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Related Factors Associated With Earthquake Inpatient Mortality

Published online by Cambridge University Press:  10 July 2020

Sijia Liu  and
Chengqi He
Sijia Liu
Affiliation:
Department of Rehabilitation Medicine, West China Hospital, Sichuan University
Chengqi He*
Affiliation:
Department of Rehabilitation Medicine, West China Hospital, Sichuan University
*
Correspondence and reprint requests to Cheng-qi He, Department of Rehabilitation Medicine, West China Hospital, Sichuan University, 610000 (e-mail: liusijia@wchscu.cn).
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Abstract

Objectives:

To date, we have only limited evidence of the determinants of earthquake inpatient mortality-related factors. This study is among the first to explore related factors of inpatient deaths using data from multiple hospitals and multiple earthquakes.

Methods:

We included and retrospectively analyzed data on 32,976 earthquake inpatients in the West China Earthquake Patients Database. Of these, we analyzed the records of 284 patients who died during hospitalization. We collected 12 dichotomous variables with reference to previous reports: patients’ age (both ≤ 15 years and ≥ 65 years), gender, prehospital treatment, intensive care unit (ICU) admission, the presence of severe traumatic brain injury (TBI), trunk injury, severe poly-trauma, crush syndrome, multiple-system organ failure (MSOF), infection, and cardiac/respiratory disease. We performed multivariate logistic regression analysis to explore independent related factors of mortality.

Results:

Ultimately, we identified severe TBI, MSOF, old age (≥ 65 years), ICU admission, crush syndrome, and cardiac/respiratory disease as independent mortality-related factors. Severe TBI was the greatest risk factor of inpatient death (ods ratio [OR], 31.913, 95% confidence interval [CI], 20.484-49.720), followed by MSOF (OR 30.905, 95% CI, 21.733-43.947).

Conclusion:

To reduce earthquake inpatient mortalities, the related factors analyzed in this study should be prioritized in future inpatient earthquake response strategies.

Keywords

earthquakemortalityrelated factors
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 1 , February 2022 , pp. 65 - 70
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Wen, J, Shi, YK, Li, YP, et al. Risk factors of earthquake inpatient death: a case control study. Crit Care. 2009;13(1):R24.10.1186/cc7729CrossRefGoogle ScholarPubMed
Dulski, TM, Basavaraju, SV, Hotz, GA, et al. Factors associated with inpatient mortality in a field hospital following the Haiti earthquake, January-May 2010. Am J Disaster Med. 2011;6(5):275–284.CrossRefGoogle Scholar
Cheng, HC, Nieh, JH, Hsu, TH, et al. Using the patient data in the Hualien earthquake to analyze the reasons of visit, the trauma injury sites and the severity. Prehosp Disaster Med. 2019;34(Suppl 1):s176.10.1017/S1049023X19004059CrossRefGoogle Scholar
Osaki, Y, Minowa, M. Factors associated with earthquake deaths in the great Hanshin-Awaji earthquake, 1995. Am J Epidemiol. 2001;153(2):153–156.10.1093/aje/153.2.153CrossRefGoogle ScholarPubMed
Peek-Asa, C, Ramirez, M, Seligson, H, et al. Seismic, structural, and individual factors associated with earthquake related injury. Inj Prev. 2003;9(1):62–66.10.1136/ip.9.1.62CrossRefGoogle ScholarPubMed
Hai, H, Ya-rong, H, Xin-miao, D, et al. Chief complaints associated with mortality involving civilian transport after Wen-chuan earthquake. Eur J Emerg Med. 2014;21(5):364–367.10.1097/MEJ.0000000000000104CrossRefGoogle ScholarPubMed
Hu, Hai, He, Y, Zhang, S, et al. Streamlined focused assessment with sonography for mass casualty prehospital triage of blunt torso trauma patients. Am J Emerg Med. 2014;32(7):803–806.10.1016/j.ajem.2014.03.014CrossRefGoogle ScholarPubMed
Gao, R, Yang, L, Yuan, W, et al. Overview of polytrauma patients in the first 10 days after the Sichuan earthquake: a report from the No. 903 Military Hospital, Jiangyou. Eur J Trauma Emerg Surg. 2012;38(2):85–88.10.1007/s00068-012-0182-1CrossRefGoogle ScholarPubMed
Bulut, M, Fedakar, R, Akkose, S, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J. 2005;22(7):494–498.10.1136/emj.2004.016295CrossRefGoogle ScholarPubMed
Kloner, RA. Lessons learned about stress and the heart after major earthquakes. Am Heart J. 2019;215:20–26.10.1016/j.ahj.2019.05.017CrossRefGoogle ScholarPubMed
Tanaka, H, Oda, J, Iwai, A, et al. Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. Am J Emerg Med. 1999;17(2):186–191.10.1016/S0735-6757(99)90059-1CrossRefGoogle ScholarPubMed
Kernan, WN, Viscoli, CM, Brass, LM, et al. Phenylpropanolamine and the risk of hemorrhagic stroke. N Engl J Med. 2000;343(25):1826–1832.CrossRefGoogle ScholarPubMed
Pant, B, Banjade, S. Geriatric care post mega earthquake 2015 Nepal. Innov Aging. 2017;1:538.CrossRefGoogle Scholar
Wang, D, Chen, L. Emergency response of the central hospital in the earthquake-stricken area. Chin J Hosp Admin. 2008;24(8):507–509.Google Scholar
Halpern, P, Rosen, B, Carasso, S, et al. Intensive care in a field hospital in an urban disaster area: lessons from the August 1999 earthquake in Turkey. Crit Care Med. 2003;31(5):1410–1414.CrossRefGoogle Scholar
Igarashi, Y, Matsumoto, N, Kubo, T, et al. A systematic review of earthquake-related head injuries. Prehosp Disaster Med. 2019;34(Suppl 1):s171.10.1017/S1049023X19003911CrossRefGoogle Scholar
Zhang, L, Zhao, M, Fu, W, et al. Epidemiological analysis of trauma patients following the Lushan earthquake. PLoS One. 2014;9(5):e97416.10.1371/journal.pone.0097416CrossRefGoogle ScholarPubMed
Bartels, SA, VanRooyen, MJ. Medical complications associated with earthquakes. Lancet. 2012;379:748–757.10.1016/S0140-6736(11)60887-8CrossRefGoogle ScholarPubMed
Zhu, C, Ji, S, Junxing, K, et al. Emergency medical rescue after major earthquake: lesson from Wenchuan earthquake. Chin J Evid-based Med. 2012,12(4):383–392.Google Scholar
Najafi, I, Safari, S, Sharifi, A, et al. Practical strategies to reduce morbidity and mortality of natural catastrophes: a retrospective study based on Bam earthquake experience. Arch Iran Med. 2009;12(4):347–352.Google ScholarPubMed
Tanaka, H, Oda, J, Atsushi, I. Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. Am J Emerg Med. 1999;17:186–191.CrossRefGoogle ScholarPubMed
Bulut, M, Fedakar, R, Akkose, S, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J. 2005;22:494–498.CrossRefGoogle ScholarPubMed
He, Q, Wang, F, Li, G, et al. Crush syndrome and acute kidney injury in the Wenchuan earthquake. J Trauma. 2011;70(5):1213–1217.Google ScholarPubMed
Li, Ting, Jiang, Xieyuan, Chen, Hui, et al. An epidemiological survey of orthopedic injury in 2010’sYushu earthquake. Chin J Orthop Trauma. 2013;6:486–489.Google Scholar
Xue, Z, Yang, Z, Sun, H, et al. Epidemiological analysis of respiratory and intestinal infectious diseases in three counties of Sichuan: the baseline survey of Disaster Mitigation Demonstration Area in western China. Peer J. 2019;7:e7341.10.7717/peerj.7341CrossRefGoogle ScholarPubMed
Chou, YJ, Huang, N, Lee, CH, et al. Who is at risk of death in an earthquake? Am J Epidemiol. 2004;160(7):688–695.CrossRefGoogle Scholar
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