이륜차 사고 환자의 중증도에 영향을 미치는 요인 : 응급실손상환자심층조사의 후향적 분석
Factors influencing the severity of motorcycle accidents for patients : A retrospective analysis of Emergency Department-based In-depth Surveillance
Purpose: To identify the factors associated with the severity of injuries in motorcycle accident patients who visited emergency medical centers at 23 hospitals nationwide, using data collected by the Emergency Department-based Injury In-depth Surveillance. Methods: This study included 14,958 motorcycle accident patients selected through a research inclusion process, who visited participating hospitals from January 1, 2019, to December 31, 2021. Data were analyzed using IBM SPSS 25.0, employing descriptive statistics, frequency analysis, t-tests, ANOVA, and logistic regression analysis. Results: Factors influencing injury severity included age 65 or older (OR=1.447, p=.015), accidents occurring in the morning(06:00-11:59) (OR=1.341, p=.019), early morning hours(00:00-05:59) (OR=1.586, p<.001), not using an ambulance(OR=6.921, p<.001), patients with the severest injuries to the head and face(OR=8.921, p<.001), neck injuries(OR=3.452, p=.001), abdominal and pelvic injuries(OR=5.672, p<.001), lower extremity injuries(OR=1.942, p=.016), public road(OR=2.945, p=.001), type of way in other areas(OR=2.542, p=.018), not wearing a helmet(OR=2.890, p<.001), unknown helmet using(OR=6.105, p<.001), and hypothermia(≤35.0℃) (OR=47.168, p<.001). Conclusion: To prevent severe injuries in motorcycle accident patients, it is essential to wear proper protective equipment, promptly assess the patient’s condition, and transport them to an appropriate hospital. Paramedics should be equipped to evaluate the patient's age, use of protective equipment, injury site, and mechanism of the accident comprehensively and decide on treatment and transportation according to the severity of the injuries.
목차
Abstract Ⅰ. 서론 1. 연구의 필요성 2. 연구의 목적 Ⅱ. 연구방법 1. 연구설계 2. 연구대상 3. 자료수집 4. 자료분석 Ⅲ. 연구결과 1. 대상자의 일반적 특성, 사고 기전 관련 특성, 손상 부위 특성, 활력징후 2. 대상자의 중증도 관련 특성 3. 대상자의 일반적 특성, 사고 기전 관련 특성, 손상 부위 특성, 활력징후에따른 중증도 4. 이륜차 사고 환자의 중증도에 미치는 영향 요인 Ⅳ. 고찰 Ⅴ. 결론 1. 결론 2. 제언 ORCID ID References
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 ]