japan trauma data bank report 2019 (2014-2018) · 2019. 11. 20. · japan trauma data bank report...

Japan Trauma Data Bank Report 2019

(2014-2018)

The Japanese Association for the Surgery of Trauma

(Trauma Registry Committee)

The Japanese Association for Acute Medicine

(Committee for Clinical Care Evaluation)

Japan Trauma Care and Research

© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide

Japan Trauma Data Bank Report 2014-2018


Figure

1A Names of All Hospitals Submitting Data to the JTDB. (N=280, Part 1)

Sapporo City General Hospital

Nikko Memorial Hospital

Sapporo Medical University Hospital

Teine Keijinkai Hospital

Hokkaido University Hospital

Hokuto Hospital

Hokkaido Medical Center

Asahikawa Red Cross Hospital

Sapporo Tokushukai Hospital

Hakodate Municipal Hospital

Hachinohe City Hospital

Hirosaki University School of Medicine & Hospital

Aomori Prefectural Central Hospital

Iwate Medical University Hospital

Iwate Prefectural Kuji Hospital

Iwate Prefectural Central Hospital

Osaki Citizen Hospital

Tohoku University Hospital

Sendai City Hospital

Ishinomaki Red Cross Hospital

Sendai Medical Center

South Miyagi Medical Center

Akita Red Cross Hospital

Akita University Hospital

Yamagata Prefectural Central Hospital

Ohta Nishinouchi Hospital

Aizu Central Hospital

Fukushima Medical University Hospital

Niigata City General Hospital

Niigata University Medical & Dental Hospital

Niigata Prefectural Shibata Hospital

Uonuma Kikan Hospital

Tsukuba Medical Center Hospital

Ibaraki Seinan Medical Hospital

Mito Medical Center

University of Tsukuba Hospital

Ibaraki Prefectural Central Hospital

Mito Saiseikai General Hospital

Dokkyo Medical University Hospital

Jichi Medical University Hospital

Saiseikai Utunomiya Hospital

Gunma University Hospital

Maebashi Red Cross Hospital

Takasaki General Medical Center

Ota Memorial Hospital

Saitama Red Cross Hospital

Kawaguchi Municipal Medical Center

Tokyo Saiseikai Central Hospital

National Center for Child Health and Development

Shirahigebashi Hospital

Japanese Red Cross Medical Center

Tokyo Metropolitan Tama Medical Center

Kokushikan University

Showa University Northern Yokohama Hospital

Yokohama Medical Center

St. Marianna University School of Medicine Hospital

Kanto Rosai Hospital

Yokohama City University Medical Center

Tokai University Hospital

Showa University Fujigaoka Hospital

Kitasato University Hospital

Yokosuka General Hospital Uwamachi

Yokohama City Minato Red Cross Hospital

Nippon Medical School Musashikosugi Hospital

Saiseikai Yokohama-city East Hospital

Shonan Kamakura General Hospital

Yokohama Municipal Citizens Hospital

Odawara Municipal Hospital

Yokosuka Kyosai Hospital

Hiratsuka City Hospital

Fujisawa City Hospital

Yokohama Rosai Hospital

Yokohama Sakae Kyosai Hospital

Shin-Yurigaoka General Hospital

Ebina General Hospital

Kawasaki Municipal Hospital

Yamanashi Prefectural Central Hospital

Saku Central Hospital Advanced Care Center

Shinshu University Hospital

Aizawa Hospital

Suwa Red Cross Hospital

Iida Municipal Hospital

Ina Central Hospital

Nagano Red Cross Hospital

Nagano Municipal Hospital

Chuno Kosei Hospital

Gifu University Hospital

Takayama Red Cross Hospital

Ogaki Municipal Hospital

Gero City Kanayama Hospital

Dokkyo Medical University Koshigaya Hospital

National Defense Medical College Hospital

Saitama Medical University Medical Center

Saitama Medical University International Medical Center

Kuki General Hospital

Fukaya Red Cross Hospital

Jichi Medical University Saitama Medical Center

Funabashi Municipal Medical Center

Asahi General Hospital

Nippon Medical School Chiba Hokusoh Hospital

Chiba Emergency Medical Center

Kameda General Hospital

Kimitsu Chuou Hospital

Juntendo University Urayasu Hospital

Chiba University Hospital

Matsudo City General Hospital

Jikei University Kashiwa Hospital

Tokyo Women’s Medical University Yachiyo Medical Center

Tokyo Bay Urayasu Ichikawa Medical Center

Chiba Rosai Hospital

Eastern Chiba Medical Center

Showa University Hospital

Tokyo Medical Center

Department of Social Medicine, School of Medicine, Nihon

University

National Disaster Medical Center

Musashino Red Cross Hospital

Nippon Medical School Tama Nagayama Hospital

Teikyo University Hospital

National Center for Global Health and Medicine

Tokyo Women’s Medical University Medical Center East

Nippon Medical School Hospital

Kyorin University Hospital

Surugadai Nihon University Hospital

Tokyo Women’s Medical University Hospital

Ohme Municipal General Hospital

Nihon University Itabashi Hospital

Tokyo Medical and Dental University Hospital

Tokyo Metropolitan Bokutoh Hospital

Tokyo Metropolitan Hiroo Hospital

Tokyo Medical University Hospital

Tokyo Medical University Hachioji Medical Center

Keio University Hospital

St. Luke’s International Hospital

Toho University Omori Medical Center

University of Tokyo Hospital

Showa General Hospital



Figure

1B Names of All Hospitals Submitting Data to the JTDB. (N=280, Part 2)

Seirei Mikatahara General Hospital

Numazu City Hospital

Shizuoka Red Cross Hospital

Shizuoka Saiseikai General Hospital

Juntendo University Shizuoka Hospital

Shizuoka General Hospital

Shizuoka Tokushukai Hospital

Chutoen General Medical Center

Fujieda Municipal General Hospital

Hamamatsu University Hospital

Seirei Hamatsu General Hospital

Aichi Medical University Hospital

Nagoya Ekisaikai Hospital

Social Insurance Chukyo Hospital

Okazaki City Hospital

Toyohashi Municipal Hospital

Daiyukai General Hospital

Fujita Health University Hospital

Nagoya City University Hospital

Handa City Hospital

Kasugai Municipal Hospital

Komaki City Hospital

Nagoya Medical Hospital

Japanese Red Cross Nagoya Daini Hospital

Mie University Hospital

Mie Perfectural General Medical Center

Toyama Prefectural Central Hospital

Toyama University Hospital

Kouseiren Takaoka Hospital

Tonami General Hospital

Ishikawa Prefectural Central Hospital

Fukui Prefectural Hospital

University of Fukui Hospital

Omihachiman Community Medical Center

Saiseikai Shigaken Hospital

Kyoto Daini Red Cross Hospital

Kyoto Medical Center

Rakuwakai Otowa Hospital

Fukuchiyama City Hospital

Kyoto Daiichi Red Cross Hospital

Uji-Tokushukai Medical Center

Kyoto Prefectural University of Medicine

Kyoto Okamoto Memorial Hospital

Kyoto University Hospital

Kure Medical Center

Fukuyama City Hospital

Yamaguchi University Hospital

Kanmon Medical Center

Tokuyama Central Hospital

Yamaguchi Grand Medical Center

Tokushima Prefectural Miyoshi Hospital

Tokushima Prefectural Kaifu Hospital

Tokushima Prefectural Central Hospital

Taoka Hospital

Tokushima Red Cross Hospital

Kagawa University Hospital

Kagawa Prefectural Central Hospital

Ehime Prefectural Central Hospital

Ehime University Hospital

Ehime Prefectural Niihama Hospital

Kochi Medical Center

Chikamori Hospital

Kochi Red Cross Hospital

Kitakyushu General Hospital

Kokura Memorial Hospital

Saiseikai Fukuoka General Hospital

Fukuoka University Hospital

St. Maria’s Hospital

Kurume University Hospital

Iizuka Hospital

Ohtemachi Hospital

Kitakyushu Municipal Yahata Hospital

Kyushu University Hospital

Fukuoka Wajiro Hospital

Fukuoka Red Cross Hospital

Fukuoka Higashi Medical Center

Shinyukuhashi Hospital

Kyushu Medical Center

Saga-ken Medical Center Koseikan

Saga University Hospital

Ureshino Medical Center

Nagasaki Medical Center

Nagasaki University Hospital

Arao Municipal Hospital

Kumamoto Red Cross Hospital

Kumamoto Medical Center

Saiseikai Kumamoto Hospital

Rinku General Medical Center

Osaka Mishima Emergency Medical Center

Kinki University Hospital

Kishiwada Tokushukai Hospital

Osaka University Hospital

Osaka City General Hospital

Kansai Medical University Takii Hospital

Osaka City University Hospital

Saiseikai Senri Hospital

Osaka General Medical Center

Osaka Medical Center

Nakakawachi Medical Center of Acute Medicine

Kansai Medical University Hirakata Hospital

Sakai City Medical Center

Osaka Police Hospital

Kobe University Hospital

Hyogo Emergency Medical Center

Toyooka Hospital

Tajima Emergency & Critical Care Medical Center

Public Muraoka Hospital

Kansai Rosai Hospital

Hyogo Prefectural Nishinomiya Hospital

Hyogo Prefectural Kakogawa Medical Center

Hyogo Prefectural Awaji Hospital

Hospital of Hyogo College of Medicine

Kobe City Medical Center General Hospital

Steel Memorial Hirohata Hospital

Himeji Emergency, Trauma and Critical Center

Nara Prefectural General Medical Center

Nara Medical University Hospital

Kindai University Nara Hospital

Wakayama Medical University Hospital

Japanese Red Cross Wakayama Medical Center

Tottori University Hospital

Shimane University Hospital

Shimane Prefectural Central Hospital

Okayama University Hospital

Tsuyama Chuo Hospital

Kawasaki Medical School Hospital

Kurashiki Central Hospital

Hiroshima Prefectural Hospital

Chugoku Rosai Hospital

Hiroshima University Hospital


Figure

1C


Names of All Hospitals Submitting Data to the JTDB. (N=280, Part 3)

Oita University Hospital

Almeida Memorial Hospital

Miyazaki Prefectural Miyazaki Hospital

Miyazaki University Hospital

Miyazaki Zenjinkai Hospital

Miyakonojo Regional Medical Center

Osumikanoya Hospital

Kagoshima City Hospital

Yonemori Hospital

Urasoe General Hospital

Nakagami Hospital

Okinawa Prefectural Chubu Hospital

Okinawa Prefectural Hokubu Hospital

Ryukyu University Hospital

Tomishiro Central Hospital

Okinawa Prefectural Nanbu Medical Center / Nanbu Child

Medical Center

The JTDB report 2019 was published using cases of all registered hospitals from 2004 to

2015 and using cases registered in 2016, 2017, and 2018 at only 161 hospitals which accepted trauma patients’ registry in each ethical committee before June 25th, 2019.


Figure

2


Number of Hospitals Submitting to the JTDB by Region. N

um

ber

of

Ho

spit

als

Region



Figure

3 Number of Patients by Age.

Nu

mb

er o

f P

ati

ents

Age (years)

0

500

1000

1500

2000

2500

3000

3500

4000

0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100

105

110

115

120



Figure

4

0

500

1000

1500

2000

25000 5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

110

115

120

Male

Female

Patients by Age and Gender.

Nu

mb

er o

f P

ati

ents

Age (years)



Figure

5 Patients by mechanism of injury



Table

5 Patients by mechanism of injury



Figure

6 Mechanism of injury by age



Figure

7 Death by mechanism of injury

Case Fatality by age Figure

8



Case fatality at each age category (Case Fatality=number of deaths divided by the number

of patients at each category x 100 by age)

0

2

4

6

8

10

12

<1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94 95<

Cas

e F

atal

ity[

%]

Age[Year]

Case Fatality by age and gender Figure

9



0

5

10

15

20

25

<1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94 95<

Cas

e

Fata

lity［

％］

Age［year］

Male

Female

Figure

10 Case Fatality by mechanism of injury and age



0.00

10.00

20.00

30.00

40.00

50.00

60.00

<1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94 95<

Cas

e F

atal

ity[

%]

Age [Year]

Motor vehicle accident

Fall

Tumble

Burn

Stub/Cut

Other



Figure

11A Proportional distribution of hospitalized days in death cases n =14,851

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

within 1 day 2-7 days 8-28days over 29 days unspecified

The category within 1 day includes CPAOA patients.

Nu

mb

er

of

pat

ien

ts



Figure

11B Proportional distribution of hospitalized days by mechanism of

injury in death cases n =14,851

0 500 1000 1500 2000 2500 3000 3500

Motor

Fall

Tumbled

unspecified

Fire / burn

Others

Transport others

Cut / piece

Crush

Machinery

Falling objects

Sports

Explosive

Firearm

Mechanism of injury

Number of patients

unspecified

over 29 days

8-28 days

2-7 days

within 1 day

Others; other blunt / penetrating Motor; Motor vehicle traffic includes pedal cyclist and pedestrian victims



Figure

12

Proportional distribution of hospitalized days,

grouped by mechanism of injury n =170,666

0 5000 10000 15000 20000 25000 30000

Motor

Tumbled

Fall

unspecified

Sports

Cut / piece

Others

Fire / burn

Crush

Machinery

Transport others

Falling objects

Stake

Explosive

FirearmMechanism of injury

Number of patients

over 29 days

8-28 days

2-7 days

within 1 day

Others; other blunt / penetrating Motor; Motor vehicle traffic includes pedal cyclist and pedestrian victims.



Motor

Vehicle

traffic

Tumbled Fall unspecified Sports Cut /

piece

Other

blunt/penet

rating

Fire / burn

within 1 day 4903 1843 3730 474 158 369 492 341

２－７days 15299 9795 8865 1548 1675 1484 1525 1052

８-２８days 20235 25819 13551 2208 1204 1397 1733 930

over ２９ days 14967 13696 10200 1398 338 589 817 1059

Total 55404 51144 36346 5628 3375 3839 4567 3382

Crush Machinery Transport

others

Falling

objects Stake Explosive Firearm Total

within 1 day 240 123 358 72 9 3 8 13114

２－７days 436 380 317 275 45 17 8 42721

８-２８days 792 713 415 460 45 17 5 69524

over ２９ days 756 686 392 379 9 13 8 45307

Total 2224 1902 1482 1186 108 50 29 170666

Table

12 Proportional distribution of hospitalized days,

grouped by mechanism of injury. n = 170,666



Figure

13A Total hospital length of stay by mechanism of Injury

n = 170,666 Over all total hospital length of stay was 4,049,382 days.

0 400000 800000 1200000 1600000

Motor vehicle traffic

Tumbled

Fall

unspecified

Others

Cut / piece

Fire / burn

Sports

Crush

Machinery

Transport others

Falling objects

Stake

Explosive

Firearm



Average hospital length of stay by mechanism of injury n = 170,666 Figure

13B

24.32

24.24

23.86

21.41

17.61

17.16

31.17

12.45

27.29

33.93

22.91

26.18

17.42

29.07

0 5 10 15 20 25 30 35 40

Motor vehicle traffic

tumbled

Fall

unspecified

Other blunt / penetrating

Cut / piece

Fire / burn

Sports

Crush

Machinery

Transport others

Falling objects

Stake

Explosive

Average of hospital length of stay in days



Total and average hospital length of stay by mechanism of injury n = 170,666 Table

13

Mechanism of injury Number of patients / % Total hospital LOS

in days Average of hospital

LOS in days

Motor vehicle traffic 55,404 32.46 1,347,162 24.32

tumbled 51,114 29.97 1,239,710 24.24

Fall 36,346 21.30 867,315 23.86

unspecified 5,628 3.30 120,522 21.41

Other blunt / penetrating 4,567 2.68 80,430 17.61

Cut / piece 3,839 2.25 65,864 17.16

Fire / burn 3,382 1.98 99,535 31.17

Sports 3,375 1.98 42,028 12.45

Crush 2,244 1.30 61,795 27.79

Machinery 1,902 1.11 64,530 33.93

Transport others 1,482 0.87 21,929 22.91

Falling objects 1,186 0.69 31,055 26.18

Stake 108 0.06 1,313 17.42

Explosive 50 0.03 5,447 29.07

Firearm 29 0.02 747 25.76

Total 170,666 100% 4,049,382 23.81


Figure

14 Patients and Injury Severity Score (ISS)

30551, 16.7%

73857, 40.4%

38052, 20.8%

23502, 12.8%

7088, 3.9%

9983, 5.5%

1-8

9-15

16-24

25-40

41-75

Unknown

N= 183,033

ISS

Proportional distribution of patients grouped by categories of the ISS range.

The number of patients of ISS 9-15 category was the most of all categories.



Figure

15 Patients by ISS and Age

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Nu

mb

er o

f P

ati

ents

Age（years）

1-8 9-15 16-24 25-40 41-75ISS

N= 172,877

Number of injured patients grouped by ISS range at each age.

The peaks of the number of patients based on age distribution were seen at over 75 ages of ISS 9-15,

and at 65-84 ages of another ISS categories.



Table

15

0 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85- Unknown Total

1-8 120 776 1092 1070 2117 2020 2876 3265 3590 3502 4217 3739 2143 24 30551

9-15 134 693 1615 1346 2350 2347 3550 4776 5974 7347 11168 16127 16366 64 73857

16-24 181 344 549 471 1249 1258 2146 2867 3981 5096 7765 7993 4124 28 38052

25-40 53 152 240 270 926 981 1401 2026 2550 3007 4626 4819 2422 29 23502

41-75 3 31 57 89 319 405 603 752 877 914 1266 1263 481 28 7088

Unknown 68 287 282 244 444 530 790 909 1120 1129 1588 1562 948 82 9983

Total 559 2283 3835 3490 7405 7541 11366 14595 18092 20995 30630 35503 26484 255 183033

Age

ISS

Patients by ISS and Age



Figure

16A Deaths and Injury Severity Score (ISS)

283, 1.9%

1441, 9.7%

2225, 15.0%

5781, 38.9%

4026, 27.1%

1095, 7.4%

1-8

9-15

16-24

25-40

41-75

Unknown

ISS

N= 14,851

Proportional distribution of deaths grouped by categories of ISS range.

Deaths in ISS 25-40 category were the highest.



Figure

16B Case Fatality by Injury Severity Score (ISS) Range

0

10

20

30

40

50

60

1-8 9-15 16-24 25-40 41-75 Unknown

Case

Fata

lity

(%

)

Injury Severity Score

N= 14,851

0.9 2.0 5.9

24.6

57.0

11.1

Case fatality grouped by ISS range was higher in severe trauma category.

(Case fatality = number of deaths divided by the number of patients × 100 by ISS range).



Figure

17

0

200

400

600

800

1000

1200

1400

1600

Nu

mb

er o

f P

ati

ents

Age（years）

1-8 9-15 16-24 25-40 41-75ISS

N= 13,718

Deaths by ISS and Age

The peak was seen at elderly ages in all ISS categories.



Table

17

0 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85- Unknown Total

1-8 1 2 0 3 7 5 7 19 27 35 48 58 71 0 283

9-15 0 5 0 2 15 25 40 63 88 122 217 369 494 1 1441

16-24 9 7 9 5 37 58 107 129 188 229 398 614 433 2 2225

25-40 5 30 17 21 154 175 262 383 515 670 1156 1480 898 15 5781

41-75 0 19 24 48 154 215 342 435 489 530 692 742 316 20 4026

Unknown 3 2 3 6 37 65 97 111 158 132 180 203 91 7 1095

Total 18 65 53 85 404 543 855 1140 1465 1718 2691 3466 2303 45 14851

ISS

Deaths by ISS and Age

Age




Figure

18 Deaths by Age and Gender (ISS<=15)

Male N=54869

Female N=44412

Nu

mb

er

of

Dea

ths

Age (Years) ■Female ■Male

Deaths for patients with ISS<=15 for males and females at each age category.

N=99281

0

50

100

150

200

250

300

350

0 1–4 5–9 10–14 15–19 20–24 25–34 35–44 45–54 55–64 65–74 75–84 85–



Figure

19 Deaths by Age and Gender (ISS>15)

Female N=20130

Male N=46281

■Female ■Male Deaths for patients with ISS>15 for males and females at each age category.

Age (Years)

Nu

mb

er o

f D

eath

s

N=66411

0

200

400

600

800

1000

1200

1400

1600

1800

2000

0 1–4 5–9 10–14 15–19 20–24 25–34 35–44 45–54 55–64 65–74 75–84 85–



Figure

20A Total Hospital LOS and Injury Severity Score (ISS)

Excluded: LOS<0 or >365

Total Hospital LOS and Injury Severity Score (ISS) To

tal H

osp

ital

LO

S in

Day

s

Proportional distribution of total hospital length of stay for patients, grouped by ISS range.

ISS Range

N=164914

36764

70792

28059

22620

6679

0

200000

400000

600000

800000

1000000

1200000

1400000

1600000

1800000

1–8 9–15 16–24 25–40 41–75



Figure

20B Average Hospital LOS and Injury Severity Score A

vera

ge H

osp

ital

LO

S in

Day

s

Average hospital length of stay for each category of ISS range. (Average hospital length of stay

= total hospital length of stay for each ISS range divided by the total number of patients).

ISS Range

N=164914

342735 days /28059 patients

1557103/70792 814649/36764

669076/22620

156945/6679

0

5

10

15

20

25

30

35

1–8 9–15 16–24 25–40 41–75



Figure

21 Distribution of patients by probability of survival (Ps)

7,151, 4% 3,524, 2%

4,845, 3%

122,555, 67%

44,958, 24%

0-0.25

0.25-0.5

0.5-0.75

0.75-1.0

Unknown



Figure

22A Distribution of deaths by probability of survival (Ps)

4,584, 31%

718, 5%

964, 7%

360, 2%

626, 4% 314, 2% 715, 5%

584, 4%

701, 5%

1,226, 8%

4,059, 27%

0-0.1

0.1-0.2

0.2-0.3

0.3-0.4

0.4-0.5

0.5-0.6

0.6-0.7

0.7-0.8

0.8-0.9

0.9-1.0

n/a



Figure

22B Case fatality by probability of survival (Ps)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Fata

lity

Probability of survival



Figure

23 The number of patients in traffic accidents by types of vehicle and age

0

250

500

750

1000

1250

1500

1750

2000

2250

2500

Nu

mb

er o

f p

atie

nts

Age(years)

Car Motorcycle Bicycle Pedestrian Other vehicles



Figure

24 The number of patients in car accident by drivers and passengers and age

0

200

400

600

800

1000

1200

1400

Nu

mb

er o

f p

atie

nts

Age(years)

Car Front-seat passenger



The number of patients in car accident (driver) by gender and age Figure

25

0

100

200

300

400

500

600

700

800

900

1000

Nu

mb

er o

f p

atie

nts

Age(years)

Male Female



Figure

26 The number of patients in car accident (passenger) by gender and age

0

50

100

150

200

250

Nu

mb

er o

f p

atie

nts

Age(years)

Male Female

16～

20

21～

25

26～

30

31～

35

36～

40

41～

45

46～

50

51～

55

56～

60

61～

65

66～

70

71～

75

76～

80

81～

85 86～

Number of Deaths 18 69 44 50 45 55 56 54 55 74 116 87 99 107 77

Fatality(%) 3.5 5.4 5.2 6.6 5.9 5.7 5.6 5.8 6.1 7.3 8.8 8.2 10.6 14.9 19.3

0

5

10

15

20

25

0

20

40

60

80

100

120

140

Fata

lity

(%)

Nu

mb

er

of

De

ath

s Figure

27 Number of Deaths and Fatalities of Motor Vehicular Drivers by Age



16～20

21～25

26～30

31～35

36～40

41～45

46～50

51～55

56～60

61～65

66～70

71～75

76～80

81～85

86～

Number of Female Deaths 3 10 12 7 9 9 9 11 10 12 22 14 21 12 15

Number of Male Deaths 15 59 31 43 36 46 47 43 45 62 94 73 77 95 62

0

20

40

60

80

100

120

140

Nu

mb

er

of

Pat

ien

ts

Figure

28 Number of Deaths of Motor Vehicular Drivers by Age and Genders





Figure

29 Proportional distribution of registered patients, groped by intent

154663, 85.3%

9425, 5.2%

9937, 5.5%

1943, 1.1% 2521, 1.4% 2859, 1.6%

Unintentional

Self-inflicted

Occupant

Assault

Other

Undetermined



Figure

30 Proportional distribution of deaths, grouped by intent

10468, 71.1%

2522, 17.1%

565, 3.8%

150, 1.0%

145, 1.0% 883, 6.0%

Unintentional

Self-inflicted

Occupant

Assault

Other

Undetermined



Figure

31 Gender proportion of Unintentional and Occupant

Male

Female

Unknown

101248 patients 61.51 ％

63298 patients 38.46 ％

54 patients 0.03 ％

0

2000

4000

6000

8000

10000

12000

14000

16000

Nu

mb

er

of

Pat

ien

ts

Age（years） Male Female

Figure

32



Unintentional and Occupant by Age and Gender

Age Male Female Total

< 1 318 163 481

1‐ 4 1326 843 2169

5‐ 9 2554 1166 3720

10‐14 2429 765 3194

15‐19 5234 1411 6645

20‐24 5011 1420 6431

25‐34 7452 1830 9282

35‐44 9716 2434 12150

45‐54 12061 3543 15604

55‐64 13479 5375 18854

65‐74 17478 10618 28096

75‐84 16143 16848 32991

85‐ 7960 16841 24801

Unknown 87 41 128

Total 101248 63298 164546

Table

32



Unintentional and Occupant by Age and Gender

0

50

100

150

200

250

Nu

mb

er

of

Pat

ien

ts

Age（years） Male Female

Figure

33



Assault by Age and Gender

Age Male Female Total

< 1 15 9 24

1‐ 4 14 6 20

5‐ 9 16 5 21

10‐14 35 3 38

15‐19 96 17 113

20‐24 116 28 144

25‐34 212 62 274

35‐44 268 92 360

45‐54 235 90 325

55‐64 176 60 236

65‐74 139 60 199

75‐84 70 78 148

85‐ 16 23 39

Unknown 2 0 2

Total 1410 533 1943

Table

33



Assault by Age and Gender



Figure

34 Self-inflicted by Age and Gender

0

50

100

150

200

250

300

350

400

450

500

Nu

mb

er

of

Pat

ien

ts

Age (years)

Male Female



Table

34

0-4 5-9 10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90-94

95- Unkno

wn Total

Female 4 7 64 205 362 363 341 351 368 358 245 214 214 192 166 145 91 54 13 9 6 3772

Male 11 5 65 189 293 334 308 403 432 378 348 241 246 272 219 165 126 61 29 19 14 4158

Total 15 12 129 394 655 697 649 754 800 736 593 455 460 464 385 310 217 115 42 28 20 7930

Age

Sex

Self-inflicted by Age and Gender

0-4 5-9 10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90-94

95- Unkno

wn Total

Female 14 11 78 256 423 425 345 348 372 384 296 253 217 240 218 174 140 79 34 14 6 4327

Male 23 18 90 249 347 383 339 458 469 441 411 338 313 352 294 222 179 97 35 3 36 5097

Total 37 29 168 505 770 808 684 806 841 825 707 591 530 592 512 396 319 176 69 17 42 9424



Figure

35A Total Hospital LOS by Intent

3432713

223606 25966 58693 53298 25263

0

500000

1000000

1500000

2000000

2500000

3000000

3500000

4000000

Unintentional Self-inflicted Assault Undermined Other Unknown

Tota

l Ho

spit

al L

OS

in D

ays

Industrial accident was included in the category of

“Unintentional”.



Figure

35B Average Hospital LOS by Intent

22.2

25.2

14.2

24.0

19.8

23.2

0.0

5.0

10.0

15.0

20.0

25.0

30.0

Unintentional Self-inflicted Assault Undermined Other Unknown

Ave

rage

Ho

spit

al L

OS

in D

ays

Average hospital length of stay in days = total hospital

length of stay divided by the number of patients by intent.



Figure

36 Number of patients with Injured Body Parts based on AIS

65824

25826

2279

46041

16652

34423

41931

73718

10393

0

10000

20000

30000

40000

50000

60000

70000

80000

Injured body part

Nu

mb

er

of

pat

ien

ts



Figure

37A Head Injury and max AIS Score

7634, 12%

7399, 11%

18730, 28%

20270, 31%

10953, 17%

569, 1% 269, 0%

maxAIS 1

maxAIS 2

maxAIS 3

maxAIS 4

maxAIS 5

maxAIS 6

Unknown



Figure

37B Facial Injury and max AIS Score

14389, 56%

10032, 39%

1223, 5% 120, 0% 62, 0%

maxAIS 1

maxAIS 2

maxAIS 3

maxAIS 4

Unknown



Figure

37C Neck Injury and max AIS Score

1104, 48%

359, 16%

562, 25%

78, 3%

38, 2% 138, 6%

maxAIS 1

maxAIS 2

maxAIS 3

maxAIS 4

maxAIS 5

Unknown



Figure

37D Thoracic Injury and max AIS Score

4227, 9%

4679, 10%

17922, 39%

14264, 31%

3917, 9%

663, 1% 369, 1%

maxAIS 1

maxAIS 2

maxAIS 3

maxAIS 4

maxAIS 5

maxAIS 6

Unknown



Figure

37E Injury of Abdomen/Pelvic Contents and max AIS Score

2499, 15%

5925, 35%

5524, 33%

2119, 13%

443, 3% 18, 0% 124, 1%

maxAIS 1

maxAIS 2

maxAIS 3

maxAIS 4

maxAIS 5

maxAIS 6

Unknown



Figure

37F Spinal Injury and max AIS Score

1592, 5%

15329, 44%

9564, 28%

5753, 17%

1654, 5% 418, 1% 113, 0%

maxAIS 1

maxAIS 2

maxAIS 3

maxAIS 4

maxAIS 5

maxAIS 6

Unknown



Figure

37G Injury of Upper Extremities and max AIS Score

9952, 24%

21608, 51%

10362, 25%

9, 0%

maxAIS 1

maxAIS 2

maxAIS 3

Unknown



Figure

37H Injury of Lower Extremities and max AIS Score

8987, 12%

15368, 21%

44459, 61%

3165, 4%

1685, 2% 54, 0%

maxAIS 1

maxAIS 2

maxAIS 3

maxAIS 4

maxAIS 5

Unknown



Figure

37I Skin/Burns/Other Trauma and max AIS Score

7770, 75%

647, 6%

969, 9%

372, 4%

512, 5% 123, 1%

maxAIS 1

maxAIS 2

maxAIS 3

maxAIS 4

maxAIS 5

maxAIS 6



Figure

38 Number of Patients and Injured Body Parts based on AIS

96137

37957

22937

11005 4473 1370 213 15 1

0

20000

40000

60000

80000

100000

120000

1 2 3 4 5 6 7 8 9

Nu

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of

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JAPAN TRAUMA DATA BANK

REPORT 2019 (2014-2018)

The Japanese Association for Acute Medicine

Trustee: Tetsuya Sakamoto, MD

Chairman: Naoto Morimura, MD

The Japanese Association for the Surgery of Trauma

Chairman: Daizoh Saitoh, MD

Task Force: Tomokazu Abe, MD

Masato Ueno, MD

Yasuyuki Uchida, MD

Jun Oda, MD

Akio Kimura, MD

Yuichiro Sakamoto, MD

Atsushi Shiraishi, MD

Keiji Tanaka, MD

Hideo Tohira, MD

Shinji Nakahara, MD

Munetaka Hayashi, MD

Tomohiko Masuno, MD

Yasuhumi Miyake, MD

Yoshihiro Yamaguchi, MD

November 16, 2019

japan trauma data bank report 2019 (2014-2018) · 2019. 11. 20. · japan trauma data bank report...

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