Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2024; 12(35): 6808-6814
Published online Dec 16, 2024. doi: 10.12998/wjcc.v12.i35.6808
Comprehensive epidemiological assessment of trauma incidents at a level I trauma center
Zhao-Yin Su, Hui Wei, Wei-Ning Wang, Yi-Feng Lin, Yu-Li He, Yao Liu, Ru-Bing Lin, Ya-Tao Liu, Nerich Michael
Zhao-Yin Su, Yi-Feng Lin, Yu-Li He, Yao Liu, The First Clinical College of Medicine, Lanzhou University, Lanzhou 730000, Gansu Province, China
Hui Wei, Wei-Ning Wang, School of Stomatology, Lanzhou University, Lanzhou 730000, Gansu Province, China
Ru-Bing Lin, Department of Orthopedics, Shenzhen Children’s Hospital, Shenzhen 518000, Guangdong Province, China
Ya-Tao Liu, Department of Anesthesia, First Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China
Nerich Michael, Department of Trauma Surgery, University Hospital Regensburg, Regensburg 93053, Bavaria, Germany
Co-first authors: Zhao-Yin Su and Hui Wei.
Author contributions: Su ZY, Wei H, Wang WN, Lin YF, Liu YT, and Michael N designed the research study; Su ZY, Wei H, Wang WN, Lin YF, and He YL performed the research; Liu Y, Lin RB, Liu YT, and Michael N contributed new reagents and analytic tools; Su ZY, Wei H, Wang WN, and Lin YF analyzed the data and wrote the manuscript. All authors read and approved the final manuscript. Su ZY and Wei H are co-first authors of this study, reflecting the equal importance of their contributions. Su ZY was responsible for the experimental design and data collection of this study. He led the planning and execution of the experiments and provided solutions to key technical issues during data collection. Additionally, Su ZY participated in the preliminary data analysis and the creation of charts, offering valuable perspectives for data interpretation. Wei H was responsible for data analysis and manuscript writing. She applied advanced statistical methods to thoroughly analyze the experimental data, ensuring the accuracy and scientific validity of the results. Wei H was also the principal writer of the manuscript, responsible for organizing the research findings and composing the discussion section, clearly articulating the scientific significance and practical applications of the research findings. Both authors engaged in frequent discussions and collaborations throughout the research process, jointly discussing the direction of the research and interpretation of the results, ensuring the high-quality completion of the study. Each author made indispensable contributions within their areas of expertise, collectively driving the success of the research project.
Supported by Ministry of Science and Technology Senior Foreign Expert Program, No. G2019028023 and No. G2020028007; National College Student Innovation and Entrepreneurship Program, No. 202210730172; Medical Innovation and Development Project of Lanzhou University, No. lzuyxcx-2022-99; and Joint Research Fund Project of Gansu Province, No. 23JRRA1496.
Institutional review board statement: This study received an ethical exemption from the Ethics Committee of the First Hospital of Lanzhou University because its retrospective design and did not disclose any patient information.
Informed consent statement: No information about the corresponding subjects was involved in this study.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Tao Liu, MD, Chief Doctor, Department of Anesthesia, First Hospital of Lanzhou University, No. 199 Donggang West Road, Chengguan District, Lanzhou 730000, Gansu Province, China. doctorliuyt@163.com
Received: July 1, 2024
Revised: August 12, 2024
Accepted: August 27, 2024
Published online: December 16, 2024
Processing time: 115 Days and 6.1 Hours
Abstract
BACKGROUND

The continuous development of social and economic progress and ongoing enhancement of infrastructure construction has led to drastic changes in the occurrence of trauma.

AIM

To analyze the epidemiological characteristics of trauma in Lanzhou City to provide theoretical references for improving quality of trauma care.

METHODS

A retrospective analysis of clinical data from 16585 trauma patients treated at the First Hospital of Lanzhou University Trauma Center from November 1, 2021 to October 31, 2023 was conducted. Data including age, sex, time of trauma, cause of trauma, and major injured body parts were statistically analyzed.

RESULTS

A total of 18235 patients were admitted, with complete data for 16585 cases. Of these, 9793 were male and 6792 were female (male-to-female ratio of 1.44:1). The peak times for trauma occurrence were 10 AM-12 PM and 6-10 PM, and the peak months were from May to October. The leading causes of trauma were falls (45.32%), other trauma (15.88%), road traffic accidents (15.15%), violence (10.82%), cutting/stabbing (9.41%), mechanical injuries (2.65%), winter sports injuries (0.36%), animal bites (0.22%), burns (0.09%), and electrical injuries (0.02%). The distribution of majorly injured body parts showed statistical significance, with limbs/skin being the most affected followed by the head/neck, chest/abdomen, and back.

CONCLUSION

Medical institutions and government agencies can implement preventive measures and policies based on the characteristics of trauma determined in this study to enhance the quality and level of trauma care.

Keywords: Trauma and injury; Injury; Trauma center; Epidemiology; Disease analysis

Core Tip: The data analyzed in this study revealed that the incidence of trauma is higher in males than females and that falls are the primary cause of trauma. The incidence of trauma peaks in the summer and autumn seasons compared to winter and spring and during periods of increased activity throughout the day. Limb and skin traumas were the most common. These findings can serve as guidelines for medical institutions and government agencies to improve the quality and standards of trauma care. Implementation of targeted preventive measures and policies tailored to the characteristics of trauma will be beneficial.