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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
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
Figure
1C
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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.
Japan Trauma Data Bank Report 2014-2018
Figure
2
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Number of Hospitals Submitting to the JTDB by Region. N
um
ber
of
Ho
spit
als
Region
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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)
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Figure
5 Patients by mechanism of injury
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
Table
5 Patients by mechanism of injury
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Figure
6 Mechanism of injury by age
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Figure
7 Death by mechanism of injury
Case Fatality by age Figure
8
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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.
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
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.
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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.
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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.
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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).
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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.
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
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
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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–
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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–
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
Assault by Age and Gender
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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”.
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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.
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
Japan Trauma Data Bank Report 2014-2018
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
mb
er
of
pat
ien
ts
© Japan Trauma Care and Research 2019. All Rights Reserved Worldwide
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
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