Observational studyBMJ open2018
Ten-year inhospital mortality trends for patients with trauma in Japan: a multicentre observational study.
Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Article
- Article
- Hospital volume-outcome relationship in emergency trunk interventional radiology for trauma patients: a nationwide observational study in Japan.European radiology · 2025Observational
- Trends in isolated chest trauma in Japan: a 15-year analysis using the Japan Trauma Data Bank.Journal of thoracic disease · 2025Article
- Penetrating trauma on the rise- nine-year trends of severe trauma in Sweden.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score.Clinical and experimental emergency medicine · 2023Article
- Incidence, demographics and outcomes of patients with penetrating injury: a Japanese nationwide 10-year retrospective study.BMJ open · 2023Article
- Evaluation of injury threshold from the number of rib fracture for predicting pulmonary injuries in blunt chest trauma.Heliyon · 2023Article
- Evaluating the definition of severely injured patients: a Japanese nationwide 5-year retrospective study.BMJ open · 2023Article
- Epidemiology, injury pattern and outcome of older trauma patients: A 15-year study of level-I trauma centers.PloS one · 2023Article
- China trauma treatment statistics 2019: A national retrospective study based on hospitalized cases.Frontiers in public health · 2023Article
- In-Hospital Mortality Following Traumatic Injury in South Africa.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Gunshot and stab wounds in France: descriptive study from a national trauma registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Ten-year trends of adult trauma patients in Central Denmark Region from 2010 to 2019: A retrospective cohort study.Acta anaesthesiologica Scandinavica · 2022Article
- Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report.Journal of trauma and injury · 2022Article
- Observational
- Geriatric trauma prognosis trends over 10 years: analysis of a nationwide trauma registry.Trauma surgery & acute care open · 2022Article
- Severe trauma patient volume was associated with decreased mortality.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers.Healthcare (Basel, Switzerland) · 2021Article
- The impact of infection complications after trauma differs according to trauma severity.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTrauma is one of the main causes of death in Japan, and treatments and prognoses of these injuries are constantly changing. We therefore aimed to investigate a 10-year trend (2004-2013) in inhospital mortality among patients with trauma in Japan.
designMulticentre observational study.
settingJapanese nationwide trauma registry (the Japan Trauma Data Bank) data.
participantsAll patients with trauma whose Injury Severity Score (ISS) were 3 and above, who were aged 15 years or older, and whose mechanisms of injury (MOI) were blunt and penetrating between 2004 and 2013 (n=90 833). OUTCOME MEASURES: A 10-year trend in inhospital mortality.
resultsInhospital mortality for all patients with trauma significantly decreased over the study decade in our Cochran-Armitage test (P<0.001). Similarly, inhospital mortality for patients with ISS 16 or more and patients who scored 50% or better on the Trauma and Injury Severity Score (TRISS) probability of survival scale significantly decreased (P<0.001). In addition, the OR for inhospital mortality of these three patient groups decreased yearly after adjusting for age, gender, MOI, ISS, Glasgow Coma Scale, systolic blood pressure and respiratory rate on hospital arrival in multivariable logistic regression analyses. Furthermore, inhospital mortality for patient with blunt trauma significantly decreased in injury mechanism-stratified Mantel-extension testing (P<0.001). Finally, multivariable logistic regression analyses showed that the OR for inhospital mortality of patients with ISS 16 and over decreased each year after adding and adjusting for means of transportation and usage of whole-body CT.
conclusionInhospital mortality for patients with trauma in Japan significantly decreased during the study decade after adjusting for patient characteristics, injury severity and the response environment after injury.
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