노인 운전자 외상 환자의 중증도에 영향을 미치는 위험인자에 관한 분석

Abstract

Background : The purpose of this study is to analysis the risk factors that influence the incidence and the severity of older trauma and the correlation between the factors. Repulic of Korea is now progressing to an aging society. The development of a social system or a national economic state is accompanied by a proportional increase in the number of the aged. As the social activity of geriatric people increase, the frequency of traumatic injury also increases.

Method : The patients were older than 65 years and the number of patients was 155 who visited one of emergency medical center in Chosun university hospital from January 1, 2007 to August 31, 2008. We evaluated the general characteristics, mechanism of injury, Revised Trauma Score(RTS), Injury Severity Score(ISS), Trauma Injury Severity Score(TRISS). We analyzed the medical data by using SPSS 12.0 for window.

Result: There was 155 aged driver patients. male 146(94.2%), female 9(5.8%). More men than women were injuried in all age groups. The highest frequency is from 65 to 69 years. The accidents occurred more than 16-20 hours. Location of accident was National road(38.7%). ISS severity according to license acquired time was above 30years. The injury mechanism was motocycle 75(48.4%) patients, The mean Glosgow Coma Scale (GCS), Abbreviated Injury Scale (AIS), RTS, ISS, TRISS are 12.61±3.905, 5.64±2.694, 10.75±2.128, 15.17±8.873, 0.953±0.113 respectively. Below 8 points of ISS were 32, and 9-15 points were 51, above 16 points were 72 patients. Survival patients was 112(72.3%), death patients was 43(27.7%).

Conclusion : Compared to younger age groups, older people are more likely to be seriously injured to die. In order to reduced the aged driver trauma severity, male, license acquired time is 30years over, drunken, low blood pressure are very important.

Key words : Older driver, Trauma, Injury, Severity