Analysis of 420 Fractured Inpatients in the Front-line Hospital of Grade III Level A after Wenchuan Earthquake_Chinese Journal of Evidence-Based Medicine

Authors：

LIU Yuehong ¹ , CHEN Xi ¹ , JIANG Wei ¹ , LIU Shuping ¹ , ZHOU Yu ¹ , ZHANG Desheng ¹ , YANG Lejin ¹ , WU Qi ²

1. Department of Orthopedics, the People’s Hospital of Deyang City, Deyang 618000, China2. Administration of Medical and Teaching, the People’s Hospital of Deyang City, Deyang 618000, China;

Corresponding author：

Keywords：

Frontier third-class one-grade hospital; Wenchuan earthquake; Fracture

DOI：

10.7507/1672-2531.20090057

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Objective 　To retrospectively analyze the 420 fractured inpatients in the People’s Hospital of Deyang city seven days after the Wenchuan earthquake, so as to provide reference for the improvement of emergency plans earthquakes and the subsequent treatment of fracture patients.
Methods 　The analysis was based on the data provided by the Department of Orthopedics of the Hospital up until July 18,2008. The software Microsoft EXCEL was used for data input, and SPSS 13.0 was used for statistical analysis.
Results 　Up to July 18 420 cases from the disaster area have been treated in the department of orthopedics, including 176 men (41.9%) and 244 women (58.1%), the age was from 1 to 102 years and a median age of 43 years (2 761) among the inpatients. Most patients(328 cases) were sent to the hospital within the first three days after the quake (78.1%), and the number of inpatients were 92 4-7 days after the quake. The wounded were mainly from Mianzhu,
Shifang , and Guanghan. The admission fracture diagnoses were tibial fractures (18.8%), fibular fractures (16.6%), and femoral fractures (14.9%). The major treatments were splinting, plaster fixation, or traction for closed fractures (301 cases), internal fixation or external fixation for malreduction (85 cases), and debridement suture and plaster fixation for open fractures (78 cases).
Conclusion 　It is a vital to develop an emergent plan for fracture patients after an earthquake disaster and to strengthen the reserve of medical supplies, personnel training, and individual therapy.

Citation： LIU Yuehong,CHEN Xi,JIANG Wei,LIU Shuping,ZHOU Yu,ZHANG Desheng,YANG Lejin,WU Qi. Analysis of 420 Fractured Inpatients in the Front-line Hospital of Grade III Level A after Wenchuan Earthquake. Chinese Journal of Evidence-Based Medicine, 2009, 09(3): 296-300. doi: 10.7507/1672-2531.20090057 Copy

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3.	谭大华, 吴陈, 马红, 等. 汶川地震后德阳极重灾区预防性消毒工作调查分析. 中国循证医学杂志, 2008, 8(8): 610-615.
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1. Peek-Asa C, Ramirez M, Seligson H, et al. Seismic, structural, and individual factors associated with earthquake related injury. Injury Prevention(Inj Prev), 2003, 9: 62-66.
2. 邹锟, 刘关键, 李幼平, 等. 地震伤亡危险因素的系统评价. 中国循证医学杂志, 2008, 8(7): 477-482.
3. 谭大华, 吴陈, 马红, 等. 汶川地震后德阳极重灾区预防性消毒工作调查分析. 中国循证医学杂志, 2008, 8(8): 610-615.
4. 薛力, 陈敏, 尹代红, 等. 成都市第三人民医院563例汶川地震伤员救治分析. 中国循证医学杂志, 2008, 8(8): 597-601.
5. Kazzi AA, Langdorf MI, Handly N, et al. Earthquake epidemiology:the 1994 Los Angeles Earthquake emergency department experience at a community hospital. Prehosp Disaster Med, 2000, 15(1): 12-19.
6. 孙志刚, 李宏立. 地震伤员分类的方法和原则. 灾害学, 2001,16(001): 61-64.
7. Bozkurt M, Ocguder A, Turktas U, et al. The evaluation of trauma patients in Turkish Red Crescent Field Hospital following the Pakistan earthquake in 2005. Injury, 2007, 38(3): 290-297.
8. Douglas KS, William PC. External fixation of high energy upper extremity injuries. J Orthop Trauma, 1990, 4(1): 7-18.

Chinese Journal of Evidence-Based Medicine

Analysis of 420 Fractured Inpatients in the Front-line Hospital of Grade III Level A after Wenchuan Earthquake

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