응급실로 내원한 자의 손상 환자의 특징 (Injury Characteristics of Self-injury Patients Who Visit the Emergency Department)

서지정보

· 발행기관 : 대한외상학회
· 수록지 정보 : 대한외상학회지 / 22권 / 1호 / 65 ~ 70페이지
· 저자명 : 곽영수, 이강현, 신형진, 박경혜, 최한주, 김현, 황성오

초록

Purpose: Many studies have addressed a psychiatric analysis of self-injury patients who have self-injurious
behavior and who have attempted suicide. Few studies on the injury characteristics of self-injury related trauma
patients have been conducted. We analyzed the injury characteristics of self-injury patients.
Methods: A retrospective review of the medical records extracted from the injury surveillance system of
Wonju Christian Hospital for the period from August 2006 to February 2008 was conducted. Of the 121 cases
extracted, 103 were included in this study. We analyzed the sex ratio, age group, place of injury, injury mechanism,
location of injury, management results, injury severity, and relation with drinking.
Results: One hundred three cases were included (sex ratio: 1.06), and the mean age was 33.9±14.2 years
old. Fifty-six patients (54.4%) were discharged from the emergency department (ED) on the day of injury after
primary care, and 9 patients (8.7%) were discharged, because they refused treatment. Seven patients (6.8%)
died. Of these, 4 patients (3.9%) died after attempted cardio-pulmonary resuscitation in the ED, 1 patient (1%)
was dead on arrival, and 2 patients (1.9%) died after admission. Sixteen patients (15.5%) were admitted to the
hospital, including 2 patients (1.9%) needing emergency surgery. Sixteen patients (15.5%) were transferred to
other hospitals. Sixty-one cases (59.2%) involved drinking, and 31 (30.1%) did not; for 11 cases (10.7%), the
involvement of drinking was unknown. The mean revised trauma score (RTS) was 11.26±2.52, and 88 cases
(85.4%) hat a RTS of 12. The mean injury severity score (ISS) was 5.80±14.56, and 9 (8.7%) severely injured
patients had scores of more than 15.
Conclusion: Most self-injuries were mild traumas related to drinking and occurred at a young age. Most
cases were not so severe, and the patients were discharged from the ED, but some patients needed hospitalization.
Other patients had injuries so severe that they died.

영어초록

Purpose: Many studies have addressed a psychiatric analysis of self-injury patients who have self-injurious
behavior and who have attempted suicide. Few studies on the injury characteristics of self-injury related trauma
patients have been conducted. We analyzed the injury characteristics of self-injury patients.
Methods: A retrospective review of the medical records extracted from the injury surveillance system of
Wonju Christian Hospital for the period from August 2006 to February 2008 was conducted. Of the 121 cases
extracted, 103 were included in this study. We analyzed the sex ratio, age group, place of injury, injury mechanism,
location of injury, management results, injury severity, and relation with drinking.
Results: One hundred three cases were included (sex ratio: 1.06), and the mean age was 33.9±14.2 years
old. Fifty-six patients (54.4%) were discharged from the emergency department (ED) on the day of injury after
primary care, and 9 patients (8.7%) were discharged, because they refused treatment. Seven patients (6.8%)
died. Of these, 4 patients (3.9%) died after attempted cardio-pulmonary resuscitation in the ED, 1 patient (1%)
was dead on arrival, and 2 patients (1.9%) died after admission. Sixteen patients (15.5%) were admitted to the
hospital, including 2 patients (1.9%) needing emergency surgery. Sixteen patients (15.5%) were transferred to
other hospitals. Sixty-one cases (59.2%) involved drinking, and 31 (30.1%) did not; for 11 cases (10.7%), the
involvement of drinking was unknown. The mean revised trauma score (RTS) was 11.26±2.52, and 88 cases
(85.4%) hat a RTS of 12. The mean injury severity score (ISS) was 5.80±14.56, and 9 (8.7%) severely injured
patients had scores of more than 15.
Conclusion: Most self-injuries were mild traumas related to drinking and occurred at a young age. Most
cases were not so severe, and the patients were discharged from the ED, but some patients needed hospitalization.
Other patients had injuries so severe that they died.

참고자료

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