Clinical Article
Trauma center model in general hospitals for patients with severe trauma: a multicenter study
Du Zhe, Du Dingyuan, Huang Guangbin, Xu Feng, Wang Longgang, Liu Hansong, Lian Hongkai, Jing Juehua, Dang Xingbo, Du Gongliang, Dong Wengang, Wang Tianbing, Jiang Baoguo
Published 2020-08-15
Cite as Chin J Orthop Trauma, 2020, 22(8): 703-706. DOI: 10.3760/cma.j.cn115530-20200717-00472
Abstract
ObjectiveTo evaluate the trauma center model in general hospitals for patients with severe trauma.
MethodsThe data of 1,248 patients with severe trauma (ISS≥16) were retrospectively analyzed who had been admitted to the trauma centers in 6 Chinese general hospitals from January 2019 through June 2020. They were 987 males and 261 females with an age of 50.4 years ± 15.4 years. Their injuries were caused by a traffic accident in 622 cases, falling from a height in 357 cases, a knife in 62 cases, and others (like a heavy object and fall) in 207 cases. Upon admission, their injury severity scores (ISS) were 24.9±8.5 and their Glasgow coma scores (GCS) 12.6±3.6. They were all treated in a scientific and standard manner by a multidisciplinary team at the trauma center of their specific general hospital. Recorded were deaths within 30 days after admission, 30-day mortality and causes of death.
ResultsAll the patients were treated effectively. 101 deaths occurred within 30 days after admission, yielding a 30-day mortality of 8.1%. The main causes of death were severe craniocerebral injury in 56 cases, hemorrhagic shock in 26 cases, multi-organ failure in 11 cases and others in 8 cases.
ConclusionsEstablishment of trauma centers in China can make up for the disadvantage of over-division of clinical specialties in large general hospitals which has led to insufficient care for patients with severe trauma and multiple injuries. The trauma centers in general hospitals may be a feasible model to be popularized in treatment of patients with severe trauma and multiple injuries.
Key words:
Multiple trauma; Injury severity score; Treatment outcomes; Multi-disciplinary diagnosis and treatment; Trauma care
Contributor Information
Du Zhe
Trauma Center, Key Laboratory of Trauma and Neural Regeneration, Peking University People's Hospital, Beijing 100044, China
Du Dingyuan
Department of Trauma, Chongqing Emergency Medical Center (Central Hospital Affiliated to Chongqing University), Chongqing 400014, China
Huang Guangbin
Department of Trauma, Chongqing Emergency Medical Center (Central Hospital Affiliated to Chongqing University), Chongqing 400014, China
Xu Feng
Emergency Department, The First Affiliated Hospital to Suzhou University, Suzhou 215006, China
Wang Longgang
Emergency Department, The First Affiliated Hospital to Suzhou University, Suzhou 215006, China
Liu Hansong
Trauma Center, Zhengzhou Central Hospital, Zhengzhou 450007, China
Lian Hongkai
Trauma Center, Zhengzhou Central Hospital, Zhengzhou 450007, China
Jing Juehua
Department of Orthopedics, The Second Affiliated Hospital to Anhui Medical University, Hefei 230601, China
Dang Xingbo
Emergency Surgery, Shaanxi Provincial People's Hospital, Xi'an 710068, China
Du Gongliang
Emergency Surgery, Shaanxi Provincial People's Hospital, Xi'an 710068, China
Dong Wengang
Emergency Surgery, Shaanxi Provincial People's Hospital, Xi'an 710068, China
Wang Tianbing
Trauma Center, Key Laboratory of Trauma and Neural Regeneration, Peking University People's Hospital, Beijing 100044, China
Jiang Baoguo
Trauma Center, Key Laboratory of Trauma and Neural Regeneration, Peking University People's Hospital, Beijing 100044, China
