Analysis of 2,702 Traumatized Patients in the 1995 Hanshin-Awaji Earthquake.
Kuwagata, Yasuyuki MD; Oda, Jun MD; Tanaka, Hiroshi MD; Iwai, Atsushi MD; Matsuoka, Tetsuya MD; Takaoka, Makoto MD; Kishi, Masashi MD; Morimoto, Fumio MD; Ishikawa, Kazuo MD; Mizushima, Yasuaki MD; Nakata, Yasuki MD; Yamamura, Hitoshi MD; Hiraide, Atsushi MD; Shimazu, Takeshi MD; Yoshioka, Toshiharu MD
Journal of Trauma-Injury Infection & Critical Care.
43(3):427-432, September 1997.
Background: This study was undertaken to define the factors that affected the final outcome of trauma patients in the Hanshin-Awaji earthquake.
Methods: Medical records of patients admitted to 95 hospitals within or surrounding the affected area during the first 15 days after the quake were reviewed.
Results: There were 2,702 traumatized patients. One-third of the patients were transported to hospitals in the surrounding area and had a mortality rate of 3%. The remainder, who were treated in the affected hospitals, showed a significantly higher mortality rate (8%; p < 0.05). Intensive care was provided for 513 patients, most of whom suffered from crush syndrome or from injuries to vital organs; these patients had a high mortality rate. Patients with other types of injuries had a lower mortality rate.
Conclusion: Crush syndrome and injuries to vital organs were potentially life-threatening. We believe that early transportation of such patients to undamaged hospitals with the ability to provide intensive care would have improved the survival rate.
(C) Williams & Wilkins 1997. All Rights Reserved.