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Korean J Emerg Med Ser > Volume 25(3); 2021 > Article
The Korean Journal of Emergency Medical Services 2021;25(3): 37-48.
DOI: https://doi.org/10.14408/KJEMS.2021.25.3.037    Published online December 31, 2021.
한국의 중증외상 사망률의 지역적 차이에 대한 비교 연구
정태욱1  , 조지연2,4  , 김성호3,4 
1국립중앙의료원 응급의학과
2질병관리청 손상예방관리과
3분당서울대학교병원 응급의학과
4대한응급의료종사자교육연구회
Comparative study of geographic differences of severe trauma mortality in Korea
Tae-Wook Jeong1  , Ji-Yeon Jo2,4  , Seong-Ho Kim3,4 
1Department of Emergency Medical Service, National Medical Center
2Division of Chronic Diseases Control & Research, Korea Centers for Diseases Control and Prevention
3Department of Emergency Medical Service, Seoul National University Bundang Hospital
4Korea Paramedic Education Research Society
Correspondence  Ji-Yeon Jo ,Tel: +82-43-719-7423, Fax: +82-43-179-7429, Email: jjy38@korea.kr
Submitted: November 5, 2021  Accepted after revision: December 28, 2021
Abstract
Purpose
Mortality due to trauma is relevant to both low-income and high-income countries. A diversity of causes leads to mortality such as, socioeconomic status and geographic factors. This study sought to differentiate between cases of mortality in a metropolitan city and a rural area, with data from critical trauma patients.
Methods
Community-based severe trauma surveillance data from 2018 was used in this study. Logistic regression was conducted to compare the odds ratios between deaths that occurred in a metropolitan city and a rural area. Multiple logistic regression by controlling variables such as type of medical institution and injury severity score was conducted to estimate the effect on the trauma patients.
Results
In total, 28,217 participants were selected as total population. We observed that the odds of death decreased as the level of the trauma center increased. Compared to the metropolitan city, the odds ratio of rural areas was 1.44. The odds ratio increased as the injury severity score increased.
Conclusion
This study suggests that the mortality of critical trauma patients is higher in rural areas than in metropolitan cities. More studies are needed to expand on this.
Keywords: Injuries, Geography, Mortality, Trauma


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