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A survey on the epidemiology of trauma and China trauma care training in subtropical regions of Hainan Province
Authors: Jiang-Ling Yao1 , Chang-Xi Zhou2 , Ji-Min Fu3 , Jian Fu1 , Yun-Tao Gu1 , Zhu-Long Meng1 , Lei Peng1 , Zhong-Lin Zhou
Number of views: 324
Objective: To investigate the epidemiology of trauma patients in subtropical areas of Hainan
Province and the improvement of the level of trauma treatment in China trauma care training
(CTCT). Methods: From 01-01-2015 to 01-01-2016, the epidemiological data of 2 476
patients with trauma were collected. From 01-01-2016 to 01-01-2017, 105 professional doctors
and nurses in emergency surgery took part in CTCT, and their knowledge were compared
before and after training. Results: There were 1 656 male and 820 female trauma patients
with 1 614 cases in the middle and young age and 478 cases were the elderly. In terms of
occupational distribution, 736 peasants, 574 workers and 458 retirees were involved. In May,
the number of patients was the highest 332. October to January was the high-incidence season
of trauma. In 24 hours a day: 11:00-13:00, 18:00-19:00, 23:00-03:00 were the high incidence
periods. Referred to trauma sites, 904 cases of trauma happened on roads, 540 cases in family
and 370 cases in restaurants or entertainment facilities. Through CTCT, the scores of the
theoretical examination, the assessment of the trauma treatment skills and the field test scores
of the emergency surgery practitioners were better than before (P<0.05).The misdiagnosis
rate of severe trauma patients decreased from 26.21% to 15.36% (P<0.05). The mortality
rate of severe trauma patients decreased from 18.67% to 13.94% (P<0.05). Conclusions:
Trauma epidemiology in Hainan is closely related to its special geographical environment,
which provides a reference for the prevention and treatment of trauma in Hainan, and some
information for the government to formulate corresponding laws and regulations, as well as
emergency plans and other relevant strategies. CTCT training improves the level of theoretical
knowledge and first aid skills of medical personnel involved in trauma treatment. Health
departments and medical education departments may consider extending CTCT training and
continuing education programs to Hainan and other parts of China.