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The Association between Comorbidities and Comorbid Injuries on Treatment Outcome in Pediatric and Elderly Patients with Injuries in Korea: An Observational Study

Author

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  • Kyunghee Lee

    (Department of Healthcare Management, Eulji University of Korea, 553 Sanseongdaero, Sujeong-gu, Seongnam 13135, Kyeonggi-do, Korea)

  • Jieun Hwang

    (College of Health Science, Dankook University, 119 Dandaero, Dongnam-gu, Cheonan 31116, Chungcheongnam-do, Korea)

Abstract

We aimed to compare the characteristics and types of injuries affecting pediatric and elderly patients and to identify factors associated with treatment outcomes. We used data from the 2006–2017 Korea National Hospital Discharge Survey. The patients were divided into two groups, children (0–12 years) and elderly (≥65 years), based on their age at discharge. In total, 47,528 (11,842 children and 35,686 older adults) patients with injuries were identified. The number of deaths and the LOS were 36 (0.3%) and 7.6 days (±10.1), respectively, in the children group, and 861 (2.4%) and 18.5 days (±27.3), respectively, in the elderly group ( p < 0.001). In the children group, there were increased odds for surgery among boys, Medicaid and health insurance subscribers, patients with multiple injuries, patients without a subdiagnosis, and an increasing number of hospital beds. In the elderly group, there were increased odds for surgery among women, Medicaid and health insurance subscribers, patients who died, patients with a single injury, patients with a subdiagnosis, and increasing numbers of hospital beds. Treatment outcomes could be improved by providing early diagnosis and prompt treatment in pediatric patients and by taking multilateral approaches for multiple injuries and comorbidities in elderly patients.

Suggested Citation

  • Kyunghee Lee & Jieun Hwang, 2022. "The Association between Comorbidities and Comorbid Injuries on Treatment Outcome in Pediatric and Elderly Patients with Injuries in Korea: An Observational Study," IJERPH, MDPI, vol. 19(10), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6277-:d:821028
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    References listed on IDEAS

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    1. Osborne, Jodie M. & Davey, Tamzyn M. & Spinks, Anneliese B. & McClure, Roderick J. & Sipe, Neil & Cameron, Cate M., 2016. "Child injury: Does home matter?," Social Science & Medicine, Elsevier, vol. 153(C), pages 250-257.
    2. David A. Sleet, 2018. "The Global Challenge of Child Injury Prevention," IJERPH, MDPI, vol. 15(9), pages 1-7, September.
    3. Seunghoon Park & Dongwon Ko, 2020. "A Multilevel Model Approach for Investigating Individual Accident Characteristics and Neighborhood Environment Characteristics Affecting Pedestrian-Vehicle Crashes," IJERPH, MDPI, vol. 17(9), pages 1-18, April.
    4. Moniruzzaman, Syed & Andersson, Ragnar, 2008. "Economic development as a determinant of injury mortality - A longitudinal approach," Social Science & Medicine, Elsevier, vol. 66(8), pages 1699-1708, April.
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