title: Preventable trauma death rate in Daegu, South Korea.
abstract: OBJECTIVE
  This study investigated the preventable death rate in Daegu, South Korea, and assessed affecting factors and preventable factors in order to improve the treatment of regional trauma patients.
  
  
  METHODS
  All traumatic deaths between January 2012 and December 2012 in 5 hospitals in Daegu were analyzed by panel review, which were classified into preventable and non-preventable deaths. We determined the factors affecting trauma deaths and the preventable factors during trauma care.
  
  
  RESULTS
  There were overall 358 traumatic deaths during the study period. Two hundred thirty four patients were selected for the final analysis after excluding cases of death on arrival, delayed death, and unknown causes. The number of preventable death was 59 (25.2%), which was significantly associated with mode of arrival, presence of head injury, date, and time of injury. A multivariate analysis revealed that preventable death was more likely when patients were secondly transferred from another hospital, visited hospital during non-office hour, and did not have head injuries. The panel discovered 145 preventable factors, which showed that majority of factors occurred in emergency departments (49.0%), and were related with system process (76.6%).
  
  
  CONCLUSIONS
  The preventable trauma death rate in Daegu was high, and mostly process-related.
authors.affiliation: Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
authors.forename: Sungbae
authors.initials: S
authors.lastname: Moon
authors.affiliation: Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
authors.forename: Suk Hee
authors.initials: SH
authors.lastname: Lee
authors.affiliation: Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
authors.forename: Hyun Wook
authors.initials: HW
authors.lastname: Ryoo
authors.affiliation: Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
authors.forename: Jong Kun
authors.initials: JK
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
authors.forename: Jae Yun
authors.initials: JY
authors.lastname: Ahn
authors.affiliation: Department of Emergency Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
authors.forename: Sung Jin
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
authors.forename: Jae Cheon
authors.initials: JC
authors.lastname: Jeon
authors.affiliation: Department of Emergency Medicine, Daegu Catholic University Medical Center, Daegu, Korea.
authors.forename: Kyung Woo
authors.initials: KW
authors.lastname: Lee
authors.affiliation: Department of Emergency Medicine, Daegu Catholic University Medical Center, Daegu, Korea.
authors.forename: Ae Jin
authors.initials: AJ
authors.lastname: Sung
authors.affiliation: Department of Emergency Medicine, Daegu Fatima Hospital, Daegu, Korea.
authors.forename: Yun Jeong
authors.initials: YJ
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine, Daegu Fatima Hospital, Daegu, Korea.
authors.forename: Dae Ro
authors.initials: DR
authors.lastname: Lee
authors.affiliation: Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Byung Soo
authors.initials: BS
authors.lastname: Do
authors.affiliation: Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea.
authors.forename: Sin Ryul
authors.initials: SR
authors.lastname: Park
authors.affiliation: Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Jin-Seok
authors.initials: JS
authors.lastname: Lee
keywords: Death; Outcome and process assessment; Secondary prevention; Wounds and injuries