File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Outcome of severely injured trauma patients at a designated trauma centre in the Hong Kong special administrative region

TitleOutcome of severely injured trauma patients at a designated trauma centre in the Hong Kong special administrative region
Authors
Issue Date2010
PublisherChinese Medical Association. The Journal's web site is located at http://www.cmj.org/
Citation
Chinese Medical Journal, 2010, v. 123 n. 10, p. 1251-1254 How to Cite?
AbstractBackground The Hong Kong Special Administrative Region (HKSAR) of the People's Republic of China (PRC) has seen significant changes in its trauma service over the last ten years including the implementation of a regional trauma system. The author's institution is one of the five trauma centres designated in 2003. This article reports our initial clinical experience. Methods A prospective single-centre trauma registry from January 2004 to December 2008 was reviewed. The primary clinical outcome measure was hospital mortality. The Trauma and Injury Severity Score (TRISS) methodology was used for bench-marking with the North America Major Trauma Outcome Study (MTOS) database. Results There were 1451 patients. The majority (83.9%) suffered from blunt injury. The overall mortality rate was 7.8%. Severe injury, defined as the Injury Severity Score >15, occurred in 22.5% of patients, and was associated with a mortality rate of 31.6%. A trend of progressive improvement was noted. The M-statistic was 0.99, indicating comparable case-mix with the MTOS. The Z- and W-statistics of each individual year revealed fewer, but not significantly so, number of survivors than expected. Conclusions Trauma centre designation was feasible in the HKSAR and was associated with a gradual improvement in patient care. Trauma system implementation may be considered in regions equipped with the necessary socio-economic and organizational set-up.
Persistent Identifierhttp://hdl.handle.net/10722/173001
ISSN
2015 Impact Factor: 0.957
2015 SCImago Journal Rankings: 0.428
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, KKGen_US
dc.contributor.authorHo, Wen_US
dc.contributor.authorTong, KHDen_US
dc.contributor.authorYuen, WKen_US
dc.date.accessioned2012-10-30T06:26:21Z-
dc.date.available2012-10-30T06:26:21Z-
dc.date.issued2010en_US
dc.identifier.citationChinese Medical Journal, 2010, v. 123 n. 10, p. 1251-1254en_US
dc.identifier.issn0366-6999en_US
dc.identifier.urihttp://hdl.handle.net/10722/173001-
dc.description.abstractBackground The Hong Kong Special Administrative Region (HKSAR) of the People's Republic of China (PRC) has seen significant changes in its trauma service over the last ten years including the implementation of a regional trauma system. The author's institution is one of the five trauma centres designated in 2003. This article reports our initial clinical experience. Methods A prospective single-centre trauma registry from January 2004 to December 2008 was reviewed. The primary clinical outcome measure was hospital mortality. The Trauma and Injury Severity Score (TRISS) methodology was used for bench-marking with the North America Major Trauma Outcome Study (MTOS) database. Results There were 1451 patients. The majority (83.9%) suffered from blunt injury. The overall mortality rate was 7.8%. Severe injury, defined as the Injury Severity Score >15, occurred in 22.5% of patients, and was associated with a mortality rate of 31.6%. A trend of progressive improvement was noted. The M-statistic was 0.99, indicating comparable case-mix with the MTOS. The Z- and W-statistics of each individual year revealed fewer, but not significantly so, number of survivors than expected. Conclusions Trauma centre designation was feasible in the HKSAR and was associated with a gradual improvement in patient care. Trauma system implementation may be considered in regions equipped with the necessary socio-economic and organizational set-up.en_US
dc.languageengen_US
dc.publisherChinese Medical Association. The Journal's web site is located at http://www.cmj.org/en_US
dc.relation.ispartofChinese Medical Journalen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshFemaleen_US
dc.subject.meshHong Kongen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshInjury Severity Scoreen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTrauma Centers - Statistics & Numerical Dataen_US
dc.subject.meshTrauma Severity Indicesen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshWounds And Injuries - Mortality - Pathologyen_US
dc.subject.meshYoung Adulten_US
dc.titleOutcome of severely injured trauma patients at a designated trauma centre in the Hong Kong special administrative regionen_US
dc.typeArticleen_US
dc.identifier.emailLeung, KKG: gilberto@hkucc.hku.hken_US
dc.identifier.authorityLeung, KKG=rp00522en_US
dc.description.naturelink_to_OA_fulltexten_US
dc.identifier.doi10.3760/cma.j.issn.0366-6999.2010.10.004en_US
dc.identifier.pmid20529575-
dc.identifier.scopuseid_2-s2.0-77952933748en_US
dc.identifier.hkuros170437-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77952933748&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume123en_US
dc.identifier.issue10en_US
dc.identifier.spage1251en_US
dc.identifier.epage1254en_US
dc.identifier.isiWOS:000278219900004-
dc.publisher.placeChinaen_US
dc.identifier.scopusauthoridLeung, KKG=35965118200en_US
dc.identifier.scopusauthoridHo, W=36855638100en_US
dc.identifier.scopusauthoridTong, KHD=36519903400en_US
dc.identifier.scopusauthoridYuen, WK=7102761292en_US

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats