Evidence map›Paper›PMID 41006136›Full record

ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2025

Comparative epidemiology and treatment outcomes at trauma centers: A cross-national analysis of the United States and China.

Yong Fu, Liu-Yi Fan, Xin-Jie Luo, Lei Li, Delbrynth P Mitchao, Kenji Inaba, Guan-Qiao Liu, Bin Yu

Abstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yong FuDepartment of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China; Trauma Center, Pediatric Orthopedic Department, Hand and Foot Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hunan, 421001, China.
Liu-Yi FanGuangdong Provincial Institute of Orthopaedics & Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Xin-Jie LuoTrauma Center, Pediatric Orthopedic Department, Hand and Foot Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hunan, 421001, China.
Lei LiState Key Laboratory of Trauma, Burns and Combined Injury, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China.
Delbrynth P MitchaoDivision of Acute Car1e Surgery, Los Angeles General Medical Center, University of Southern California, Los Angeles, 90033, USA.
Kenji InabaDivision of Acute Car1e Surgery, Los Angeles General Medical Center, University of Southern California, Los Angeles, 90033, USA.
Guan-Qiao LiuGuangdong Provincial Institute of Orthopaedics & Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. Electronic address: lgq92324@smu.edu.cn.
Bin YuDepartment of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. Electronic address: yubin@smu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough there are significant differences between China and the United States (US) in trauma medical services, there has been no direct comparative research on the epidemiological data of trauma centers between the 2 countries. This study aims to fill this research gap by directly comparing trauma centers in China and the US, providing valuable data and insights for the development of trauma centers in both countries, promoting academic exchange and cooperation internationally, and enhancing the level of global trauma medical care.

methodsThis is a multicenter retrospective descriptive study. Data were collected for trauma patients with an injury severity score ≥16 treated from September 2013 to September 2019 at 2 hospital trauma centers in these 2 countries. Detailed clinical data (including injury mechanism, age, injury site, injury severity score, pre-hospital transport time, whether blood transfusion was performed, whether resuscitative thoracotomy was conducted, hospital and intensive care unit stay duration, the number of organ donor patients, mortality rates, and costs) were meticulously compiled and retrospectively analyzed to identify differences between the 2 trauma centers. The comparison was conducted using SPSS 23 software. Continuous variables are reported as median (Q

resultsThese results point to significant differences in trauma center capacity, pre-hospital transport times, treatment procedures, hospital stay duration, mortality rates, and costs between the 2 centers. The volume of patients in trauma centers is less in China (2465 vs. 5288). Pre-hospital transport time was notably longer in China (180 min vs. 14 min), and the rate of emergency blood transfusions was lower in China (18.4% vs. 50.6%), Emergency thoracotomy was not performed in China but was conducted in 9.8% of cases in the US. Hospitalization costs were significantly lower in China than in the US ($5847 vs. $75,671).

conclusionThere are clear differences in trauma center capacity (number of patients treated), pre-hospital transport time, age distribution of injured patients, injury mechanisms, injury sites, whether emergency thoracotomy is performed, hospital costs, and length of stay between the 2 trauma centers in China and America. Understanding these differences can help us further recognize the characteristics of Eastern and Western trauma patients.

Indexed as

Trauma CentersWounds and InjuriesAdultChinaFemaleHumansInjury Severity ScoreLength of StayMaleMiddle AgedRetrospective StudiesTreatment OutcomeUnited StatesAmericanChinaHospitalization costsMortalityPrehospital transport timeTraumaTrauma registry

Identifiers

PMID41006136
PMCPMC12746257

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.