Junsik Kwon
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View article: Association of Preoperative Imaging and Surgical Delay with Hemorrhagic Mortality in Abdominal Trauma: A Retrospective Multicenter Study
Association of Preoperative Imaging and Surgical Delay with Hemorrhagic Mortality in Abdominal Trauma: A Retrospective Multicenter Study Open
Background: Surgical delay in abdominal trauma with hemorrhage is a leading cause of preventable death, yet the precise time threshold for adverse outcomes remains uncertain. This study examined the association between emergency department…
View article: Impact of CT-Defined Sarcopenia on Clinical Outcomes in Elderly Trauma Patients: A Retrospective Korean Cohort Study
Impact of CT-Defined Sarcopenia on Clinical Outcomes in Elderly Trauma Patients: A Retrospective Korean Cohort Study Open
Background/Objectives: Sarcopenia, the age-related decline in skeletal muscle mass and function, is increasingly recognized as an important prognostic factor among elderly patients. This study aimed to evaluate whether computed tomography …
View article: Toward Standardized Massive Transfusion Protocols: A Multicenter Evaluation of Practice Variability Within a National Trauma System
Toward Standardized Massive Transfusion Protocols: A Multicenter Evaluation of Practice Variability Within a National Trauma System Open
Background/Objectives: Hemorrhage remains a leading cause of early mortality in trauma patients, and timely transfusion guided by a structured massive transfusion protocol (MTP) is critical for improving outcomes. Although regional trauma …
View article: Development and Validation of a Korean Trauma and Injury Severity Score (K-TRISS) Model for Predicting Trauma Outcomes
Development and Validation of a Korean Trauma and Injury Severity Score (K-TRISS) Model for Predicting Trauma Outcomes Open
This study proposes the K-TRISS model, derived from the KTDB, which does not significantly differ from the previous models in terms of predictive power. Furthermore, we were able to construct a model demonstrating improved predictive power…
View article: Trends in Preventable Trauma Death Rates in Korea: A Follow-up Study of the Trauma System's Performance
Trends in Preventable Trauma Death Rates in Korea: A Follow-up Study of the Trauma System's Performance Open
In 2021, the PTDR was 13.9%, showing a slight reduction compared to the 2019 study. This study primarily evaluated the performance of Korea's trauma system, with findings highlighting both progress and persistent challenges. Although the s…
View article: Impact of Qualified Trauma Center Implementation on Mortality From Severe Trauma in Korea: A Retrospective Cohort Study
Impact of Qualified Trauma Center Implementation on Mortality From Severe Trauma in Korea: A Retrospective Cohort Study Open
Clinical Research Information Service Identifier: KCT0009684.
View article: Association Between Muscle Quality and Quantitative Changes According to Nutritional Intake Differences in Patients Recovering From Trauma
Association Between Muscle Quality and Quantitative Changes According to Nutritional Intake Differences in Patients Recovering From Trauma Open
Adequate nutrition reportedly can help reduce the degree of muscle loss and improve muscle quality in hospitalized patients recovering from trauma. This study investigated the association between nutritional intake and changes in muscle qu…
View article: Conventional versus Instillation Negative-Pressure Wound Therapy for Severe Soft Tissue Injury in Open Pelvic Fractures: A Retrospective Review
Conventional versus Instillation Negative-Pressure Wound Therapy for Severe Soft Tissue Injury in Open Pelvic Fractures: A Retrospective Review Open
NPWT is a feasible method for treating pelvic soft tissue infections in patients with open pelvic fractures. iNPWT can reduce the duration of NPWT, hospital LOS, and medical costs.
View article: Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review
Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review Open
Purpose: Massive transfusion protocols (MTPs) implementation improves clinical outcomes of the patient’s resuscitation with hemorrhagic trauma. Various predictive scoring system have been used and studied worldwide to improve clinical deci…
View article: Impact of a Rounding Checklist Implementation in the Trauma Intensive Care Unit on Clinical Outcomes
Impact of a Rounding Checklist Implementation in the Trauma Intensive Care Unit on Clinical Outcomes Open
We aimed to evaluate the effectiveness of an intensive care unit (ICU) round checklist, FAST HUGS BID (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, Ulcer prophylaxis, Glycemic control, Spontaneous breath…
View article: Impact of a Rounding Checklist Implementation in the Trauma Intensive Care Unit on Clinical Outcomes
Impact of a Rounding Checklist Implementation in the Trauma Intensive Care Unit on Clinical Outcomes Open
This study aimed to evaluate the effectiveness of an intensive care unit (ICU) round checklist, FAST HUGS BID (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, Ulcer prophylaxis, Glycemic control, Spontaneou…
View article: The last chain of trauma survival: development of a scale for trauma-rehabilitation linkage in South Korea using a systematic review and expert consensus
The last chain of trauma survival: development of a scale for trauma-rehabilitation linkage in South Korea using a systematic review and expert consensus Open
This study established standardized criteria for assessing the need for specialized rehabilitation in trauma patients, offering a practical tool for clinical use. Implementation of this assessment scale has the potential to improve the tra…
View article: National Assessment of Opportunities for Improvement in Preventable Trauma Deaths: A Mixed-Methods Study
National Assessment of Opportunities for Improvement in Preventable Trauma Deaths: A Mixed-Methods Study Open
Trauma is a significant public health issue worldwide, particularly affecting economically active age groups. Quality management of trauma care at the national level is crucial to improve outcomes of major trauma. In Korea, a biennial nati…
View article: Evaluation of the Potential for Improvement of Clinical Outcomes in Trauma Patients with Massive Hemorrhage by Maintaining a High Plasma-to-Red Blood Cell Ratio during the First Hour of Hospitalization
Evaluation of the Potential for Improvement of Clinical Outcomes in Trauma Patients with Massive Hemorrhage by Maintaining a High Plasma-to-Red Blood Cell Ratio during the First Hour of Hospitalization Open
Several reports indicate that early plasma transfusion may promote survival and reduce the incidence of traumatic coagulopathy in situations of massive bleeding. Consequently, it is recommended to maintain a plasma and RBC transfusion rati…
View article: Preventable Trauma Death Pre-review & Panel Review Form
Preventable Trauma Death Pre-review & Panel Review Form Open
Preventable Trauma Death Pre-review & Panel Review Form
View article: Isocaloric nutritional support reduces ventilator duration time in major trauma patients
Isocaloric nutritional support reduces ventilator duration time in major trauma patients Open
Aims Major trauma patients need adequate nutrition for recovery. This study aimed to evaluate the adequacy of nutritional supply and the correlation between nutritional supply and clinical outcome. Methods A single‐centre retrospective obs…
View article: Ketamine versus etomidate for rapid sequence intubation in patients with trauma: a retrospective study in a level 1 trauma center in Korea
Ketamine versus etomidate for rapid sequence intubation in patients with trauma: a retrospective study in a level 1 trauma center in Korea Open
Background Ketamine and etomidate are commonly used as sedatives in rapid sequence intubation (RSI). However, there is no consensus on which agent should be favored when treating patients with trauma. This study aimed to compare the effect…
View article: Trauma system establishment and outcome improvement: a retrospective national cohort study in South Korea
Trauma system establishment and outcome improvement: a retrospective national cohort study in South Korea Open
Background: Trauma is a major cause of mortality, disability, and health care costs worldwide. The establishment of a trauma system is known to solve these problems, but few studies have objectively evaluated the impact of a trauma system …
View article: Comparison of a volume-based feeding protocol with standard feeding for trauma patients in intensive care units in Korea: a retrospective cohort study
Comparison of a volume-based feeding protocol with standard feeding for trauma patients in intensive care units in Korea: a retrospective cohort study Open
Purpose: Although early enteral nutrition for critically ill patients is essential, it is difficult to provide enteral nutrition to trauma patients in early hospitalization stages due to frequent surgeries and examinations.We aimed to iden…
View article: Ketamine versus Etomidate for Rapid Sequence Intubation in Patients with Trauma: A Retrospective Study in a Level 1 Trauma center in Korea
Ketamine versus Etomidate for Rapid Sequence Intubation in Patients with Trauma: A Retrospective Study in a Level 1 Trauma center in Korea Open
Background Ketamine and etomidate are commonly used as sedatives in rapid sequence intubation (RSI). However, there is no consensus on which agent should be favoured when treating patients with trauma. This study aimed to compare the effec…
View article: Understanding Regional Trauma Centers and managing a trauma care system in South Korea: a systematic review
Understanding Regional Trauma Centers and managing a trauma care system in South Korea: a systematic review Open
The Korean government initiated a plan to designate and establish Regional Trauma Centers to reduce the preventable trauma death rate to <20% so as to be on par with advanced countries by 2020. This initiative was undertaken because the re…
View article: Management of complex pelvic-perineal soft tissue infection in open pelvic fractures: Comparison between conventional and modified instillation negative-pressure wound therapy
Management of complex pelvic-perineal soft tissue infection in open pelvic fractures: Comparison between conventional and modified instillation negative-pressure wound therapy Open
Background Open pelvic fractures are associated with pelvic-perineal soft tissue injuries and pelvic infections as late complications. The study aimed to analyse and compare the clinical results and medical costs of the conventional and mo…
View article: The Status of Protein Supply to Patients in the Trauma and Surgical Intensive Care Units and the Effects of Feedback on Protein Supply: A Multicenter Study
The Status of Protein Supply to Patients in the Trauma and Surgical Intensive Care Units and the Effects of Feedback on Protein Supply: A Multicenter Study Open
Purpose: To investigate the status of protein supply by comparing the recommended amount with the delivered amount of protein in patients in the trauma and surgical intensive care units (ICU). Feedback on the protein supply status was pres…
View article: Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Blunt Abdominal Trauma
Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Blunt Abdominal Trauma Open
Purpose. This study aimed to evaluate the accuracy and outcomes of focused assessment with sonography for trauma (FAST) and determine the factors associated with true-positive FAST results. Methods. The FAST results from 2016 to 2020 were …
View article: Changes in the characteristics of trauma patients after the early COVID-19 outbreak
Changes in the characteristics of trauma patients after the early COVID-19 outbreak Open
Gyeonggi-do (Gyeonggi province) has the second highest number of coronavirus disease (COVID-19) cases in the Republic of Korea after Seoul, with approximately 25% of the COVID-19 patients as of January 2021. Our center is a level I trauma …
View article: National trauma system establishment based on implementation of regional trauma centers improves outcomes of trauma care: A follow-up observational study in South Korea
National trauma system establishment based on implementation of regional trauma centers improves outcomes of trauma care: A follow-up observational study in South Korea Open
Although South Korea is a high-income country, its trauma system is comparable to low- and middle-income countries with high preventable trauma death rates of more than 30%. Since 2012, South Korea has established a national trauma system …
View article: National Follow-up Survey of Preventable Trauma Death Rate in Korea
National Follow-up Survey of Preventable Trauma Death Rate in Korea Open
The preventable trauma death rate for trauma deaths in 2019 was 15.7%, which was 4.2%p lower than that in 2017. To improve the quality of trauma treatment, the transfer of severe trauma patients to trauma centers should be more focused.
View article: National Trauma System Establishment Based on Implementation of Regional Trauma Centers Improves Outcomes of Trauma Care; A Follow-up Observational Study in South Korea
National Trauma System Establishment Based on Implementation of Regional Trauma Centers Improves Outcomes of Trauma Care; A Follow-up Observational Study in South Korea Open
Background: Although Korea is a high-income country, its trauma system is comparable to low- and middle-income countries with high preventable trauma death rates (> 30%). Since 2012, Korea has established a national trauma system based on …