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J Korean Soc Emerg Med > Volume 29(1); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(1): 76-84.
어린이∙청소년 보행자 교통사고에서 손상의 발생 시각과 중증도의 연관성 분석
김윤직1, 노영선2*, 신상도1,2, 송경준1,2, 홍기정2,3
1서울대학교병원 응급의학과
2서울대학교병원 의생명연구원 응급의료연구실
3서울대학교 보라매병원 응급의학과
Association between Time of Injury and Injury Severity after Pediatric Pedestrian Injury
Yoonjic Kim1, Young Sun Ro2*, Sang Do Shin1,2, Kyoung Jun Song1,2, Ki Jeong Hong2,3
1Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea
2Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea
3Department of Emergency Medicine, Seoul National University Boramae Medical Center, Seoul, Korea
Correspondence  Young Sun Ro ,Tel: 02-2072-1800, Fax: 02-741-7855, Email: Ro.youngsun@gmail.com,
Received: October 21, 2017; Revised: October 22, 2017   Accepted: October 28, 2017.  Published online: February 28, 2018.
Pedestrian injury is one of the most frequent injury mechanism in pediatrics. This study aimed to measure the association between time of pedestrian injury and injury severity among pediatric patients.
We used the Emergency Department based Injury In-depth Surveillance (EDIIS) database from 23 emergency departments between 2013 and 2016. All pediatric (≤15 years old) patients with pedestrian injury were eligible, excluding cases with unknown outcomes. Primary and secondary endpoints was severe injury. We calculated adjusted odds ratios (AORs) of time of injury (8 am to 2 pm, 2 pm to 8 pm, 8 pm to 8 am) to investigate out-comes while adjusting for potential confounders.
Among 6,748 eligible patients, 4,184 (62.0%) suffered pedestrian injury at 2 pm to 8 pm, 1,566 (23.2%) at 8 am to 2 pm, and 998 (14.8%) at 8 pm to 8 am. Among them, 52 (0.8%) had case-fatalities, 572 (8.5%) had severe injuries, and 1,246 (18.5%) were admitted to hospital. In terms of severe injury, the 8 am to 2 pm group (10.5%) had higher proportions of severe injury compared to the 2 pm to 8 pm (8.0%; AOR {95% confidence interval [CI]}, 0.73 [0.60 to 0.89]) and 8 pm to 8 am (7.2%; AOR [95% CI], 0.65 [0.49 to 0.88]) groups.
Pediatric pedestrian injury was frequent at 2 pm to 8 pm and was more severe at 8 am to 2 pm. Public health efforts to decrease pediatric pedestrian injury are needed to reduce health burden.
Key words: Pedestrians, Pediatrics, Wounds and injuries
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