center. Methods: Severely injured patients (injury severity score > 15) presenting to OO hospital between January 2014 and December 2016 were enrolled and categorized into two groups: before trauma center (n = 365) and after trauma center (n = 904). Patient characteristics, variables, and patient outcomes (including mortality rate) before and after the establishment of trauma centers were compared accordingly for both groups. Risk factors for in-hospital mortality were also identified. Results: Probability of survival using trauma and injury severity score (%) method was significantly lower in the after trauma center group (81.3 ± 26.1) than in the before trauma center group (84.7 ± 21.0) (p = 0.014). In-hospital mortality rates were similar in both groups (before vs after trauma center group: 13.2% vs 14.2%; p = 0.638). The Z and W statistics revealed higher scores in the after trauma center group than in the before trauma center group (Z statistic, 4.69 vs 1.37; W statistic, 4.52 vs 2.10); 2.42 more patients (per 100 patients) survived after trauma center establishment. Conclusion: Although the mortality rates of trauma patients remained unchanged after the trauma center establishment, the Z and W statistics revealed improvements in the quality of care.

UR - http://www.scopus.com/inward/record.url?scp=85062461239&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062461239&partnerID=8YFLogxK

U2 - 10.1177/1024907919831157

DO - 10.1177/1024907919831157

M3 - Article

AN - SCOPUS:85062461239

JO - Hong Kong Journal of Emergency Medicine

JF - Hong Kong Journal of Emergency Medicine

SN - 1024-9079

ER -