J Wen1, X Sun2,3, Y K Shi4, Y P Li2, L P Zhao5, Q Wu6, Y H Fei7. 1. Department of Hospital Management & Health Policy, West China Hospital, Sichuan University, Chengdu, 610041, China. 2. The Chinese Evidence-Based Medicine Center, Department of Clinical Epidemiology, West China Hospital, Sichuan University, Chengdu, 610041, China. 3. Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street West, Rm. 3H57, Hamilton, Ontario, L8N 3Z5, Canada. 4. Department of Thoracic & Cardiovascular Surgery, West China Hospital, Sichuan University, No.37 Guoxue Xiang, Chengdu, 610041, China. huaxiwenjin@163.com. 5. Department of Urinary Surgery, Deyang People's Hospital, Deyang, 618000, China. 6. Department of Medical Quality Control and Continuing Education, Deyang People's Hospital, Deyang, 618000, China. 7. Department of Economics and Management, Deyang People's Hospital, Deyang, 618000, China.
Abstract
PURPOSE: To better understand the differences of patient influx and types of trauma between front-line and referral hospitals after the Wenchuan earthquake, so as to improve the efficiency of injury management. METHODS: A retrospective and comparative study was performed in Deyang People's Hospital (a front-line hospital) and West China Hospital (a secondary referral hospital). RESULTS: A total of 1,106 patients were admitted to the front-line hospital, and 1,775 to the secondary referral hospital. The patient flow peaked within 24 h after the quake, and decreased dramatically thereafter in the front-line hospital, while it peaked 2 days after the disaster in the referral one. Extremities were the most frequent location of all identified injuries (48.4% in the front-line hospital and 49.5% in the second-line hospital). Head and trunk injuries were more frequent in the front-line hospital than the referral hospital. Most of the deaths in the front-line hospital occurred within 24 h (6/8), whilst most in the referral hospital died more than 7 days (29/30) after the earthquake. While the total mortality in the front-line hospital was less than that in the referral hospital (0.7 vs 1.7%), the critical mortality in the former was higher (22.8 vs 9.4%). CONCLUSIONS: There were dramatically different features in terms of quake-related patient influx and types of injury between the epicenter and less-affected hospitals.
PURPOSE: To better understand the differences of patient influx and types of trauma between front-line and referral hospitals after the Wenchuan earthquake, so as to improve the efficiency of injury management. METHODS: A retrospective and comparative study was performed in Deyang People's Hospital (a front-line hospital) and West China Hospital (a secondary referral hospital). RESULTS: A total of 1,106 patients were admitted to the front-line hospital, and 1,775 to the secondary referral hospital. The patient flow peaked within 24 h after the quake, and decreased dramatically thereafter in the front-line hospital, while it peaked 2 days after the disaster in the referral one. Extremities were the most frequent location of all identified injuries (48.4% in the front-line hospital and 49.5% in the second-line hospital). Head and trunk injuries were more frequent in the front-line hospital than the referral hospital. Most of the deaths in the front-line hospital occurred within 24 h (6/8), whilst most in the referral hospital died more than 7 days (29/30) after the earthquake. While the total mortality in the front-line hospital was less than that in the referral hospital (0.7 vs 1.7%), the critical mortality in the former was higher (22.8 vs 9.4%). CONCLUSIONS: There were dramatically different features in terms of quake-related patient influx and types of injury between the epicenter and less-affected hospitals.
Authors: Y Kuwagata; J Oda; H Tanaka; A Iwai; T Matsuoka; M Takaoka; M Kishi; F Morimoto; K Ishikawa; Y Mizushima; Y Nakata; H Yamamura; A Hiraide; T Shimazu; T Yoshioka Journal: J Trauma Date: 1997-09
Authors: Christopher J Aylwin; Thomas C König; Nora W Brennan; Peter J Shirley; Gareth Davies; Michael S Walsh; Karim Brohi Journal: Lancet Date: 2006-12-23 Impact factor: 79.321
Authors: H Tanaka; J Oda; A Iwai; Y Kuwagata; T Matsuoka; M Takaoka; M Kishi; F Morimoto; K Ishikawa; Y Mizushima; Y Nakata; H Yamamura; A Hiraide; T Shimazu; T Yoshioka Journal: Am J Emerg Med Date: 1999-03 Impact factor: 2.469