• J. Korean Med. Sci. · Dec 2020

    Systematic Preventable Trauma Death Rate Survey to Establish the Region-based Inclusive Trauma System in a Representative Province of Korea.

    • Junsik Kwon, LeeJin HeeJHhttps://orcid.org/0000-0002-2556-5484National Emergency Medical Center, National Medical Center, Seoul, Korea., Kyungjin Hwang, Yunjung Heo, Hang Joo Cho, John Cook Jong Lee, and Kyoungwon Jung.
    • Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
    • J. Korean Med. Sci. 2020 Dec 28; 35 (50): e417.

    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.© 2020 The Korean Academy of Medical Sciences.

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