중증외상 환자의 장애 및 사망 영향 요인 : 산업재해와 비산업재해 비교 연구
Factors influencing disability and mortality in patients with severe trauma : A comparative study of industrial and non-industrial accident
Purpose: To analyze the factors affecting mortality and disability in workplace trauma patients and provide a basis for improving on-site emergency response and emergency medical systems to reduce industrial accident-related mortality and disability. Methods: This study analyzed out-of-hospital severe trauma patients classified by 119 paramedics (2016 –2021) using the KDCA survey data. Occupational characteristics were compared through frequency and descriptive analyses, and factors affecting severe trauma-related mortality and disability were analyzed using a Mixed Logit Model. Results: The average severity score (ISS) of industrial accident patients was three points higher than that of non-industrial accident patients. In addition, the incidence of disability in industrial accident patients was 1.4 times higher than that, and the mortality rate increased by 61.0%. When comparing the mortality rates by medical facility, patients transported to community and regional emergency medical centers had significantly higher mortality rates than those transported to regional trauma centers. Conclusion: Due to the high severity of trauma caused by industrial accidents, an early response is crucial. Therefore, occupational safety and health managers must possess emergency treatment competencies as first responders.
목차
Abstract Ⅰ. 서론 1. 연구 배경 Ⅱ. 연구방법 1. 연구설계 2. 연구대상 3. 자료수집 방법 4. 연구도구 5. 분석방법 Ⅲ. 연구결과 1. 산업재해 발생 여부에 따른 중증외상 환자의 특성 비교 2. 중증외상 장애에 미치는 영향요인 3. 중증외상 사망에 미치는 영향요인 Ⅳ. 고찰 Ⅴ. 결론 및 제언 1. 결론 2. 제언 ORCID ID References
키워드
Industrial accidentWorkplaceEmergency treatmentSafety and health managerTrauma
저자
조지연 [ Ji-Yeon Jo | 유한대학교 응급구조과 교수/대한응급의료종사자교육연구회 회장 ]
육현섭 [ Hyeon-Seop Yuk | 충청북도공공보건의료지원단 주임연구원 ]
박시현 [ Shi-Hyun Park | 유한대학교 응급구조과 교수 ]
Corresponding Author
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]