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논문 기본 정보

자료유형
학술저널
저자정보
정영희 (Laboratory of Emergency Medical Services Seoul National University Hospital) 위대한 (원광대학교 의과대학 응급의학교실) 신상도 (서울대학교) 히데하루 다나카 (4Department of Emergency Medical System Graduate School of Kokushikan University) Goh E. Shaun (Acute and Emergency Care Center Khoo Teck Paut Hospital) Wen-Chu Chiang (Department of Emergency Medicine National Taiwan University Hospital) Jen-Tang Sun (Department of Emergency Medicine Far Eastern Memorial Hospital) Li-Min Hsu (Department of Traumatology and Critical Care National Taiwan University Hospital) 켄타로 카지노 (National Hospital Organization Osaka National Hospital) Sabariah Faizah Jamaluddin (Sungai Buloh Hospital Selangor Malaysia) 아키오 키무라 (Center Hospital of the National Center for Global Health and Medicine Tokyo Japan) James F. Holmes (UC Davis Medical Center(JFH)) 송경준 (서울대학교 보라매병원 응급의학과) 노영선 (서울대학교병원) 홍기정 (서울대학교병원) 문성우 (고려대학교 의과대학 응급의학교실) 박주옥 (한림대학교) 김민정 (서울대학교병원)
저널정보
대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.6 No.4
발행연도
2019.1
수록면
321 - 329 (9page)

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Objective This study aimed to compare the demographic characteristics and trauma service structures and processes of hospitals in 15 countries across the Asia Pacific, and to provide baseline data for the integrated trauma database: the Pan-Asian Trauma Outcomes Study (PATOS). Methods Medical directors and emergency physicians at PATOS-participating hospitals in countries across the Asia Pacific were surveyed through a standardized questionnaire. General information, trauma care system data, and trauma emergency department (ED) outcomes at each hospital were collected by email and analyzed using descriptive statistics. Results Survey data from 35 hospitals across 15 countries were collected from archived data between June 2014 and July 2015. Designated trauma centers were identified as the highest hospital level for trauma patients in 70% of surveyed countries. Half of the hospitals surveyed had special teams for trauma care, and almost all prepared activation protocol documents for these teams. Most hospitals offered specialized trauma education programs, and 72.7% of hospitals had a hospital-based trauma registry. The total number of trauma patients visiting the ED across 25 of the hospitals was 300,376. The overall survival-to-discharge rate was 97.2%; however, it varied greatly between 85.1% and 99.7%. The difference between survival-to-discharge rates of moderate and severe injury groups was highest in Taiwan (41.8%) and lowest in Thailand (18.6%). Conclusion Trauma care systems and ED outcomes vary widely among surveyed hospitals and countries. This information is useful to build further detailed, systematic platforms for trauma surveillance and evidence-based trauma care policies.

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