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J Korean Soc Emerg Med > Volume 28(4); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(4): 327-333.
오토바이 사고 환자에서 초기 중증도 예측 인자
강율원, 이성화, 박순창, 조영모, 왕일재, 배병관, 박성욱, 한상균, 김대우, 김형빈
부산대학교 의학전문대학원 응급의학교실
Early Predictors of Severe Injury in Motorcycle Crashes
Youl Won Kang, Sung Hwa Lee, Soon Chang Park, Young Mo Cho, Il Jae Wang, Byung Kwan Bae, Sung Wook Park, Sang Kyoon Han, Dae Woo Kim, Hyung Bin Kim
Department of Emergency Medicine, Pusan National University School of Medicine, Busan, Korea
Correspondence  Hyung Bin Kim ,Tel: 051-240-7503, Fax: 051-253-6472, Email: figo7107@naver.com,
Received: March 21, 2017; Revised: March 22, 2017   Accepted: June 15, 2017.  Published online: August 31, 2017.
ABSTRACT
Purpose:
The severity and mortality of motorcycle accidents are higher than those of other traffic accidents. The majority of risk factors for injury severity identified in previous studies are difficult to apply. This study attempted to identify the clinically useful risk factors for predicting severely injured patients presenting to the emergency department after a motorcycle accident.
Method:
Motorcycle accident patients who visited a Level I trauma center from October 2015 to March 2017 were analyzed. The patients were classified as the severely injured group (Injury Severity Score, ISS≥16) and non-severely injured group (ISS<16).
Results:
A total of 271 patients were analyzed; 135 (49.8%) patients were included in the severely injured group. Multiple logistic regression analysis was performed with the statistically significant factors between the two groups, including age, systolic blood pressure, heart rate, Glasgow coma scale, alcohol ingestion, and site of injury. The final risk factors predicting severely injured patients were as follows: age (adjusted odds ratio [aOR], 1.023; 95% confidence interval [CI], 1.005- 1.041; p=0.011), systolic blood pressure (aOR, 0.981; 95% CI, 0.970-0.993; p=0.002) and site of injury including abdomen (aOR, 5.785; 95% CI, 2.513-13.316; p<0.001), chest (aOR, 4.567; 95% CI, 2.274-9.173; p<0.001), head and neck (aOR, 5.762; 95% CI, 2.656-12.504; p<0.001), and face (aOR, 2.465; 95% CI, 1.229-4.943; p=0.011).
Conclusion:
Motorcycle accident patients should be assessed promptly for injury to the chest or abdomen by a careful physical examination and focused assessment with sonography for trauma.
Key words: Motorcycles, Injury Severity Score, Critical care
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