ANALYSIS OF CONSUMPTION OF MEDICAL RESOURCES IN TERMS OF ICU/HOSPITAL STAY AND SEVERITY USING JAPAN TRAUMA DATA BANK (JTDB)

Abstract

　　The aim of this study was to analyze the length of ICU/hospital stay of trauma patients to assess "Medical resources" using JTDB. We classified 60,580 cases registered between 2004 and 2010 in JTDB by hospital wards on emergency admission. A total of 9,564 ICU patients could move to the general ward before hospital transfer or discharge, while 6,217 cases were transferred to another hospital and 9,444 cases were discharged directly from the ICU. The length of ICU/hospital stay was correlated with the injury severity score (ISS). Sixty-eight percent (5,856 cases) of non-survivors died within 3 days. The length of ICU stay by patients not moving to a general ward was long, which means that these cases consumed a large amount of medical resources.