Association of injury pattern and entrapment location inside damaged buildings in the 2016 Taiwan earthquake
Background/Purpose: To explore the association of patient injury patterns and entrapped locations inside damaged buildings in the 2016 Taiwan earthquake. Methods: A retrospective analysis was conducted using the Tainan incident registry system. Residents inside nine conjunctive, 16-story (49.3 m in...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-01-01
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| Series: | Journal of the Formosan Medical Association |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664618300822 |
| _version_ | 1818550371563339776 |
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| author | Shih-Tien Pan Ya-Yun Cheng Chen-Long Wu Ray Hsienho Chang Chihsin Chiu Ning-Ping Foo Pao-Tien Chen Tai-Yuan Wang Li-Hsing Chen Chien-Jung Chen Roger Ong Chang-Chih Tsai Chien-Chin Hsu Li-Wei Hsieh Chih-Hsien Chi Chih-Hao Lin |
| author_facet | Shih-Tien Pan Ya-Yun Cheng Chen-Long Wu Ray Hsienho Chang Chihsin Chiu Ning-Ping Foo Pao-Tien Chen Tai-Yuan Wang Li-Hsing Chen Chien-Jung Chen Roger Ong Chang-Chih Tsai Chien-Chin Hsu Li-Wei Hsieh Chih-Hsien Chi Chih-Hao Lin |
| author_sort | Shih-Tien Pan |
| collection | DOAJ |
| description | Background/Purpose: To explore the association of patient injury patterns and entrapped locations inside damaged buildings in the 2016 Taiwan earthquake. Methods: A retrospective analysis was conducted using the Tainan incident registry system. Residents inside nine conjunctive, 16-story (49.3 m in height) reinforced concrete buildings were categorized as non-injured, injured, and dead. Residents were classified into different groups according to their entrapped locations in height and the severity of building damage. The field triage acuity and trauma severity among groups were compared. Statistical significance was set at the level of 0.05. Results: There were 309 enrollees with 76 (24.6%) non-injured, 118 (38.2%) injured, and 115 (37.2%) dead. Residents either in the high floors (odds ratio [OR] = 2.9, 95% CI: 1.5–5.8, p = 0.003) or in the collapsed buildings (OR = 18.2, 95% CI: 7.6–43.6, p < 0.001) were more likely to be dead. Injured patients who were located in the high floors were more likely to have severe field triage acuities (adjusted OR = 14.7, 95% CI: 1.8–118.0, p = 0.012); intracranial hemorrhage (12.5%), intrathoracic injury (18.8%), or intra-abdominal damage (12.5%) (All p < 0.05); the need for emergency surgical intervention (31.3%, p = 0.035); and major trauma (18.8%, p = 0.001). Residents in the collapsed buildings were more likely to have a crush injury (80.0%, p < 0.001) or crush syndrome (80.0%, p < 0.001). Conclusion: People entrapped at different heights of floors or in differently damaged buildings could have a distinct pattern of injury. Our findings may facilitate strategic approaches of patients entrapped in damaged buildings and may contribute to future training for field searches and rescues after earthquakes. Keywords: Earthquake, Entrapment location, Trauma, Search and rescue, Disaster |
| first_indexed | 2024-12-12T08:45:34Z |
| format | Article |
| id | doaj.art-fdb80a3370bc4361908c8c47054fdd66 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-12T08:45:34Z |
| publishDate | 2019-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-fdb80a3370bc4361908c8c47054fdd662022-12-22T00:30:33ZengElsevierJournal of the Formosan Medical Association0929-66462019-01-011181311323Association of injury pattern and entrapment location inside damaged buildings in the 2016 Taiwan earthquakeShih-Tien Pan0Ya-Yun Cheng1Chen-Long Wu2Ray Hsienho Chang3Chihsin Chiu4Ning-Ping Foo5Pao-Tien Chen6Tai-Yuan Wang7Li-Hsing Chen8Chien-Jung Chen9Roger Ong10Chang-Chih Tsai11Chien-Chin Hsu12Li-Wei Hsieh13Chih-Hsien Chi14Chih-Hao Lin15Department of Emergency Medicine, Chi-Mei Medical Center, Liouying, Tainan, TaiwanDepartment of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Environmental and Occupational Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Political Science, College of Arts and Sciences, Oklahoma State University, Oklahoma, USADepartment of Real Estate and Built Environment, College of Public Affairs, National Taipei University, New Taipei City, TaiwanDepartment of Emergency Medicine, Tainan Municipal An-Nan Hospital, China Medical University, Tainan, TaiwanDepartment of Emergency Medicine, Tainan Municipal Hospital, Tainan, TaiwanDepartment of Emergency Medicine, Kaohsiung Veterans General Hospital Tainan Branch, Tainan, TaiwanDepartment of Nursing, Kaohsiung Veterans General Hospital Tainan Branch, Tainan, TaiwanDepartment of Emergency Medicine, Tainan Sin Lau Christian Hospital, Tainan, TaiwanDepartment of Emergency Medicine, Tainan Sin Lau Christian Hospital, Tainan, TaiwanDepartment of Emergency Medicine, Chi-Mei Medical Center, Tainan, TaiwanDepartment of Emergency Medicine, Chi-Mei Medical Center, Tainan, TaiwanDepartment of Nursing, Tainan Hospital, Ministry of Health and Welfare, Tainan, TaiwanDepartment of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Corresponding author. Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, 70403, No. 138, Shengli Rd., North District, Taiwan. Fax: +886 6 2359562.Background/Purpose: To explore the association of patient injury patterns and entrapped locations inside damaged buildings in the 2016 Taiwan earthquake. Methods: A retrospective analysis was conducted using the Tainan incident registry system. Residents inside nine conjunctive, 16-story (49.3 m in height) reinforced concrete buildings were categorized as non-injured, injured, and dead. Residents were classified into different groups according to their entrapped locations in height and the severity of building damage. The field triage acuity and trauma severity among groups were compared. Statistical significance was set at the level of 0.05. Results: There were 309 enrollees with 76 (24.6%) non-injured, 118 (38.2%) injured, and 115 (37.2%) dead. Residents either in the high floors (odds ratio [OR] = 2.9, 95% CI: 1.5–5.8, p = 0.003) or in the collapsed buildings (OR = 18.2, 95% CI: 7.6–43.6, p < 0.001) were more likely to be dead. Injured patients who were located in the high floors were more likely to have severe field triage acuities (adjusted OR = 14.7, 95% CI: 1.8–118.0, p = 0.012); intracranial hemorrhage (12.5%), intrathoracic injury (18.8%), or intra-abdominal damage (12.5%) (All p < 0.05); the need for emergency surgical intervention (31.3%, p = 0.035); and major trauma (18.8%, p = 0.001). Residents in the collapsed buildings were more likely to have a crush injury (80.0%, p < 0.001) or crush syndrome (80.0%, p < 0.001). Conclusion: People entrapped at different heights of floors or in differently damaged buildings could have a distinct pattern of injury. Our findings may facilitate strategic approaches of patients entrapped in damaged buildings and may contribute to future training for field searches and rescues after earthquakes. Keywords: Earthquake, Entrapment location, Trauma, Search and rescue, Disasterhttp://www.sciencedirect.com/science/article/pii/S0929664618300822 |
| spellingShingle | Shih-Tien Pan Ya-Yun Cheng Chen-Long Wu Ray Hsienho Chang Chihsin Chiu Ning-Ping Foo Pao-Tien Chen Tai-Yuan Wang Li-Hsing Chen Chien-Jung Chen Roger Ong Chang-Chih Tsai Chien-Chin Hsu Li-Wei Hsieh Chih-Hsien Chi Chih-Hao Lin Association of injury pattern and entrapment location inside damaged buildings in the 2016 Taiwan earthquake Journal of the Formosan Medical Association |
| title | Association of injury pattern and entrapment location inside damaged buildings in the 2016 Taiwan earthquake |
| title_full | Association of injury pattern and entrapment location inside damaged buildings in the 2016 Taiwan earthquake |
| title_fullStr | Association of injury pattern and entrapment location inside damaged buildings in the 2016 Taiwan earthquake |
| title_full_unstemmed | Association of injury pattern and entrapment location inside damaged buildings in the 2016 Taiwan earthquake |
| title_short | Association of injury pattern and entrapment location inside damaged buildings in the 2016 Taiwan earthquake |
| title_sort | association of injury pattern and entrapment location inside damaged buildings in the 2016 taiwan earthquake |
| url | http://www.sciencedirect.com/science/article/pii/S0929664618300822 |
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