서울지역 응급의료센터에 전원으로 내원한 소아 외상환자의 특성
Characteristics of pediatric trauma patients transferred to emergency medical centers in Seoul
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Purpose: To analyze the characteristics of pediatric trauma patients transferred from other facilities, with the goal of utilizing these findings as foundational data to improve the emergency medical system for these patients. Methods: This study targeted pediatric trauma patients aged < 15 years who visited emergency medical centers in Seoul over the course of one year in 2021, totaling 48,189 individuals. Data were obtained from the National Emergency Department Information System (NEDIS). This study analyzed the characteristics of patients transferred to regional and local emergency medical centers. The collected data were analyzed using IBM SPSS Statistics 26, with the significance level set at a χ value of 0.001. Results: Among the pediatric trauma patients, 6.5% (3,129) were transferred from other hospitals, while mild cases accounted for 85.9% (41,397). However, we noticed a tendency for more severe cases to be transferred. Among the transferred patients, 35.9% (1,123) were diagnosed with fractures, and 33.0% (1,033) had skin injuries. Notably, the proportion of patients with KTAS levels 4-5 was 71.3% (2,232). Conclusion: When designating Moonlight Children's hospital, it is essential to support hospitals capable of treating nonemergency trauma. Additionally, caregivers need education in selecting appropriate initial medical facilities through inquiries to 119 emergency dispatch centers.
Abstract
Purpose: To analyze the characteristics of pediatric trauma patients transferred from other facilities, with the goal of utilizing these findings as foundational data to improve the emergency medical system for these patients. Methods: This study targeted pediatric trauma patients aged < 15 years who visited emergency medical centers in Seoul over the course of one year in 2021, totaling 48,189 individuals. Data were obtained from the National Emergency Department Information System (NEDIS). This study analyzed the characteristics of patients transferred to regional and local emergency medical centers. The collected data were analyzed using IBM SPSS Statistics 26, with the significance level set at a χ value of 0.001. Results: Among the pediatric trauma patients, 6.5% (3,129) were transferred from other hospitals, while mild cases accounted for 85.9% (41,397). However, we noticed a tendency for more severe cases to be transferred. Among the transferred patients, 35.9% (1,123) were diagnosed with fractures, and 33.0% (1,033) had skin injuries. Notably, the proportion of patients with KTAS levels 4-5 was 71.3% (2,232). Conclusion: When designating Moonlight Children's hospital, it is essential to support hospitals capable of treating nonemergency trauma. Additionally, caregivers need education in selecting appropriate initial medical facilities through inquiries to 119 emergency dispatch centers.