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. 2023 Dec;10(4):426-437.
doi: 10.15441/ceem.23.009. Epub 2023 Aug 1.

Relationships between trauma death, disability, and geographic factors: a systematic review

Bona Hwang  1 , Taewook Jeong  2 , Jiyeon Jo  3   4
Affiliations

Relationships between trauma death, disability, and geographic factors: a systematic review

Bona Hwang et al. Clin Exp Emerg Med. 2023 Dec.

Abstract

Objective: Trauma is a global health problem. The causes of trauma-related deaths are diverse and may depend in part on socioeconomic and geographical factors; however, there have been few studies addressing such relationships. The aim of this study was to investigate the relationships between trauma and geographical factors in order to support policy recommendations to reduce trauma-related deaths and disability.

Methods: In accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we searched international and Korean databases to retrieve relevant literature published between 2000 and 2020.

Results: Thirty-two studies showed a positive relationship between the outcomes of major trauma and geographical factors. The study investigated regional factors including economic factors such as size of urban areas, gross domestic product, and poverty rate, as well as hospital parameters, such as presence of trauma centers and number of hospital beds. There was a tendency toward higher mortality rates in rural and low-income areas, and most of the studies reported that the presence of trauma centers reduced trauma-related mortality rates.

Conclusion: Our study showed that geographic factors influence trauma outcomes. The findings suggest geographical considerations be included in care plans to reduce death and disability caused by trauma.

Keywords: Death; Disability; Geographical; Sociodemographic; Wounds and injuries.

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Conflict of interest statement

CONFLICT OF INTEREST

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
Study flowchart. RISS, Research Information Sharing Service; KISS, Korean Studies Information Service System; KMbase, Korean Medical Database; KNbase, Korean Nursing Database; CINAHL, Cumulative Index to Nursing and Allied Health Literature.
See this image and copyright information in PMC

References

    1. Lee EJ, Lee JS, Kim Y, et al. Patterns of unintentional domestic injuries in Korea. J Prev Med Public Health. 2010;43:84–92. - PubMed
    1. Peden M, McGee K, Sharma G. the injury chart book: a graphical overview of the global burden of injuries. World Health Organization; 2002.
    1. Hong TH, Lee SH, Kim HW, Jung MJ, Lee JG. Patterns of in-hospital mortality and causes of death in blunt poly-trauma patients. J Acute Care Surg. 2014;4:67–72.
    1. Statistics Korea . Causes of death statistics in 2020. Statistics Korea; 2021.
    1. Park K, Lee JS, Kim Y, Kim YI, Kim J. The socioeconomic cost of injuries in South Korea. J Prev Med Public Health. 2009;42:5–11. - PubMed

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