Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-25T04:14:53.379Z Has data issue: false hasContentIssue false

Injury Patterns and Outcomes of Victims After the 2016 Jiangsu Tornado in China: A Retrospective Analysis of Injuries Treated at a Teaching Hospital

Published online by Cambridge University Press:  25 June 2019

Gen hua Mu
Affiliation:
Emergency and Critical Care Center, Yancheng City No.1 People’s Hospital, Yancheng224005, China
Xing Li
Affiliation:
Emergency and Critical Care Center, Yancheng City No.1 People’s Hospital, Yancheng224005, China
Shan shan Hou
Affiliation:
Pharmacy Department, Yancheng City No.1 People’s Hospital, Yancheng, China
Zhong qian Lu
Affiliation:
Emergency and Critical Care Center, Yancheng City No.1 People’s Hospital, Yancheng224005, China
Yi jun Deng*
Affiliation:
Emergency and Critical Care Center, Yancheng City No.1 People’s Hospital, Yancheng224005, China
*
Correspondence and reprint requests to Yi jun Deng, Emergency and critical care center, Yancheng City No.1 People’s Hospital, No. 66 Renmin South Road, Yancheng 224005, China (e-mail: [email protected]).

Abstract

Objective:

The aim of this study is to characterize the injury profiles and outcomes of victims of a tornado in Jiangsu Province, China.

Methods:

This study retrospectively investigated the clinical records of 144 patients treated at a teaching hospital due to a tornado. Each patient’s demographic data, diagnosis, injury types, causes of injury, infection status, and outcomes were all reviewed.

Results:

Of the 144 patients, 64 (44.4%) were male, and 80 (55.6%) were female. The patients’ ages ranged from 2 months to 94 years; 91 (63.19%) were admitted within the first 12 h after the disaster. The most frequently injured sites were the body surfaces (24.48%), followed by the limbs and pelvis (21.79%) and chest (20.3%). Soft-tissue injuries and fractures were the most frequent injuries. Traumatic brain injuries were the main causes of death. Tornado-related injuries were primarily caused by flying/falling bricks, wood, and glass. Twenty-three (15.9%) patients suffered from infections, which consisted mainly of skin/soft tissue infections and pneumonia.

Conclusions:

Destructive tornadoes often cause heavy casualties with little warning. Medical aid agencies must be prepared to accommodate the massive numbers of injured patients after a catastrophe. Proper triage and prompt treatment of injured victims may decrease mortality. (Disaster Med Public Health Preparedness. 2019;xx:xxx-xxx).

Type
Original Research
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Fan, W, Xiaoding, YU.Characteristics of spatial-temporal distribution of tornadoes in China. Meteorol Monthly. 2015;41(7):793-805.Google Scholar
Xue, M, Zhao, K, Wang, M, et al. Recent significant tornadoes in China. Adv Atmos Sci. 2016;33(11):1209-1217.CrossRefGoogle Scholar
Jia, H, Pan, D.Tornado disaster impacts and management: learning from the 2016 tornado catastrophe in Jiangsu Province, China. Nat Hazards. 2017;89(1):457-471.CrossRefGoogle Scholar
Doswell, CA III, Brooks, HE, Dotzek, N.On the implementation of the enhanced Fujita scale in the USA. Atmos Res. 2009;93(1-3):554-563.CrossRefGoogle Scholar
Lopes, MC, Whitaker, IY.Measuring trauma severity using the 1998 and 2005 revisions of the abbreviated injury scale. Rev Esc Enferm USP. 2014;48(4):640-647.Google ScholarPubMed
Gennarelli, TA, Wodzin, E. AIS 2005: a contemporary injury scale. Injury. 2006;37(12):1083-1091.CrossRefGoogle Scholar
Salottolo, K, Settell, A, Uribe, P, et al. The impact of the AIS 2005 revision on injury severity scores and clinical outcome measures. Injury. 2009;40(9):999-1003.CrossRefGoogle ScholarPubMed
Daley, WR, Brown, S, Archer, P, et al. Risk of tornado-related death and injury in Oklahoma, May 3, 1999. Am J Epidemiol. 2005;161(12):1144-1150.CrossRefGoogle Scholar
Niederkrotenthaler, T, Parker, EM, Ovalle, F, et al. Injuries and post-traumatic stress following historic tornados: Alabama, April 2011. PLoS One. 2013;8(12):e83038.CrossRefGoogle ScholarPubMed
Millie, M, Senkowski, C, Stuart, L, et al. Tornado disaster in rural Georgia: triage response, injury patterns, lessons learned. Am Surg. 2000;66(3):223-228.Google ScholarPubMed
Guo, H, Chen, CH, Cao, Y, et al. Non-governmental organizations in natural disaster emergency management. North China Earthq Sci. 2011;29(3):13-18.Google Scholar
Sarani, B, Mehta, S, Ashburn, M, et al. The academic medical centre and nongovernmental organisation partnership following a natural disaster. Disasters. 2012;36(4):609-616.CrossRefGoogle ScholarPubMed
Marchigiani, R, Gordy, S, Cipolla, J, et al. Wind disasters: a comprehensive review of current management strategies. Int J Crit Illn Inj Sci. 2013;3(2):130-142.Google ScholarPubMed
Bohonos, JJ, Hogan, DE.The medical impact of tornadoes in North America. J Emerg Med. 1999;17:67-73.Google ScholarPubMed
Brown, S, Archer, P, Kruger, E, et al. Tornado-related deaths and injuries in Oklahoma due to the 3 May 1999 Tornadoes. Weather Forecast. 2002;17(3):343-353.Google Scholar
Lyu, HM, Wang, GF, Cheng, WC, et al. Tornado hazards on June 23 in Jiangsu Province, China: preliminary investigation and analysis. Nat Hazards (Dordr). 2017;85(1):597-604.Google Scholar