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

作者：Yanhua Wang, Chu Wang, Pan Hu, Haibo Wang, Lanxia Gan, Guilan Kong, Ying Shi, Tianbing Wang, Baoguo Jiang · 发表于：Frontiers in Public Health · 年份：2023 · DOI：10.3389/fpubh.2023.1116828 · 被引用次数：20 · 研究领域：Trauma and Emergency Care Studies、Injury Epidemiology and Prevention、Trauma Management and Diagnosis

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%...