Investigation on the current situation of hospital trauma care ability in China
Objective To investigate the current situation of hospital trauma care ability in China,and to explore the progress and existing problems in the construction of trauma centers since 2018. Methods Based on the investigation time,hospitals were divided into 2023 group (survey time from Jan. 2017 to Jul. 2023) and 2013 group (survey time from Jan. 2010 to Dec. 2012),all by on-site investigation,panel discussion and questionnaire survey. There were 34 hospitals included in the 2023 group,including 22 tertiary,11 secondary and 1 primary hospi-tals;there were 30 hospitals included in the 2013 group,including 17 tertiary,11 secondary and 2 primary hospitals.The trauma care ability was assessed by the set of trauma wards,number of admitted trauma patients,number of trau-ma surgeries and proportion of traumatic deaths. Results For the 2023 group and 2013 group,there were respec-tively (1) 16 hospitals (47. 1％) and 13 hospitals (43. 3％) with centralized trauma wards;(2) 7. 32％ vs.7.92％ trauma patient percent (trauma patients/all hospital inpatients) in tertiary hospitals,10.55％ vs. 9.14％ in secondary hospitals and 8.06％ vs. 11.33％ in primary hospitals,(3) 17.01％ vs. 11.00％ trauma surgery percent(trauma surgeries/total hospital surgeries) in tertiary hospitals,13. 28％ vs. 10. 16％ in secondary hospitals and 51.96％ vs. 34. 72％ in primary hospitals,and (4) 10. 7％ vs. 11. 7％ traumatic death (traumatic deaths/all deaths) in tertiary hospitals and 11.0％ vs. 28.0％ in secondary hospitals. All the 34 hospitals in the 2023 group provide 24-h trauma care services,and some had set trauma resuscitation areas or trauma treatment units,which sig-nificantly improved the rescue ability and efficiency compared with the 2013 group(P<0.05). CT,ultrasound and operating room were 24-h on service,and 50％ of the hospitals had bedside FAST ultrasound. Hospitals of all levels were able to handle massive casualties and to emergently expand the beds by 10％. Conclusion In recent years,secondary hospitals have increased trauma care ability,which admits a higher proportion of trauma patients but a de-creased proportion of traumatic deaths. However,the construction of trauma centers still needs to be further stand-ardized.
万方数据
维普
