Analysis of Correlation between Early Injury Assessment Indexes and Length of Stay in First-line Hospitals for Victims Injured in the Wenchuan Earthquake_West China Medical Journal

Authors：

 LAIShao-lin ¹ , WANGQing ¹ , XULing-jie ² , HUHai ² , HEYa-rong ² , CAOYu ²

1. Emergency Department, People's Hospital of Beichuan Qiang Autonomous County, Beichuan, Sichuan 622750, P. R. China;
2. Emergency Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Length of stay; Victim of earthquake; Injury assessment; Correlation

DOI：

10.7507/1002-0179.20150294

Video：

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Objective To explore the possible association between early injury assessment indexes and the length of stay (LOS) in first-line hospitals, in order to help the hospitals take advantage of resource effectively and transfer victims reasonably during earthquakes. Method We retrospectively analyzed the medical information of 3 576 traumatic patients injured in the Wenchuan Earthquake who were transferred to 242 first-line medical institutes between 14:28, May 12th and 14:30, May 19th in 2008. Three kinds of 15 variables were extracted for the analysis, including gender, age, heart or lung disease, pre-hospital time, head injury, trunk injury, open injury, crush injury, asphyxia, body temperature, heart rate, respiration, systolic blood pressure, diastolic blood pressure, and Glasgow coma score. Multiple stepwise linear regression analysis was performed to identify the factors associated with LOS. Results The multiple linear regression analysis showed that age as well as other six factors affected LOS significantly (P<0.05). The partial regression coefficients of age, pre-hospital time, head injury, trunk injury, crush injury, complication of cardiac or pulmonary disease, and Glasgow coma score were -0.062, 0.157, 3.703, 4.111, 12.602, 14.762 and -1.312, respectively. Conclusions Earthquake trauma patients with older age, long pre-hospital time, head injury, trunk injury, heart or lung disease, crush injury, and lower Glasgow coma score are at increased risk for extended LOS.

Citation： LAIShao-lin, WANGQing, XULing-jie, HUHai, HEYa-rong, CAOYu. Analysis of Correlation between Early Injury Assessment Indexes and Length of Stay in First-line Hospitals for Victims Injured in the Wenchuan Earthquake. West China Medical Journal, 2015, 30(6): 1023-1026. doi: 10.7507/1002-0179.20150294 Copy

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1. 康鵬. 玉樹地震傷病員分析及其住院時間影響因素研究[D]. 上海:第二軍醫大學, 2012.
2. Hai H, Ya-Rong H, Xin-Miao D, et al. Chief complaints associated with mortality involving civilian transport after Wen-chuan earthquake[J]. Eur J Emerg Med, 2014, 21(5):364-367.
3. Hai H, He YR, Shu Z, et al. Streamlined focused assessment with sonography for mass casualty pre-hospital triage of blunt torso trauma patients[J]. Am J Emerg Med, 2014, 32(7):803-806.
4. 何亞榮, 胡海, 蔣耀文, 等. 影響蘆山地震傷員住院時間的多因素分析[J]. 四川大學學報:醫學版, 2014, 45(4):633-636.
5. Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake[J]. N Engl J Med, 1996, 334(7):438-444.
6. 陳竺, 沈驥, 康均行, 等. 特大地震應急醫學救援:來自汶川的經驗[J]. 中國循證醫學雜志, 2012, 12(4):383-392.
7. 陳竺. 溫故而知新——汶川地震醫療救援的教訓與思考[J]. 中國循證醫學雜志, 2009, 9(11):1142.
8. 成翼娟, 李繼平, 宋錦平. 汶川地震醫療救援中華西醫院護理工作的組織管理[J]. 中國循證醫學雜志, 2008, 8(6):386-388.
9. 盛潔, 席茜, 白艷, 等. 蘆山和汶川地震中不同急診接診分診流程對地震傷員急診滯留時間的影響[J]. 中國循證醫學雜志, 2013, 13(6):637-640.
10. 盛潔, 胡海. JumpSTART檢傷分類程序與損傷嚴重度評分對于群體傷中患兒檢傷分類的一致性分析[J]. 華西醫學, 2013, 28(9):1333-1335.
11. 李曉輝, 胡海, 高永莉, 等. 4·20蘆山地震261例不同災情地區傷員傷情分析[J]. 中國急救復蘇與災害醫學雜志, 2014, 9(2):105-107.
12. 杜鑫淼, 胡海, 曹鈺, 等. 汶川地震中早期評估一線醫院危重傷患者死亡風險的多因素分析[J]. 災害醫學與救援, 2012, 1(4):216-219.
13. 姜潔, 李幼平, 李鴻浩, 等. 蘆山地震后1月應急醫學救援的績效評價[J]. 中國循證醫學雜志, 2013, 13(6):624-630.
14. 胡海, 唐時元, 蔣臻, 等. 淺論"5·12"汶川地震直升飛機大批量轉運傷病員的醫療管理[J]. 中國急救復蘇與災害醫學雜志, 2009, 4(4):206-208.
15. 楊曉媛, 李世英, 李潔, 等. 汶川地震中大批量傷員的應急救護[J]. 護理學報, 2009, 6(12):77-79.
16. 宋雁賓, 王蔓, 原艷麗. 批量傷員院內急救的組織與管理[J]. 護理管理雜志, 2009, 4(4):37-38.
17. 方榮華, 李蓉瓊. 玉樹地震傷員病房護理工作中存在的安全隱患與對策[J]. 護理研究, 2011, 3(9):822-823.
18. 張劍春, 衛建華, 盛潔華. 我院SICU患者院內轉運中的危機管理[J]. 中華醫院管理雜志, 2014, 30(5):382-384.

West China Medical Journal

Analysis of Correlation between Early Injury Assessment Indexes and Length of Stay in First-line Hospitals for Victims Injured in the Wenchuan Earthquake

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