이륜차 사고 환자의 중증도에 영향을 미치는 요인: 응급실손상환자심층조사의 후향적 분석

Abstract

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.