| 부산 지역에서 발생한 교통사고 환자와 강우량과의 관계 |
| 신경호1, 박득현1, 윤유상1, 김양원1, 박경혜2, 선경훈2, 박하영1, 조준호2, 김태훈1 |
1인제대학교 의과대학 부산백병원 응급의학교실
2인제대학교 의과대학 해운대백병원 응급의학교실 |
| The Relationship between Rainfall and Traffic Accident Patients in Busan |
| Kyung Ho Shin1, Deuk Hyun Park1, Yoo Sang Yoon1, Yang Weon Kim1, Kyung Hye Park2, Kyung Hoon Sun2, Ha Young Park1, Jun Ho Cho2, Tae Hoon Kim1 |
1Department of Emergency Medicine, Busan Baik Hospital, Haeundae Paik Hospital, Republic of Korea
2College of Medicine, Inje University, Busan, Republic of Korea |
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Received: July 23, 2015; Revised: July 23, 2015 Accepted: August 21, 2015. Published online: October 30, 2015. |
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| ABSTRACT |
Purpose:
Traffic accidents are increasing due to the development and increment of transportation. Previous studies on analysis of the correlation between environmental factors and traffic accidents have rarely been reported. The purpose of this study is to analyze the correlation between rainfall and traffic accidents including accident mechanism, incidence, and trauma severity of patients.
Method:
A retrospective review was conducted in 851 trauma patients who visited the emergency department (ED) after a traffic accident from January 2013 to December 2013; 248 patients due to a traffic accident when it was raining, and 603 patients when it was not raining. Demographic data, clinical data, and meteorological data (rainfall, daily mean air temperature, daily mean wind speed) in Busan were investigated.
Results:
The incidence of traffic accidents was one-second and the injury severity score of patients was two points higher on rainy days. In addition, the length of hospital stay was three days longer (p=0.037), and the prognosis was poor in the rain group. Comparison of severe injury sustained over rain, injury time, and accident mechanism showed approximately a 3-fold odds increased rate of severe injury on rainy days (OR 2.55, 95% CI: 1.11-5.83, p=0.004) and a seven-fold odds increased rate of pedestrian traffic accidents (OR 7.26, 95% CI: 3.52-9.26, p<0.001) compared with car traffic accidents. In addition, a four-fold increased odds of night time (OR 3.79, 95% CI: 1.98-7.25, p<0.001) compared with day time accidents on rainy days.
Conclusion:
The incidence of traffic accidents and injury severity of patients increased on rainy days. Therefore, we suggest expansion of the scope of the emergency and trauma team activation for proper treatment on rainy days. |
| Key words:
Traffic accident, Rain, Injuries, Injury severity score |
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