Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank

Aim We analyzed the length of intensive care unit or hospital stay of trauma patients to assess the consumption of medical resources using the Japan Trauma Data Bank. Methods We classified 60,580 cases registered between 2004 and 2010 in the Japan Trauma Data Bank by hospital ward on emergency admis...

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Main Author: Jun Oda
Format: Article
Language:English
Published: Wiley 2016-10-01
Series:Acute Medicine & Surgery
Subjects:
Online Access:https://doi.org/10.1002/ams2.185
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author Jun Oda
author_facet Jun Oda
author_sort Jun Oda
collection DOAJ
description Aim We analyzed the length of intensive care unit or hospital stay of trauma patients to assess the consumption of medical resources using the Japan Trauma Data Bank. Methods We classified 60,580 cases registered between 2004 and 2010 in the Japan Trauma Data Bank by hospital ward on emergency admission. Results A total of 9,564 intensive care patients could be moved to the general ward before hospital transfer or discharge; 6,217 cases were transferred to another hospital and 9,444 cases were discharged directly from the intensive care unit. The length of intensive care unit or hospital stay correlated with the injury severity score. There were 5,856 patients (68%) from the non‐survivors who died within 3 days of admission. Conclusion Based on the Japan Trauma Data Bank data for many trauma patients, there are numerous cases of long‐term stay ≥15 days in intensive care in patients who could not be transferred to a general ward and who consumed the medical resources in the critical care department.
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spelling doaj.art-e81362405bee4192af63218e3683581a2022-12-21T18:46:35ZengWileyAcute Medicine & Surgery2052-88172016-10-013429830410.1002/ams2.185Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data BankJun Oda0Trauma Registry Committee of the Japanese Association for the Surgery of Trauma/Department of Emergency and Critical Care Medicine Tokyo Medical University Shinjuku Tokyo JapanAim We analyzed the length of intensive care unit or hospital stay of trauma patients to assess the consumption of medical resources using the Japan Trauma Data Bank. Methods We classified 60,580 cases registered between 2004 and 2010 in the Japan Trauma Data Bank by hospital ward on emergency admission. Results A total of 9,564 intensive care patients could be moved to the general ward before hospital transfer or discharge; 6,217 cases were transferred to another hospital and 9,444 cases were discharged directly from the intensive care unit. The length of intensive care unit or hospital stay correlated with the injury severity score. There were 5,856 patients (68%) from the non‐survivors who died within 3 days of admission. Conclusion Based on the Japan Trauma Data Bank data for many trauma patients, there are numerous cases of long‐term stay ≥15 days in intensive care in patients who could not be transferred to a general ward and who consumed the medical resources in the critical care department.https://doi.org/10.1002/ams2.185Additional fee for critical carediagnosis and procedure combinationintensive care unitJapan Trauma Data Banklength of hospital stay
spellingShingle Jun Oda
Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank
Acute Medicine & Surgery
Additional fee for critical care
diagnosis and procedure combination
intensive care unit
Japan Trauma Data Bank
length of hospital stay
title Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank
title_full Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank
title_fullStr Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank
title_full_unstemmed Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank
title_short Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank
title_sort analysis of consumption of medical resources in terms of intensive care unit hospital stay and severity using japan trauma data bank
topic Additional fee for critical care
diagnosis and procedure combination
intensive care unit
Japan Trauma Data Bank
length of hospital stay
url https://doi.org/10.1002/ams2.185
work_keys_str_mv AT junoda analysisofconsumptionofmedicalresourcesintermsofintensivecareunithospitalstayandseverityusingjapantraumadatabank