Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective study
Purpose In this study, we aimed to compare the characteristics of patients with trauma by age group in a single center in Korea to identify the clinical characteristics and analyze the risk factors affecting mortality. Methods Patients aged ≥18 years who visited the Chungbuk National University Hosp...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-12-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0035.pdf |
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| author | Jonghee Han Su Young Yoon Junepill Seok Jin Young Lee Jin Suk Lee Jin Bong Ye Younghoon Sul Seheon Kim Hong Rye Kim |
| author_facet | Jonghee Han Su Young Yoon Junepill Seok Jin Young Lee Jin Suk Lee Jin Bong Ye Younghoon Sul Seheon Kim Hong Rye Kim |
| author_sort | Jonghee Han |
| collection | DOAJ |
| description | Purpose In this study, we aimed to compare the characteristics of patients with trauma by age group in a single center in Korea to identify the clinical characteristics and analyze the risk factors affecting mortality. Methods Patients aged ≥18 years who visited the Chungbuk National University Hospital Regional Trauma Center between January 2016 and December 2022 were included. The accident mechanism, severity of the injury, and outcomes were compared by classifying the patients into group A (18–64 years), group B (65–79 years), and group C (≥80 years). In addition, logistic regression analysis was performed to identify factors affecting death. Results The most common injury mechanism was traffic accidents in group A (40.9%) and slipping in group B (37.0%) and group C (56.2%). Although group A had the highest intensive care unit admission rate (38.0%), group C had the highest mortality rate (9.5%). In the regression analysis, 3 to 8 points on the Glasgow Coma Scale had the highest odds ratio for mortality, and red blood cell transfusion within 24 hours, intensive care unit admission, age, and Injury Severity Score were the predictors of death. Conclusions For patients with trauma, the mechanism, injured body region, and severity of injury differed among the age groups. The high mortality rate of elderly patients suggests the need for different treatment approaches for trauma patients according to age. Identifying factors affecting clinical patterns and mortality according to age groups can help improve the prognosis of trauma patients in the future. |
| format | Article |
| id | doaj-art-e39b568f78974cac8365d007e89726a4 |
| institution | DOAJ |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-e39b568f78974cac8365d007e89726a42025-08-20T02:59:18ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-12-0136432933610.20408/jti.2023.00351272Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective studyJonghee Han0Su Young Yoon1Junepill Seok2Jin Young Lee3Jin Suk Lee4Jin Bong Ye5Younghoon Sul6Seheon Kim7Hong Rye Kim8 Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, KoreaPurpose In this study, we aimed to compare the characteristics of patients with trauma by age group in a single center in Korea to identify the clinical characteristics and analyze the risk factors affecting mortality. Methods Patients aged ≥18 years who visited the Chungbuk National University Hospital Regional Trauma Center between January 2016 and December 2022 were included. The accident mechanism, severity of the injury, and outcomes were compared by classifying the patients into group A (18–64 years), group B (65–79 years), and group C (≥80 years). In addition, logistic regression analysis was performed to identify factors affecting death. Results The most common injury mechanism was traffic accidents in group A (40.9%) and slipping in group B (37.0%) and group C (56.2%). Although group A had the highest intensive care unit admission rate (38.0%), group C had the highest mortality rate (9.5%). In the regression analysis, 3 to 8 points on the Glasgow Coma Scale had the highest odds ratio for mortality, and red blood cell transfusion within 24 hours, intensive care unit admission, age, and Injury Severity Score were the predictors of death. Conclusions For patients with trauma, the mechanism, injured body region, and severity of injury differed among the age groups. The high mortality rate of elderly patients suggests the need for different treatment approaches for trauma patients according to age. Identifying factors affecting clinical patterns and mortality according to age groups can help improve the prognosis of trauma patients in the future.http://jtraumainj.org/upload/pdf/jti-2023-0035.pdfagedwounds and injuriestransfusiontrauma centers |
| spellingShingle | Jonghee Han Su Young Yoon Junepill Seok Jin Young Lee Jin Suk Lee Jin Bong Ye Younghoon Sul Seheon Kim Hong Rye Kim Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective study Journal of Trauma and Injury aged wounds and injuries transfusion trauma centers |
| title | Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective study |
| title_full | Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective study |
| title_fullStr | Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective study |
| title_full_unstemmed | Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective study |
| title_short | Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective study |
| title_sort | clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in korea over 7 years a retrospective study |
| topic | aged wounds and injuries transfusion trauma centers |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0035.pdf |
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