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 journalArticlepeer-review

3 Citations (Scopus)


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
Pages (from-to)202-210
Number of pages9
JournalHong Kong Journal of Emergency Medicine
Issue number4
Publication statusPublished - 2020 Jul 1

Bibliographical note

Funding Information:
We would like to thank all trauma surgeons and nurses for their dedication and commitment to the Korean trauma system. KK and JYJ conceived the study concept and participated in its design, data extraction, statistical analysis, and manuscript drafting and editing. All authors read and approved the final manuscript. The author(s) received no financial support for the research, authorship, and/or publication of this article.

Publisher Copyright:
© The Author(s) 2019.

All Science Journal Classification (ASJC) codes

  • Emergency Medicine


Dive into the research topics of 'Early experience of a regional trauma center in Gangwon province: First step toward organizing a regional trauma system'. Together they form a unique fingerprint.

Cite this