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

Yanhua Wang; Chu Wang; Pan Hu; Haibo Wang; Lanxia Gan; Guilan Kong; Ying Shi; Tianbing Wang; Baoguo Jiang

doi:10.3389/fpubh.2023.1116828

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

Front Public Health. 2023 Feb 24:11:1116828. doi: 10.3389/fpubh.2023.1116828. eCollection 2023.

Authors

Yanhua Wang¹, Chu Wang², Pan Hu², Haibo Wang³, Lanxia Gan⁴, Guilan Kong⁵, Ying Shi⁴, Tianbing Wang², Baoguo Jiang²

Affiliations

¹ Department of Trauma and Orthopedics, Peking University People's Hospital, Beijing, China.
² Trauma Medicine Center, Peking University People's Hospital, Beijing, China.
³ Clinical Trial Unit, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
⁴ China Standard Medical Information Research Center, Shenzhen, China.
⁵ National Research Institute of Big Data for Health and Medical Care, Peking University, Beijing, China.

Abstract

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%). Hospital expenses for trauma patients in 2019 exceeded 100.30 billion yuan, which increases significantly with age, and fall costs the most. The mortality rate of trauma inpatients was 0.77%, which gradually increased with age after 30-year-old, and was the highest in the age group above 85 (1.86%).

Conclusion: This paper summarizes the demographic characteristics, trauma causes distribution, disease burden, mortality rate, and other relative data of inpatients in 2019, which can now be used as an up-to-date clinical evidence base for national healthcare prevention and management in China.

Keywords: China; database; epidemiology; hospitalized; trauma; trauma treatment.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Accidents, Traffic*
Adolescent
Adult
China / epidemiology
Hospitalization*
Humans
Incidence
Retrospective Studies
Young Adult

Grants and funding

This study was supported by the National Key R&D Program of China (No. 2022YFC3006200) and Construction of the Key Laboratory of Trauma Treatment and Nerve Regeneration of Ministry of Education (No. BMU2022JDJS008).