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

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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. 康鹏. 玉树地震伤病员分析及其住院时间影响因素研究[D]. 上海:第二军医大学, 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. 何亚荣, 胡海, 蒋耀文, 等. 影响芦山地震伤员住院时间的多因素分析[J]. 四川大学学报:医学版, 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. 陈竺, 沈骥, 康均行, 等. 特大地震应急医学救援:来自汶川的经验[J]. 中国循证医学杂志, 2012, 12(4):383-392.
7. 陈竺. 温故而知新——汶川地震医疗救援的教训与思考[J]. 中国循证医学杂志, 2009, 9(11):1142.
8. 成翼娟, 李继平, 宋锦平. 汶川地震医疗救援中华西医院护理工作的组织管理[J]. 中国循证医学杂志, 2008, 8(6):386-388.
9. 盛洁, 席茜, 白艳, 等. 芦山和汶川地震中不同急诊接诊分诊流程对地震伤员急诊滞留时间的影响[J]. 中国循证医学杂志, 2013, 13(6):637-640.
10. 盛洁, 胡海. JumpSTART检伤分类程序与损伤严重度评分对于群体伤中患儿检伤分类的一致性分析[J]. 华西医学, 2013, 28(9):1333-1335.
11. 李晓辉, 胡海, 高永莉, 等. 4·20芦山地震261例不同灾情地区伤员伤情分析[J]. 中国急救复苏与灾害医学杂志, 2014, 9(2):105-107.
12. 杜鑫淼, 胡海, 曹钰, 等. 汶川地震中早期评估一线医院危重伤患者死亡风险的多因素分析[J]. 灾害医学与救援, 2012, 1(4):216-219.
13. 姜洁, 李幼平, 李鸿浩, 等. 芦山地震后1月应急医学救援的绩效评价[J]. 中国循证医学杂志, 2013, 13(6):624-630.
14. 胡海, 唐时元, 蒋臻, 等. 浅论"5·12"汶川地震直升飞机大批量转运伤病员的医疗管理[J]. 中国急救复苏与灾害医学杂志, 2009, 4(4):206-208.
15. 杨晓媛, 李世英, 李洁, 等. 汶川地震中大批量伤员的应急救护[J]. 护理学报, 2009, 6(12):77-79.
16. 宋雁宾, 王蔓, 原艳丽. 批量伤员院内急救的组织与管理[J]. 护理管理杂志, 2009, 4(4):37-38.
17. 方荣华, 李蓉琼. 玉树地震伤员病房护理工作中存在的安全隐患与对策[J]. 护理研究, 2011, 3(9):822-823.
18. 张剑春, 卫建华, 盛洁华. 我院SICU患者院内转运中的危机管理[J]. 中华医院管理杂志, 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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