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Comparison of Quality of Life among Patients with Mangled Trauma
Mangled Trauma 환자에서의 치료방법에 따른 삶의 질 비교
J Acute Care Surg 2019;9:1−6
Published online April 30, 2019;
© 2019 Korean Society of Acute Care Surgery.

Joon-Young Kim, M.D.*, Yooun Joong Jung, R.N., Min Ae Keum, M.D., Su Kyung Kwon, M.D.§, Suk-Kyung Hong, M.D., Ph.D.

*Department of Surgery, Asan Medical Center, Clinical Nurse Specialist, Critical Care Nursing Team, Asan Medical Center, Seoul, Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, §Division of Vascular and Transplant Surgery, Department of Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Division of Trauma & Surgical Critical Care, Department of Surgery, Asan Medical Center, Seoul, Korea
*서울아산병원 외과학교실, 서울아산병원 간호부 중환자간호팀, 울산대학교 의과대학 울산대학교병원 외과학교실, §가톨릭대학교 의과대학 서울성모병원 외과학교실 혈관이식외과, 서울아산병원 외과학교실 중환자 및 외상외과
Suk-Kyung Hong, M.D., Ph.D.
Division of Trauma & Surgical Critical Care, Department of Surgery, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
Tel: +82-2-3010-6515
Fax: +82-2-3010-6516
Received August 7, 2018; Revised October 5, 2018; Accepted October 11, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Mangled injury is defined as severe injury, including three or more tissues such as bones, nerves, vessels, muscles, and tendons in the upper or lower extremities. The choice of treatment results in different cosmetic and functional outcomes for mangled injury. In this study, we estimated patients’ quality of life after treatment with the future intention of having patients make proper decisions at the time of injury.
Methods: Twenty patients were treated at Asan Medical Center from January, 2009 to November, 2011, and 11 patients were included who agreed with the questionnaire. We used 36-item short form health survey (SF-36) for estimating quality of life after treatments.
Results: Subjective satisfaction of cosmetic and functional aspects was higher in the reconstruction group than in the amputation group. However, in the estimation of specified satisfaction using SF-36, the amputation group was more satisfied than the reconstruction group.
Conclusion: Among the many treatment considerations at the time of injury, expected cosmetic and functional outcomes were important parts determining the decision. In our study, the amputation group showed a better satisfaction level. This result could help patients make more appropriate decisions in the case of mangled injury.
Keywords : Trauma, Quality of life, Limb salvage, Amputation

April 2019, 9 (1)
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