Japan Trauma Data Bank Report 2015 ( )

Transcription

1 Japan Trauma Data Bank Report 2015 ( ) Japan Trauma Care and Research The Japanese Association for the Surgery of Trauma (Trauma Registry Committee) The Japanese Association for Acute Medicine (Committee for Clinical Care Evaluation)

2 1A Names of All Hospitals Submitting Data to the JTDB. (N=244, Part 1) Teine Keijinkai Hospital Hokkaido University Hospital Hokuto Hospital Hokkaido Medical Center Sapporo City General Hospital Nikko Memorial Hospital Sapporo Medical University Hospital Asahikawa Red Cross Hospital Hirosaki University School of Medicine & Hospital Aomori Prefectural Central Hospital Hachinohe City Hospital Iwate Medical University Hospital Kuji Prefectural Hospital Osaki Citizen Hospital Tohoku University Hospital Sendai City Hospital Ishinomaki Red Cross Hospital Sendai Medical Center Akita Red Cross Hospital Fukushima Medical University Hospital Ohta Nishinouchi Hospital Aizu Central Hospital Ibaraki Seinan Medical Hospital Mito Medical Center University of Tsukuba Hospital Tsukuba Medical Center Hospital Ibaraki Prefectural Central Hospital Dokkyo Medical University Hospital Jichi Medical University Hospital Saiseikai Utunomiya Hospital Gunma University Hospital Maebashi Red Cross Hospital Takasaki General Medical Center Ota Memorial Hospital Saitama Red Cross Hospital Saitama Medical University International Medical Center Kuki General Hospital Kawaguchi Municipal Medical Center Dokkyo Medical University Koshigaya Hospital National Defense Medical College Hospital Saitama Medical University Medical Center Fukaya Red Cross Hospital Funabashi Municipal Medical Center Juntendo University Urayasu Hospital Asahi General Hospital Nippon Medical School Chiba Hokusoh Hospital Chiba University Hospital Chiba Emergency Medical Center Matsudo City Hospital Kameda General Hospital Kimitsu Chuou Hospital Jikei University Kashiwa Hospital Tokyo Women s Medical University Yachiyo Medical Center Tokyobay UrayasuIchikawa Medical Center Showa University Hospital Tokyo Medical Center Department of Social Medicine, School of Medicine, Nihon University National Disaster Medical Center Tokyo Metropolitan Hiroo Hospital Musashino Red Cross Hospital Nippon Medical School Tama Nagayama Hospital Tokyo Medical University Hospital Tokyo Medical University Hachioji Medical Center Keio University Hospital St. Luke s International Hospital Teikyo University Hospital Toho University Omori Medical Center National Center for Global Health and Medicine University of Tokyo Hospital Showa General Hospital Tokyo Women s Medical University Medical Center East Nippon Medical School Hospital Kyorin University Hospital Surugadai Nihon University Hospital Tokyo Women s Medical University Hospital Ohme Municipal General Hospital Nihon University Itabashi Hospital Tokyo Medical and Dental University Hospital Tokyo Metropolitan Bokutoh Hospital Tokyo Saiseikai Central Hospital Showa University Northern Yokohama Hospital Yokohama Medical Center Nippon Medical School Musashikosugi Hospital Saiseikai Yokohama-city East Hospital St. Marianna University School of Medicine Hospital Shonan Kamakura General Hospital Yokohama Municipal Citizens Hospital Odawara Municipal Hospital Yokosuka Kyosai Hospital Hiratsuka City Hospital Fujisawa City Hospital Kanto Rosai Hospital Yokohama Rosai Hospital Yokohama City University Medical Center Tokai University Hospital Showa University Fujigaoka Hospital Kitasato University Hospital Yokosuka General Hospital Uwamachi Yokohama City Minato Red Cross Hospital Yokohama Sakae Kyosai Hospital Niigata University Medical & Dental Hospital Niigata City General Hospital Niigata Prefectural Shibata Hospital Kouseiren Takaoaka Hospital Tonami General Hospital Toyama Prefectural Central Hospital Toyama University Hospital Kanazawa University Hospital Ishikawa Prefectural Central Hospital Fukui Prefectural Hospital University of Fukui Hospital Yamanashi Prefectural Central Hospital Aizawa Hospital Suwa Red Cross Hospital Iida Municipal Hospital Ina Central Hospital Saku Central Hospital Advanced Care Center Shinshu University Hospital Nagano Red Cross Hospital Takayama Red Cross Hospital Ogaki Municipal Hospital Gero City Kanayama Hospital Chuno Kosei Hospital Gifu University Hospital Numazu City Hospital Shizuoka Red Cross Hospital Shizuoka Children s Hospital Shizuoka Saiseikai General Hospital Juntendo University Shizuoka Hospital Seirei Mikatahara General Hospital Shizuoka General Hospital Shizuoka Tokushukai Hospital

3 1B Names of All Hospitals Submitting Data to the JTDB. (N=244, Part 2) Chutoen General Medical Center Toyohashi Municipal Hospital Daiyukai General Hospital Fujita Health University Hospital Nagoya City University Hospital Handa City Hospital Aichi Medical University Hospital Nagoya Ekisaikai Hospital Social Insurance Chukyo Hospital Okazaki City Hospital Mie University Hospital Omihachiman Community Medical Center Saiseikai Shigaken Hospital Kyoto Daini Red Cross Hospital Kyoto Medical Center Rakuwakai Otowa Hospital Fukuchiyama City Hospital Kyoto Daiichi Red Cross Hospital Uji-Tokushukai Medical Center Kyoto Prefectural University of Medicine Osaka Prefectural Senshu Critical Medical Care Center Saiseikai Senri Hospital Osaka General Medical Center Hanwa Memorial Hospital Osaka Medical Center Nakakawachi Medical Center of Acute Medicine Osaka Mishima Emergency Medical Center Kinki University Hospital Kishiwada Tokushukai Hospital Osaka University Hospital Osaka City General Hospital Kansai Medical University Takii Hospital Osaka City University Hospital Kansai Medical University Hirakata Hospital Hyogo Prefectural Nishinomiya Hospital Hyogo Prefectural Kakogawa Medical Center Hyogo Prefectural Awaji Hospital Hospital of Hyogo College of Medicine Kobe City Medical Center General Hospital Kobe University Hospital Hyogo Emergency Medical Center Toyooka Hospital Tajima Emergency & Critical Care Medical Center Public Muraoka Hospital Kansai Rosai Hospital Steel Memorial Hirohata Hospital Himeji Emergency, Trauma and Critical Center Nara Prefectural Nara Hospital Nara Medical University Hospital Wakayama Medical University Hospital Tottori University Hospital Tsuyama Chuo Hospital Kawasaki Medical School Hospital Kurashiki Central Hospital Okayama University Hospital Hiroshima University Hospital Kure Medical Center Fukuyama City Hospital Hiroshima Prefectural Hospital Chugoku Rosai Hospital Kanmon Medical Center Tokuyama Central Hospital Yamaguchi Grand Medical Center Yamaguchi University Hospital Tokushima Prefectural Kaifu Hospital Tokushima Prefectural Central Hospital Tokushima Prefectural Miyoshi Hospital Tokushima Red Cross Hospital Taoka Hospital Kagawa University Hospital Kagawa Prefectural Central Hospital Ehime Prefectural Central Hospital Ehime University Hospital Kochi Medical Center Chikamori Hospital Kochi Red Cross Hospital Kurume University Hospital Iizuka Hospital Ohtemachi Hospital Kitakyushu Municipal Yahata Hospital Kyushu University Hospital Kitakyushu General Hospital Kokura Memorial Hospital Fukuoka Wajiro Hospital Fukuoka Red Cross Hospital Fukuoka Higashi Medical Center Saiseikai Fukuoka General Hospital Fukuoka University Hospital St. Maria s Hospital Shinyukuhashi Hospital Saga University Hospital Saga Prefectural Hospital Koseikan Ureshino Medical Center Nagasaki University Hospital Nagasaki Medical Center Arao Municipal Hospital Kumamoto Red Cross Hospital Kumamoto Medical Center Saiseikai Kumamoto Hospital Oita University Hospital Almeida Memorial Hospital Miyazaki Prefectural Miyazaki Hospital Miyazaki University Hospital Miyazaki Zenjinkai Hospital Miyakonojo Regional Medical Center Osumikanoya Hospital Kagoshima City Hospital Yonemori Hospital Okinawa Prefectural Chubu Hospital Okinawa Prefectural Hokubu Hospital Ryukyu University Hospital Urasoe General Hospital Nakagami Hospital Tomishiro Central Hospital

4 Number of Hospitals Japan Trauma Data Bank Report Number of Hospitals Submitting to the JTDB by Region. Region

5 3 Number of Patients by Age. Number of Patients Age (years)

6 4 Patients by Age and Gender. Number of Patients Male Female Age (years)

7 5 Patients by mechanism of injury

8 Table 5 Patients by mechanism of injury

9 6 Mechanism of injury by age

10 Table 6 Mechanism of injury by age

11 7 Death by mechanism of injury

12 Case Fatality(%) Japan Trauma Data Bank Report Case Fatality by age Age(year) Case fatality at each age category (Case Fatality=number of deaths divided by the number of patients at each category x 100 by age) Japan Trauma Care and Research All Rights Reserved Worldwide

14 Case Fatality(%) < >84 Japan Trauma Data Bank Report Case Fatality by Age Motor vehicle accident Fall Fall over Burn Stub/Cut Other Age(year) Japan Trauma Care and Research All Rights Reserved Worldwide

15 Number of patients Japan Trauma Data Bank Report A Proportional distribution of length from onset to facility n = 13, within 1 day 2-7 days 8-28 days over 29 days unspecified Length from onset to death in days The category within 1 day after onset includes CPAOA patients.

16 Mechanism of injury Japan Trauma Data Bank Report B Proportional distribution of length from onset to fatality, grouped by mechanism of injury. n = 13,099 Stake Firearm Explosive Sports Machinery Falling objects Crush Cut / piece Transport others Others Fire / burn unspecified Tumbled Fall Motor unspecified over 29 days 8-28 days 2-7 days within 1 day Others; other blunt / penetrating Motor; Motor vehicle traffic includes pedal cyclist and pedestrian victims. Number of patients

17 Table 11B Proportional distribution of length from onset to fatality, grouped by mechanism of injury. n = 11,745 Mechanism Length of hospital days Motor vehicle traffic Fall Tumbled unspecified Fire / burn Other blunt/penet rating Transport others Cut / piece within 1 day days days over 29 days unspecified Total Motor vehicle traffic includes pedal cyclist and pedestrian victims. Mechanism Length of hospital days Crush Falling objects Machinery Sports Explosive Firearm Stake Total within 1 day days days over 29 days unspecified Total

18 12 Total hospital length of stay by mechanism of Injury n = 104,098 Mechanism of injury Firearm Stake Explosive Crush Falling objects Transport others Machinery Sports Fire / burn Cut / piece Others unspecified Fall Tumbled Motor vehicle traffic Total hospital length of stay of patients are 2,729,053 days. Total hospital length of stay

19 Table 12 Total and average hospital length of stay by mechanism of injury n = 104,098 Number of patients / % Total hospital LOS in days Average of hospital LOS in days Motor vehicle traffic 45, % 1,188, Tumbled 33, % 863, Fall 26, % 679, unspecified 4, % 88, Other blunt / penetrating 3, % 82, Cut / piece 3, % 61, Fire / burn 2, % 105, Sports 2, % 28, Machinery 1, % 46, Transport others 1, % 29, Falling objects % 27, Crush % 27, Explosive % 5, Stake % 1, Firearm % 1, Total 106, % 3,257, LOS; length of stay Motor vehicle traffic includes pedal cyclist and pedestrian victims

20 13 Average hospital length of stay by mechanism of injury n = 104,098 Mechanism of injury Stake Explosive Crush Falling objects Transport others Machinery Sports Fire / burn Stake Other blunt / penetrating unspecified Fall tumbled Motor vehicle traffic Average of hospital length of stay in days Motor vehicle traffic includes pedal cyclist and pedestrian victims.

21 Japan Trauma Data Bank Report Patients and Injury Severity Score (ISS) 6104, 4.3% 10002, 7.1% 23859, 16.9% N= 141, , 13.5% ISS Unknown 27560, 19.5% 54461, 38.6% Proportional distribution of patients grouped by categories of the ISS range. The number of patients of ISS 9-15 category was the most of all categories. Japan Trauma Care and Research All Rights Reserved Worldwide

22 Number of Patients Japan Trauma Data Bank Report Patients by ISS and Age N= 130, ISS Age(years) Number of injured patients grouped by ISS range, at each age from 0 to 112. The peaks of the number of patients based on age distribution were seen at and ages of any ISS categories, and at ages of ISS Japan Trauma Care and Research All Rights Reserved Worldwide

24 Japan Trauma Data Bank Report A Deaths and Injury Severity Score (ISS) 861, 6.6% 197, 1.5% 1196, 9.1% N= 13, , 27.3% 1907, 14.6% ISS Unknown 5360, 40.9% Proportional distribution of deaths grouped by categories of ISS range. Deaths in ISS category were the highest. Japan Trauma Care and Research All Rights Reserved Worldwide

25 Case Fatality (%) Japan Trauma Data Bank Report B Case Fatality by Injury Severity Score (ISS) Range N= 13, Unknown Injury Severity Score Case fatality grouped by ISS range was higher in severe trauma category. (Case fatality = number of deaths divided by the number of patients 100 by ISS range). Japan Trauma Care and Research All Rights Reserved Worldwide

26 Number of Patients Japan Trauma Data Bank Report Deaths by ISS and Age 1400 N= 12, ISS Age(years) The peak was seen at elderly ages in ISS 16-24, and the category ISS and ISS has two peaks at young and elderly ages. Japan Trauma Care and Research All Rights Reserved Worldwide

28 Number of Deaths Japan Trauma Data Bank Report Deaths by Age and Gender (ISS<=15) 250 n= Male n=862 Female n= Male Female Age(years) Deaths for patients with ISS<=15 for males and females at each age category.

29 Number of Deaths Japan Trauma Data Bank Report Deaths by Age and Gender (ISS>15) Male n=7192 Female n=3614 n=10806 Male Female Age(years) Deaths for patients with ISS>15 for males and females at each age category.

30 Total Hospital LOS in Days Japan Trauma Data Bank Report A Total Hospital LOS and Injury Severity Score (ISS) n= patients ISS Range Proportional distribution of total hospital length of stay for patients, grouped by ISS range.

31 Average Hospital LOS in Days Japan Trauma Data Bank Report B Average Hospital LOS and Injury Severity Score n= days patients ISS Range Average hospital length of stay for each category of ISS range. (Average hospital length of stay = total hospital length of stay for each ISS range divided by the total number of patients).

32 Japan Trauma Data Bank Report Distribution of patients by probability of survival (Ps) 41293, 29% 6223, 4% 2797, 2% 3794, 3% Unknown 86953, 62% Japan Trauma Care and Research All Rights Reserved Worldwide

33 Japan Trauma Data Bank Report A Distribution of deaths by probability of survival (Ps) 3740, 29% 958, 7% 619, 5% 492, 4% 577, 5% 306, 2% 298, 2% 547, 4% 4111, 31% 627, 5% 824, 6% n/a Japan Trauma Care and Research All Rights Reserved Worldwide

35 23 The number of patients in traffic accidents by types of vehicle and age (n = 49,642)

36 24 The number of patients in car accident by drivers and passengers and age (n = 14,758)

37 25 The number of patients in car accident (driver) by gender and age (n = 10,956)

38 26 The number of patients in car accident (passenger) by gender and age (n = 2,086)

39 Number of Deaths Japan Trauma Data Bank Report Fatality(%) 27 Number of Deaths and Fatalities of Motor Vehicular Drivers by Age ~ 20 21~ 25 26~ 30 31~ 35 36~ 40 41~ 45 Number of Deaths Fatality(%) ~ 50 51~ 55 56~ 60 61~ 65 66~ 70 71~ 75 76~ 80 81~ 85 86~

40 Number of Patients Japan Trauma Data Bank Report Number of Deaths of Motor Vehicular Drivers by Age and Genders ~ 20 21~ 25 26~ 30 31~ 35 36~ 40 41~ 45 Number of Female Deaths Number of Male Deaths ~ 50 51~ 55 56~ 60 61~ 65 66~ 70 71~ 75 76~ 80 81~ 85 86~

41 29 Proportional distribution of registered patients, groped by intent 744, 0.5% 2290, 1.7% 1962, 1.4% 7212, 5.2% 8112, 5.9% Unintentional Self-inflicted Occupant Assault Other Undetermined , 85.3%

42 30 Proportional distribution of deaths, grouped by intent 160, 1.2% 65, 0.5% 713, 5.5% 497, 3.8% 2248, 17.4% Unintentional Self-inflicted Occupant Assault Other Undetermined 9259, 71.5%

43 31 Gender proportion of Unintentional and Occupant patients % 37 patients 0.03 % Male Female Unknown patients %

44 Number of Patients Japan Trauma Data Bank Report Unintentional and Occupant by Age and Gender Male Female Age(years)

45 Table 32 Unintentional and Occupant by Age and Gender Age Male Female Total < Unknown Total

46 Number of Patients Japan Trauma Data Bank Report Assault by Age and Gender Male Female Age(years)

47 Table 33 Assault by Age and Gender Age Male Female Total < Unknown Total

48 Number of Patients Japan Trauma Data Bank Report Self-inflicted by Age and Gender Male Female Age (years)

49 Table 34 Self-inflicted by Age and Gender Sex Age Unkno wn Total Female Male Total

50 Total Hospital LOS in Days Japan Trauma Data Bank Report A Total Hospital LOS by Intent Unintentional Self-inflicted Assault Undermined Other Unknown Industrial accident was included in the category of Unintentional.

51 Average Hospital LOS in Days Japan Trauma Data Bank Report B Average Hospital LOS by Intent Unintentional Self-inflicted Assault Undermined Other Unknown Average hospital length of stay in days = total hospital length of stay divided by the number of patients by intent.

52 Number of patients Japan Trauma Data Bank Report Number of patients with Injured Body Parts based on AIS 60,000 50,000 51,003 56,616 40,000 30,000 20,000 10, ,849 1,803 34,509 13,821 23,548 30,686 8,409 Injured body part

53 37A Head Injury and max AIS Score 479, 1% 205, 1% 6305, 12% 8771, 17% 14922, 29% 5387, 11% 14934, 29% maxais 1 maxais 2 maxais 3 maxais 4 maxais 5 maxais 6 Unknown

54 37B Facial Injury and max AIS Score 924, 4% 115, 1% 37, 0% 7884, 38% maxais 1 maxais 2 maxais 3 maxais 4 Unknown 11889, 57%

55 37C Neck Injury and max AIS Score 1, 0% 166, 9% 41, 2% 71, 4% 394, 22% 851, 47% maxais 1 maxais 2 maxais 3 maxais 4 maxais 5 maxais 6 Unknown 279, 16%

56 37D Thoracic Injury and max AIS Score 10407, 30% 3346, 10% 503, 1% 293, 1% 3149, 9% 3077, 9% 13734, 40% maxais 1 maxais 2 maxais 3 maxais 4 maxais 5 maxais 6 Unknown

57 37E Injury of Abdomen/Pelvic Contents and max AIS Score 1943, 14.1% 4576, 33.1% 450, 3.3% 20, 0.1% 99, 0.7% 1968, 14.2% 4764, 34.5% maxais 1 maxais 2 maxais 3 maxais 4 maxais 5 maxais 6 Unknown

58 37F Spinal Injury and max AIS Score 368, 1.6% 1314, 5.6% 109, 0.5% 1440, 6.1% 3923, 16.7% 6320, 26.8% 10074, 42.8% maxais 1 maxais 2 maxais 3 maxais 4 maxais 5 maxais 6 Unknown

59 37G Injury of Upper Extremities and max AIS Score 9, 0.03% 7156, 23.3% 7684, 25.0% maxais 1 maxais 2 maxais 3 Unknown 15837, 51.6%

60 37H Injury of Lower Extremities and max AIS Score 14, 0.02% 1850, 3.3% 2321, 4.1% 7027, 12.4% 33729, 59.6% 11675, 20.6% maxais 1 maxais 2 maxais 3 maxais 4 maxais 5 Unknown

61 37I Skin/Burns/Other Trauma and max AIS Score 616, 8.2% 85, 1.1% 757, 10.0% 551, 7.3% 361, 4.8% maxais 1 maxais 2 maxais 3 maxais 4 maxais 5 maxais , 68.6%

62 Number of Patients 症例数 ( 人 ) Japan Trauma Data Bank Report Number of Patients and Injured Body Parts based on AIS 箇 1所 2 箇 2所 3 箇 3 所 4 箇 4所 5 箇 5所 6 箇 6所 7 箇 7所 8 箇 8所 9 箇 9所 Number of injury body parts based on AIS region

63 JAPAN TRAUMA DATA BANK REPORT 2015 ( ) December 10, 2015 The Japanese Association for Acute Medicine Trustee: Tetsuya Sakamoto, MD Chairman: Yasushi Asari, MD The Japanese Association for the Surgery of Trauma Trustee: Tetsuya Sakamoto, MD Chairman: Daizoh Saitoh, MD Task Force: Masato Ueno, MD Yasuyuki Uchida, MD Jun Oda, MD Akio Kimura, MD Yuichiro Sakamoto, MD Atsushi Shiraishi, MD Keiji Tanaka, MD Hideo Tohira, MD Shinji Nakahara, MD Munetaka Hayashi, MD Atsuhiro Fukuda, MD Tomohiko Masuno, MD Yoshihiro Yamaguchi, MD Japan Trauma Care and Research All Rights Reserved Worldwide