Comparison of trauma systems in Asian countries: A cross-sectional study

Young Hee Jung, Dae Han Wi, Sang Do Shin, Hideharu Tanaka, Goh E. Shaun, Wen Chu Chiang, Jen Tang Sun, Li Min Hsu, Kentaro Kajino, Sabariah Faizah Jamaluddin, Akio Kimura, James F. Holmes, Kyoung Jun Song, Young Sun Ro, Ki Jeong Hong, Sung Woo Moon, Ju Ok Park, Min Jung Kim

Research output: Contribution to journalArticle

Abstract

Objective This study aimed to compare the demographic characteristics and trauma service structures and processes of hospitals in 15 countries across the Asia Pacific, and to provide baseline data for the integrated trauma database: the Pan-Asian Trauma Outcomes Study (PATOS). Methods Medical directors and emergency physicians at PATOS-participating hospitals in countries across the Asia Pacific were surveyed through a standardized questionnaire. General information, trauma care system data, and trauma emergency department (ED) outcomes at each hospital were collected by email and analyzed using descriptive statistics. Results Survey data from 35 hospitals across 15 countries were collected from archived data between June 2014 and July 2015. Designated trauma centers were identified as the highest hospital level for trauma patients in 70% of surveyed countries. Half of the hospitals surveyed had special teams for trauma care, and almost all prepared activation protocol documents for these teams. Most hospitals offered specialized trauma education programs, and 72.7% of hospitals had a hospital-based trauma registry. The total number of trauma patients visiting the ED across 25 of the hospitals was 300,376. The overall survival-to-discharge rate was 97.2%; however, it varied greatly between 85.1% and 99.7%. The difference between survival-to-discharge rates of moderate and severe injury groups was highest in Taiwan (41.8%) and lowest in Thailand (18.6%). Conclusion Trauma care systems and ED outcomes vary widely among surveyed hospitals and countries. This information is useful to build further detailed, systematic platforms for trauma surveillance and evidence-based trauma care policies.

Original languageEnglish (US)
Pages (from-to)321-329
Number of pages9
JournalClinical and Experimental Emergency Medicine
Volume6
Issue number4
DOIs
StatePublished - Dec 2019

Fingerprint

Cross-Sectional Studies
Wounds and Injuries
Hospital Emergency Service
Outcome Assessment (Health Care)
Physician Executives
Survival
Trauma Centers
Thailand
Taiwan
Information Systems
Registries
Emergencies
Demography
Databases
Physicians
Education

Keywords

  • Asian continental ancestry group
  • Epidemiology
  • Trauma

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

Jung, Y. H., Wi, D. H., Shin, S. D., Tanaka, H., Shaun, G. E., Chiang, W. C., ... Kim, M. J. (2019). Comparison of trauma systems in Asian countries: A cross-sectional study. Clinical and Experimental Emergency Medicine, 6(4), 321-329. https://doi.org/10.15441/ceem.18.088

Comparison of trauma systems in Asian countries : A cross-sectional study. / Jung, Young Hee; Wi, Dae Han; Shin, Sang Do; Tanaka, Hideharu; Shaun, Goh E.; Chiang, Wen Chu; Sun, Jen Tang; Hsu, Li Min; Kajino, Kentaro; Jamaluddin, Sabariah Faizah; Kimura, Akio; Holmes, James F.; Song, Kyoung Jun; Ro, Young Sun; Hong, Ki Jeong; Moon, Sung Woo; Park, Ju Ok; Kim, Min Jung.

In: Clinical and Experimental Emergency Medicine, Vol. 6, No. 4, 12.2019, p. 321-329.

Research output: Contribution to journalArticle

Jung, YH, Wi, DH, Shin, SD, Tanaka, H, Shaun, GE, Chiang, WC, Sun, JT, Hsu, LM, Kajino, K, Jamaluddin, SF, Kimura, A, Holmes, JF, Song, KJ, Ro, YS, Hong, KJ, Moon, SW, Park, JO & Kim, MJ 2019, 'Comparison of trauma systems in Asian countries: A cross-sectional study', Clinical and Experimental Emergency Medicine, vol. 6, no. 4, pp. 321-329. https://doi.org/10.15441/ceem.18.088
Jung, Young Hee ; Wi, Dae Han ; Shin, Sang Do ; Tanaka, Hideharu ; Shaun, Goh E. ; Chiang, Wen Chu ; Sun, Jen Tang ; Hsu, Li Min ; Kajino, Kentaro ; Jamaluddin, Sabariah Faizah ; Kimura, Akio ; Holmes, James F. ; Song, Kyoung Jun ; Ro, Young Sun ; Hong, Ki Jeong ; Moon, Sung Woo ; Park, Ju Ok ; Kim, Min Jung. / Comparison of trauma systems in Asian countries : A cross-sectional study. In: Clinical and Experimental Emergency Medicine. 2019 ; Vol. 6, No. 4. pp. 321-329.
@article{70f5471ac87242f494c71713c4789ef9,
title = "Comparison of trauma systems in Asian countries: A cross-sectional study",
abstract = "Objective This study aimed to compare the demographic characteristics and trauma service structures and processes of hospitals in 15 countries across the Asia Pacific, and to provide baseline data for the integrated trauma database: the Pan-Asian Trauma Outcomes Study (PATOS). Methods Medical directors and emergency physicians at PATOS-participating hospitals in countries across the Asia Pacific were surveyed through a standardized questionnaire. General information, trauma care system data, and trauma emergency department (ED) outcomes at each hospital were collected by email and analyzed using descriptive statistics. Results Survey data from 35 hospitals across 15 countries were collected from archived data between June 2014 and July 2015. Designated trauma centers were identified as the highest hospital level for trauma patients in 70{\%} of surveyed countries. Half of the hospitals surveyed had special teams for trauma care, and almost all prepared activation protocol documents for these teams. Most hospitals offered specialized trauma education programs, and 72.7{\%} of hospitals had a hospital-based trauma registry. The total number of trauma patients visiting the ED across 25 of the hospitals was 300,376. The overall survival-to-discharge rate was 97.2{\%}; however, it varied greatly between 85.1{\%} and 99.7{\%}. The difference between survival-to-discharge rates of moderate and severe injury groups was highest in Taiwan (41.8{\%}) and lowest in Thailand (18.6{\%}). Conclusion Trauma care systems and ED outcomes vary widely among surveyed hospitals and countries. This information is useful to build further detailed, systematic platforms for trauma surveillance and evidence-based trauma care policies.",
keywords = "Asian continental ancestry group, Epidemiology, Trauma",
author = "Jung, {Young Hee} and Wi, {Dae Han} and Shin, {Sang Do} and Hideharu Tanaka and Shaun, {Goh E.} and Chiang, {Wen Chu} and Sun, {Jen Tang} and Hsu, {Li Min} and Kentaro Kajino and Jamaluddin, {Sabariah Faizah} and Akio Kimura and Holmes, {James F.} and Song, {Kyoung Jun} and Ro, {Young Sun} and Hong, {Ki Jeong} and Moon, {Sung Woo} and Park, {Ju Ok} and Kim, {Min Jung}",
year = "2019",
month = "12",
doi = "10.15441/ceem.18.088",
language = "English (US)",
volume = "6",
pages = "321--329",
journal = "Clinical and Experimental Emergency Medicine",
issn = "2383-4625",
publisher = "Korean Society of Emergency Medicine",
number = "4",

}

TY - JOUR

T1 - Comparison of trauma systems in Asian countries

T2 - A cross-sectional study

AU - Jung, Young Hee

AU - Wi, Dae Han

AU - Shin, Sang Do

AU - Tanaka, Hideharu

AU - Shaun, Goh E.

AU - Chiang, Wen Chu

AU - Sun, Jen Tang

AU - Hsu, Li Min

AU - Kajino, Kentaro

AU - Jamaluddin, Sabariah Faizah

AU - Kimura, Akio

AU - Holmes, James F.

AU - Song, Kyoung Jun

AU - Ro, Young Sun

AU - Hong, Ki Jeong

AU - Moon, Sung Woo

AU - Park, Ju Ok

AU - Kim, Min Jung

PY - 2019/12

Y1 - 2019/12

N2 - Objective This study aimed to compare the demographic characteristics and trauma service structures and processes of hospitals in 15 countries across the Asia Pacific, and to provide baseline data for the integrated trauma database: the Pan-Asian Trauma Outcomes Study (PATOS). Methods Medical directors and emergency physicians at PATOS-participating hospitals in countries across the Asia Pacific were surveyed through a standardized questionnaire. General information, trauma care system data, and trauma emergency department (ED) outcomes at each hospital were collected by email and analyzed using descriptive statistics. Results Survey data from 35 hospitals across 15 countries were collected from archived data between June 2014 and July 2015. Designated trauma centers were identified as the highest hospital level for trauma patients in 70% of surveyed countries. Half of the hospitals surveyed had special teams for trauma care, and almost all prepared activation protocol documents for these teams. Most hospitals offered specialized trauma education programs, and 72.7% of hospitals had a hospital-based trauma registry. The total number of trauma patients visiting the ED across 25 of the hospitals was 300,376. The overall survival-to-discharge rate was 97.2%; however, it varied greatly between 85.1% and 99.7%. The difference between survival-to-discharge rates of moderate and severe injury groups was highest in Taiwan (41.8%) and lowest in Thailand (18.6%). Conclusion Trauma care systems and ED outcomes vary widely among surveyed hospitals and countries. This information is useful to build further detailed, systematic platforms for trauma surveillance and evidence-based trauma care policies.

AB - Objective This study aimed to compare the demographic characteristics and trauma service structures and processes of hospitals in 15 countries across the Asia Pacific, and to provide baseline data for the integrated trauma database: the Pan-Asian Trauma Outcomes Study (PATOS). Methods Medical directors and emergency physicians at PATOS-participating hospitals in countries across the Asia Pacific were surveyed through a standardized questionnaire. General information, trauma care system data, and trauma emergency department (ED) outcomes at each hospital were collected by email and analyzed using descriptive statistics. Results Survey data from 35 hospitals across 15 countries were collected from archived data between June 2014 and July 2015. Designated trauma centers were identified as the highest hospital level for trauma patients in 70% of surveyed countries. Half of the hospitals surveyed had special teams for trauma care, and almost all prepared activation protocol documents for these teams. Most hospitals offered specialized trauma education programs, and 72.7% of hospitals had a hospital-based trauma registry. The total number of trauma patients visiting the ED across 25 of the hospitals was 300,376. The overall survival-to-discharge rate was 97.2%; however, it varied greatly between 85.1% and 99.7%. The difference between survival-to-discharge rates of moderate and severe injury groups was highest in Taiwan (41.8%) and lowest in Thailand (18.6%). Conclusion Trauma care systems and ED outcomes vary widely among surveyed hospitals and countries. This information is useful to build further detailed, systematic platforms for trauma surveillance and evidence-based trauma care policies.

KW - Asian continental ancestry group

KW - Epidemiology

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=85077496633&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85077496633&partnerID=8YFLogxK

U2 - 10.15441/ceem.18.088

DO - 10.15441/ceem.18.088

M3 - Article

AN - SCOPUS:85077496633

VL - 6

SP - 321

EP - 329

JO - Clinical and Experimental Emergency Medicine

JF - Clinical and Experimental Emergency Medicine

SN - 2383-4625

IS - 4

ER -