태풍 나리(Nari)와 관련된 손상으로 응급실에 내원한 환자의 특성 (Characteristics of Injured Patients Related with Typhoon Nari)

서지정보

· 발행기관 : 대한응급의학회
· 수록지 정보 : 대한응급의학회지 / 19권 / 5호 / 462 ~ 473페이지
· 저자명 : 강영준, 김우정, 박주옥

초록

Purposes: Typhoon Nari attacked Jeju on September 16,
2007 and caused flood resulting from severe rainfall. We
performed this study to determine the impact of a typhoon
on emergency departments and to analyze characteristics
of injured patients.
Methods: First, we analyzed the correlation between precipitation
and numbers of patient visits using the National
Emergency Department Information System. Second, characteristics
of typhoon related injuries (TRI) were compared
with those of non-typhoon related injuries (Non-TRI). Data
were extracted from the Cheju National University Hospital
Injury Surveillance System. The impact of a typhoon on
moderate or severe injury and death from injury was analyzed
by case-control study.
Results: The daily mean number of patients during a
typhoon was larger than during previous six days. A dramatic
rise in number of of injured patients (p=0.003) was noted
after weather conditions improved. To analyze the characteristics
of injury, 208 injured patients were enrolled. Among
them 59 categorized as TRI and 116 as Non-TRI, respectively.
TRI patients were older than Non-TIRI patients
(p=0.001) and the most common mechanism, place, activity
and object/substance in TRI were, respectively: cut/pierce,
home, the vital activity, and building/building component or
related fitting. By severity based on the NISS, TRI and Non-
TRI were not significantly different. Relationship between a
TRI patients and moderate or severe injury (OR=1.70, 95%
CI: 0.39, 6.99) or death from injury (OR=5.28, 95% CI: 0.82,
56.5) was not significant statistically.
Conclusion: In typhoon, preparation must be made for dramatic
risk to patients with minor laceration in the ED. To
prevent injury, it is imperative that people who live in dangerous
housing are evacuated before the event.

영어초록

Purposes: Typhoon Nari attacked Jeju on September 16,
2007 and caused flood resulting from severe rainfall. We
performed this study to determine the impact of a typhoon
on emergency departments and to analyze characteristics
of injured patients.
Methods: First, we analyzed the correlation between precipitation
and numbers of patient visits using the National
Emergency Department Information System. Second, characteristics
of typhoon related injuries (TRI) were compared
with those of non-typhoon related injuries (Non-TRI). Data
were extracted from the Cheju National University Hospital
Injury Surveillance System. The impact of a typhoon on
moderate or severe injury and death from injury was analyzed
by case-control study.
Results: The daily mean number of patients during a
typhoon was larger than during previous six days. A dramatic
rise in number of of injured patients (p=0.003) was noted
after weather conditions improved. To analyze the characteristics
of injury, 208 injured patients were enrolled. Among
them 59 categorized as TRI and 116 as Non-TRI, respectively.
TRI patients were older than Non-TIRI patients
(p=0.001) and the most common mechanism, place, activity
and object/substance in TRI were, respectively: cut/pierce,
home, the vital activity, and building/building component or
related fitting. By severity based on the NISS, TRI and Non-
TRI were not significantly different. Relationship between a
TRI patients and moderate or severe injury (OR=1.70, 95%
CI: 0.39, 6.99) or death from injury (OR=5.28, 95% CI: 0.82,
56.5) was not significant statistically.
Conclusion: In typhoon, preparation must be made for dramatic
risk to patients with minor laceration in the ED. To
prevent injury, it is imperative that people who live in dangerous
housing are evacuated before the event.

참고자료

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