High energy trauma patients treated in the department of general surgery in a secondary emergency facility in Japan

Toshiro Okuyama; Shoiku Matsumoto; Shinichiro Yoshino; Katsuyuki Hirakawa; Masanobu Kishikawa; Kisaku Yoshida; Taichi Saito; Takahiro Higashi; Kazutoyo Morita; Shigeyuki Nagata; Hideaki Uchiyama; Daihiko Eguchi; Kazuya Endo; Hirofumi Kawanaka; Morimasa Tomikawa; Masahiro Tateishi; Daisuke Korenaga; Kenji Takenaka

High energy trauma patients treated in the department of general surgery in a secondary emergency facility in Japan

Toshiro Okuyama, Shoiku Matsumoto, Shinichiro Yoshino, Katsuyuki Hirakawa, Masanobu Kishikawa, Kisaku Yoshida, Taichi Saito, Takahiro Higashi, Kazutoyo Morita, Shigeyuki Nagata, Hideaki Uchiyama, Daihiko Eguchi, Kazuya Endo, Hirofumi Kawanaka, Morimasa Tomikawa, Masahiro Tateishi, Daisuke Korenaga, Kenji Takenaka

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

OBJECTIVE: We clarified the characteristics of the high energy trauma patients that entered the general surgery ward of Fukuoka city hospital (FCH), a 200 bed secondary emergency hospital in Japan.

PATIENTS AND METHODS: Of the 7,826 total ambulance cases treated from April 2008 to March 2012 in our emergency room, 831 trauma patients who entered our hospital were analyzed. These patients were classified into a non high energy (NHE) and high energy trauma (HE) group based on the mechanisms of injuries.

RESULTS: Of the 831 trauma cases, 741 (89.2%) were in the NHE and 90 (10.8%) were in the HE group. Eleven of the 741 cases (1.5%) in the NHE group and 18 of the 90 cases (20.0%) in the HE group entered the Department of General Surgery as inpatients, with the frequency being significantly higher in the latter group (p < 0.01). 11 of the 18 cases (61.1%) of Department of General Surgery in the HE group were diagnosed to have an injury severity score (ISS) of 15 or higher, and the rate of preventable trauma deaths (PTDs) of those 11 cases was 9.1% (1/11).

CONCLUSIONS: The proportion of the patients that entered the Department of General Surgery was higher in the HE group than in the NHE group. The surgical departments of secondary emergency facilities are expected to contribute to the local trauma emergency systems.

Original language	English
Pages (from-to)	249-256
Number of pages	8
Journal	Fukuoka igaku zasshi = Hukuoka acta medica
Volume	104
Issue number	8
Publication status	Published - Aug 1 2013
Externally published	Yes

All Science Journal Classification (ASJC) codes

Medicine(all)

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Okuyama, T., Matsumoto, S., Yoshino, S., Hirakawa, K., Kishikawa, M., Yoshida, K., Saito, T., Higashi, T., Morita, K., Nagata, S., Uchiyama, H., Eguchi, D., Endo, K., Kawanaka, H., Tomikawa, M., Tateishi, M., Korenaga, D., & Takenaka, K. (2013). High energy trauma patients treated in the department of general surgery in a secondary emergency facility in Japan. Fukuoka igaku zasshi = Hukuoka acta medica, 104(8), 249-256.

Okuyama, T, Matsumoto, S, Yoshino, S, Hirakawa, K, Kishikawa, M, Yoshida, K, Saito, T, Higashi, T, Morita, K, Nagata, S, Uchiyama, H, Eguchi, D, Endo, K, Kawanaka, H, Tomikawa, M, Tateishi, M, Korenaga, D & Takenaka, K 2013, 'High energy trauma patients treated in the department of general surgery in a secondary emergency facility in Japan', Fukuoka igaku zasshi = Hukuoka acta medica, vol. 104, no. 8, pp. 249-256.

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title = "High energy trauma patients treated in the department of general surgery in a secondary emergency facility in Japan",

abstract = "OBJECTIVE: We clarified the characteristics of the high energy trauma patients that entered the general surgery ward of Fukuoka city hospital (FCH), a 200 bed secondary emergency hospital in Japan.PATIENTS AND METHODS: Of the 7,826 total ambulance cases treated from April 2008 to March 2012 in our emergency room, 831 trauma patients who entered our hospital were analyzed. These patients were classified into a non high energy (NHE) and high energy trauma (HE) group based on the mechanisms of injuries.RESULTS: Of the 831 trauma cases, 741 (89.2%) were in the NHE and 90 (10.8%) were in the HE group. Eleven of the 741 cases (1.5%) in the NHE group and 18 of the 90 cases (20.0%) in the HE group entered the Department of General Surgery as inpatients, with the frequency being significantly higher in the latter group (p < 0.01). 11 of the 18 cases (61.1%) of Department of General Surgery in the HE group were diagnosed to have an injury severity score (ISS) of 15 or higher, and the rate of preventable trauma deaths (PTDs) of those 11 cases was 9.1% (1/11).CONCLUSIONS: The proportion of the patients that entered the Department of General Surgery was higher in the HE group than in the NHE group. The surgical departments of secondary emergency facilities are expected to contribute to the local trauma emergency systems.",

author = "Toshiro Okuyama and Shoiku Matsumoto and Shinichiro Yoshino and Katsuyuki Hirakawa and Masanobu Kishikawa and Kisaku Yoshida and Taichi Saito and Takahiro Higashi and Kazutoyo Morita and Shigeyuki Nagata and Hideaki Uchiyama and Daihiko Eguchi and Kazuya Endo and Hirofumi Kawanaka and Morimasa Tomikawa and Masahiro Tateishi and Daisuke Korenaga and Kenji Takenaka",

year = "2013",

month = aug,

day = "1",

language = "English",

volume = "104",

pages = "249--256",

journal = "Fukuoka igaku zasshi = Hukuoka acta medica",

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T1 - High energy trauma patients treated in the department of general surgery in a secondary emergency facility in Japan

AU - Okuyama, Toshiro

AU - Matsumoto, Shoiku

AU - Yoshino, Shinichiro

AU - Hirakawa, Katsuyuki

AU - Kishikawa, Masanobu

AU - Yoshida, Kisaku

AU - Saito, Taichi

AU - Higashi, Takahiro

AU - Morita, Kazutoyo

AU - Nagata, Shigeyuki

AU - Uchiyama, Hideaki

AU - Eguchi, Daihiko

AU - Endo, Kazuya

AU - Kawanaka, Hirofumi

AU - Tomikawa, Morimasa

AU - Tateishi, Masahiro

AU - Korenaga, Daisuke

AU - Takenaka, Kenji

PY - 2013/8/1

Y1 - 2013/8/1

N2 - OBJECTIVE: We clarified the characteristics of the high energy trauma patients that entered the general surgery ward of Fukuoka city hospital (FCH), a 200 bed secondary emergency hospital in Japan.PATIENTS AND METHODS: Of the 7,826 total ambulance cases treated from April 2008 to March 2012 in our emergency room, 831 trauma patients who entered our hospital were analyzed. These patients were classified into a non high energy (NHE) and high energy trauma (HE) group based on the mechanisms of injuries.RESULTS: Of the 831 trauma cases, 741 (89.2%) were in the NHE and 90 (10.8%) were in the HE group. Eleven of the 741 cases (1.5%) in the NHE group and 18 of the 90 cases (20.0%) in the HE group entered the Department of General Surgery as inpatients, with the frequency being significantly higher in the latter group (p < 0.01). 11 of the 18 cases (61.1%) of Department of General Surgery in the HE group were diagnosed to have an injury severity score (ISS) of 15 or higher, and the rate of preventable trauma deaths (PTDs) of those 11 cases was 9.1% (1/11).CONCLUSIONS: The proportion of the patients that entered the Department of General Surgery was higher in the HE group than in the NHE group. The surgical departments of secondary emergency facilities are expected to contribute to the local trauma emergency systems.

AB - OBJECTIVE: We clarified the characteristics of the high energy trauma patients that entered the general surgery ward of Fukuoka city hospital (FCH), a 200 bed secondary emergency hospital in Japan.PATIENTS AND METHODS: Of the 7,826 total ambulance cases treated from April 2008 to March 2012 in our emergency room, 831 trauma patients who entered our hospital were analyzed. These patients were classified into a non high energy (NHE) and high energy trauma (HE) group based on the mechanisms of injuries.RESULTS: Of the 831 trauma cases, 741 (89.2%) were in the NHE and 90 (10.8%) were in the HE group. Eleven of the 741 cases (1.5%) in the NHE group and 18 of the 90 cases (20.0%) in the HE group entered the Department of General Surgery as inpatients, with the frequency being significantly higher in the latter group (p < 0.01). 11 of the 18 cases (61.1%) of Department of General Surgery in the HE group were diagnosed to have an injury severity score (ISS) of 15 or higher, and the rate of preventable trauma deaths (PTDs) of those 11 cases was 9.1% (1/11).CONCLUSIONS: The proportion of the patients that entered the Department of General Surgery was higher in the HE group than in the NHE group. The surgical departments of secondary emergency facilities are expected to contribute to the local trauma emergency systems.

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AN - SCOPUS:84891887663

SN - 0016-254X

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JO - Fukuoka igaku zasshi = Hukuoka acta medica

JF - Fukuoka igaku zasshi = Hukuoka acta medica

IS - 8

ER -

High energy trauma patients treated in the department of general surgery in a secondary emergency facility in Japan

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