Comparison of trauma systems in Asian countries: A cross-sectional study

Young Hee Jung, Dae Han Wi, Sang Do Shin, Hideharu Tanaka, Goh E. Shaun, Wen Chu Chiang, Jen Tang Sun, Li Min Hsu, Kentaro Kajino, Sabariah Faizah Jamaluddin, Akio Kimura, James F. Holmes, Kyoung Jun Song, Young Sun Ro, Ki Jeong Hong, Sung Woo Moon, Ju Ok Park, Min Jung Kim

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)


    Objective This study aimed to compare the demographic characteristics and trauma service structures and processes of hospitals in 15 countries across the Asia Pacific, and to provide baseline data for the integrated trauma database: the Pan-Asian Trauma Outcomes Study (PATOS). Methods Medical directors and emergency physicians at PATOS-participating hospitals in countries across the Asia Pacific were surveyed through a standardized questionnaire. General information, trauma care system data, and trauma emergency department (ED) outcomes at each hospital were collected by email and analyzed using descriptive statistics. Results Survey data from 35 hospitals across 15 countries were collected from archived data between June 2014 and July 2015. Designated trauma centers were identified as the highest hospital level for trauma patients in 70% of surveyed countries. Half of the hospitals surveyed had special teams for trauma care, and almost all prepared activation protocol documents for these teams. Most hospitals offered specialized trauma education programs, and 72.7% of hospitals had a hospital-based trauma registry. The total number of trauma patients visiting the ED across 25 of the hospitals was 300,376. The overall survival-to-discharge rate was 97.2%; however, it varied greatly between 85.1% and 99.7%. The difference between survival-to-discharge rates of moderate and severe injury groups was highest in Taiwan (41.8%) and lowest in Thailand (18.6%). Conclusion Trauma care systems and ED outcomes vary widely among surveyed hospitals and countries. This information is useful to build further detailed, systematic platforms for trauma surveillance and evidence-based trauma care policies.

    Original languageEnglish
    Pages (from-to)321-329
    Number of pages9
    JournalClinical and Experimental Emergency Medicine
    Issue number4
    Publication statusPublished - 2019 Dec

    Bibliographical note

    Funding Information:
    This paper was supported by Wonkwang University in 2018.

    Publisher Copyright:
    © 2019 The Korean Society of Emergency Medicine.


    • Asian continental ancestry group
    • Epidemiology
    • Trauma

    ASJC Scopus subject areas

    • Emergency Medicine
    • Emergency


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