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China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases

OBJECTIVE: Trauma is China's fifth leading cause of death and ranked first among youths. Trauma databases have been well-established in many countries to announce the current state of trauma rescue, treatment and care. Nevertheless, China hasn't yet established a comparable database. This...

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Autores principales: Wang, Yanhua, Wang, Chu, Hu, Pan, Wang, Haibo, Gan, Lanxia, Kong, Guilan, Shi, Ying, Wang, Tianbing, Jiang, Baoguo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9998676/
https://www.ncbi.nlm.nih.gov/pubmed/36908445
http://dx.doi.org/10.3389/fpubh.2023.1116828
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author Wang, Yanhua
Wang, Chu
Hu, Pan
Wang, Haibo
Gan, Lanxia
Kong, Guilan
Shi, Ying
Wang, Tianbing
Jiang, Baoguo
author_facet Wang, Yanhua
Wang, Chu
Hu, Pan
Wang, Haibo
Gan, Lanxia
Kong, Guilan
Shi, Ying
Wang, Tianbing
Jiang, Baoguo
author_sort Wang, Yanhua
collection PubMed
description OBJECTIVE: Trauma is China's fifth leading cause of death and ranked first among youths. Trauma databases have been well-established in many countries to announce the current state of trauma rescue, treatment and care. Nevertheless, China hasn't yet established a comparable database. This paper included two national-level databases in China to describe the current situation of trauma treatment and the epidemiological characteristics of trauma incidence, which sought to provide data support for decision-making, resource allocation, trauma prevention, trauma management, and other aspects. METHODS: This study used the diagnosis and treatment data from the Hospital Quality Monitoring System (HQMS) and the China Trauma Rescue and Treatment Association (CTRTA) in 2019. A descriptive analysis was conducted to explore the demographic characteristics, trauma causes, injury degrees of trauma patients, disease burden and mortality rates in the abstracted hospitalized cases. RESULTS: A total of 4,532,029 trauma patients were included, of which 4,436,653 were from HQMS and 95,376 from CTRTA respectively. The age group with the highest proportion is 50-54 years old (493,320 [11.12%] in HQMS and 12,025 [12.61%] in CTRTA). Fall was the most frequent cause of trauma hospitalization, accounting for 40.51% of all cases, followed by traffic injuries, accounting for 25.22%. However, for trauma patients aged between 20 and 24 years old, the most common cause of injury was traffic accidents (28.20%). Hospital expenses for trauma patients in 2019 exceeded 100.30 billion yuan, which increases significantly with age, and fall costs the most. The mortality rate of trauma inpatients was 0.77%, which gradually increased with age after 30-year-old, and was the highest in the age group above 85 (1.86%). CONCLUSION: This paper summarizes the demographic characteristics, trauma causes distribution, disease burden, mortality rate, and other relative data of inpatients in 2019, which can now be used as an up-to-date clinical evidence base for national healthcare prevention and management in China.
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spelling pubmed-99986762023-03-11 China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases Wang, Yanhua Wang, Chu Hu, Pan Wang, Haibo Gan, Lanxia Kong, Guilan Shi, Ying Wang, Tianbing Jiang, Baoguo Front Public Health Public Health OBJECTIVE: Trauma is China's fifth leading cause of death and ranked first among youths. Trauma databases have been well-established in many countries to announce the current state of trauma rescue, treatment and care. Nevertheless, China hasn't yet established a comparable database. This paper included two national-level databases in China to describe the current situation of trauma treatment and the epidemiological characteristics of trauma incidence, which sought to provide data support for decision-making, resource allocation, trauma prevention, trauma management, and other aspects. METHODS: This study used the diagnosis and treatment data from the Hospital Quality Monitoring System (HQMS) and the China Trauma Rescue and Treatment Association (CTRTA) in 2019. A descriptive analysis was conducted to explore the demographic characteristics, trauma causes, injury degrees of trauma patients, disease burden and mortality rates in the abstracted hospitalized cases. RESULTS: A total of 4,532,029 trauma patients were included, of which 4,436,653 were from HQMS and 95,376 from CTRTA respectively. The age group with the highest proportion is 50-54 years old (493,320 [11.12%] in HQMS and 12,025 [12.61%] in CTRTA). Fall was the most frequent cause of trauma hospitalization, accounting for 40.51% of all cases, followed by traffic injuries, accounting for 25.22%. However, for trauma patients aged between 20 and 24 years old, the most common cause of injury was traffic accidents (28.20%). Hospital expenses for trauma patients in 2019 exceeded 100.30 billion yuan, which increases significantly with age, and fall costs the most. The mortality rate of trauma inpatients was 0.77%, which gradually increased with age after 30-year-old, and was the highest in the age group above 85 (1.86%). CONCLUSION: This paper summarizes the demographic characteristics, trauma causes distribution, disease burden, mortality rate, and other relative data of inpatients in 2019, which can now be used as an up-to-date clinical evidence base for national healthcare prevention and management in China. Frontiers Media S.A. 2023-02-24 /pmc/articles/PMC9998676/ /pubmed/36908445 http://dx.doi.org/10.3389/fpubh.2023.1116828 Text en Copyright © 2023 Wang, Wang, Hu, Wang, Gan, Kong, Shi, Wang and Jiang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Wang, Yanhua
Wang, Chu
Hu, Pan
Wang, Haibo
Gan, Lanxia
Kong, Guilan
Shi, Ying
Wang, Tianbing
Jiang, Baoguo
China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases
title China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases
title_full China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases
title_fullStr China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases
title_full_unstemmed China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases
title_short China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases
title_sort china trauma treatment statistics 2019: a national retrospective study based on hospitalized cases
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9998676/
https://www.ncbi.nlm.nih.gov/pubmed/36908445
http://dx.doi.org/10.3389/fpubh.2023.1116828
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