Pan-Asian Trauma Outcomes Study (PATOS): Rationale and Methodology of an International and Multicenter Trauma Registry

Kong, So Yeon; Shin, Sang Do; Tanaka, Hideharu; Kimura, Akio; Song, Kyoung Jun; Shaun, Goh E.; Chiang, Wen-Chu; Kajino, Kentaro; Jamaluddin, Sabariah Faizah; Wi, Dae Han; Park, Ju Ok; Moon, Sung Woo; Ro, Young Sun; Cone, David C.; Holmes, James F.

doi:10.1080/10903127.2017.1347224

Cited by 35 publications

(38 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data were collected for individuals presenting with an injury at any of the participating hospitals within the 12-month period, from June 2017 to May 2018). The Pan-Asia Trauma Outcomes Study (PATOS) guided the design and development of a one-page injury data collection form for use in the ED at each of the hospitals to capture and quantify the characteristics of presenting injuries in this study [ 25 ]. The one-page PATOS data collection form was pilot tested at the primary site (American University of Beirut Medical Center) to ensure its feasibility prior to the full-scale data collection at the 5 participating sites.…”

Section: Methodsmentioning

confidence: 99%

Physical trauma and injury: A multi-center study comparing local residents and refugees in Lebanon

et al. 2021

View full text Add to dashboard Cite

Background Refugees are susceptible to various types of injury mechanisms associated with their dire living conditions and settlements. This study aims to compare and characterize the emergency department admissions due to physical trauma and injuries among local residents and refugees in greater Beirut. Methods This epidemiological study analyzes injury incidence and characteristics of patients presenting to Emergency Departments of 5 sentinel hospitals between 2017 and 2019. Using the WHO Injury Surveillance Guidelines and Pan-Asia Trauma Outcomes Study form, an injury data surveillance form was designed and used in hospital settings to collect data on injuries. Chi-square test analysis was performed to compare differences in injury characteristics between local residents and refugees. Regression models were constructed to assess the effect of being a refugee on the characteristics of injuries and outcomes of interest. Results A total of 4847 injuries (3933 local residents and 914 refugees) were reported. 87.4% of the total injuries among refugees were sustained by the younger age groups 0-45 years compared to 68.8% among local residents. The most prevalent injury mechanism was fall (39.4%) for locals and road traffic injury (31.5%) for refugees. The most injured body part was extremities for both populations (78.2% and 80.1%). Injuries mostly occurred at home or its vicinity (garden or inside the camp) for both populations (29.3% and 23.1%). Refugees sustained a higher proportion of injuries at work (6%) compared to locals (1.3%). On multivariate analysis, refugee status was associated with higher odds of having an injury due to a stab/gunshot (odds ratio (OR) = 3.392, 95% confidence interval (CI) = 2.605-4.416), having a concussion injury (OR = 1.718, 95% CI = 1.151-2.565), and being injured at work (OR = 4.147, 95% CI = 2.74-6.278). Refugee status was associated with increased odds of leaving the hospital with injury-related disability (OR = 2.271, 95% CI = 1.891-2.728)] Conclusions Injury remains a major public health problem among resident and refugee communities in Beirut, Lebanon. Refugees face several injury-related vulnerabilities, which adversely affect their treatment outcomes and long-term disabilities. The high prevalence of occupational and violence-related injuries among refugees necessitates the introduction of targeted occupational safety and financial security interventions, aiming at reducing injuries while enhancing social justice among residents.

show abstract

Section: Methodsmentioning

confidence: 99%

Physical trauma and injury: A multi-center study comparing local residents and refugees in Lebanon

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The PATOS Data Quality Management Committee (QMC) monitors invalid and/or incomplete data forms and provides feedback to each participating hospital. All hospitals respond to the PATOS Data QMC reports within 2 weeks for data correction [ 13 – 15 ].…”

Section: Methodsmentioning

confidence: 99%

Association between prehospital field to emergency department delta shock index and in-hospital mortality in patients with torso and extremity trauma: A multinational, observational study

et al. 2021

Self Cite

View full text Add to dashboard Cite

Hemorrhage, a main cause of mortality in patients with trauma, affects vital signs such as blood pressure and heart rate. Shock index (SI), calculated as heart rate divided by systolic blood pressure, is widely used to estimate the shock status of patients with hemorrhage. The difference in SI between the emergency department and prehospital field can indirectly reflect urgency after trauma. We aimed to determine the association between delta SI (DSI) and in-hospital mortality in patients with torso or extremity trauma. Patients with DSI >0.1 are expected to be associated with high mortality. This retrospective, observational study used data from the Pan-Asian Trauma Outcomes Study. Patients aged 18–85 years with abdomen, chest, upper extremity, lower extremity, or external injury location were included. Patients from China, Indonesia, Japan, Philippines, Thailand, and Vietnam; those who were transferred from another facility; those who were transferred without the use of emergency medical service; those with prehospital cardiac arrest; those with unknown exposure and outcomes were excluded. The exposure and primary outcome were DSI and in-hospital mortality, respectively. The secondary and tertiary outcome was intensive care unit (ICU) admission and massive transfusion, respectively. Multivariate logistic regression analysis was performed to test the association between DSI and outcome. In total, 21,534 patients were enrolled according to the inclusion and exclusion criteria. There were 3,033 patients with DSI >0.1. The in-hospital mortality rate in the DSI >0.1 and ≤0.1 groups was 2.0% and 0.8%, respectively. In multivariate logistic regression analysis, the DSI ≤0.1 group was considered the reference group. The unadjusted and adjusted odds ratios of in-hospital mortality in the DSI >0.1 group were 2.54 (95% confidence interval [CI] 1.88–3.42) and 2.82 (95% CI 2.08–3.84), respectively. The urgency of traumatic hemorrhage can be determined using DSI, which can help hospital staff to provide proper trauma management, such as early trauma surgery or embolization.

show abstract

“…Patient data were retrospectively reviewed from the Pan-Asia Trauma Outcomes Study (PATOS), which was initiated in 2015, with data on the following variables: epidemiologic factors, EMS, ED care, hospital care and management factors, and records of final outcomes. This cross-national trauma registry consisted of 33 sites in 14 Asian countries such as China, India, Korea, Japan, Malaysia, Thailand, the Philippines, Taiwan, and Vietnam [18,19]. Most of the EMS and trauma care systems involved in this registry were in the urban cities of each country [19].…”

Section: Study Design and Settingmentioning

confidence: 99%

“…All hospitals from these countries participating in the investigation are academic teaching hospitals with functional capability for trauma resuscitation. The median (Q1-Q3) of RT, SH, and TPT were 20 (Q1-Q3: 12-39), 21 (Q1-Q3: [16][17][18][19][20][21][22][23][24][25][26][27][28][29], and 47 (Q1-Q3: 32-60) minutes. Mortality within 30 days after injury occurred in 280 patients (1.1%).…”

Section: Characteristics Of Study Objectsmentioning

confidence: 99%

Association between prehospital time and outcome of trauma patients in 4 Asian countries: A cross-national, multicenter cohort study

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Whether rapid transportation can benefit patients with trauma remains controversial. We determined the association between prehospital time and outcome to explore the concept of the "golden hour" for injured patients. Methods and findings We conducted a retrospective cohort study of trauma patients transported from the scene to hospitals by emergency medical service (EMS) from January 1, 2016, to November 30, 2018, using data from the Pan-Asia Trauma Outcomes Study (PATOS) database. Prehospital time intervals were categorized into response time (RT), scene to hospital time (SH), and total prehospital time (TPT). The outcomes were 30-day mortality and functional status at hospital discharge. Multivariable logistic regression was used to investigate the association of prehospital time and outcomes to adjust for factors including age, sex, mechanism and type of injury, Injury Severity Score (ISS), Revised Trauma Score (RTS), and prehospital interventions. Overall, 24,365 patients from 4 countries (645 patients from Japan, 16,476 patients from Korea, 5,358 patients from Malaysia, and 1,886 patients from Taiwan) were included in the analysis. Among included patients, the median age was 45 years (lower quartile [Q1]-upper quartile [Q3]: 25-62), and 15,498 (63.6%) patients were male. Median (Q1-Q3) RT, SH, and TPT were 20 (Q1-Q3: 12-39), 21 (Q1-Q3: 16-29

show abstract

Pan-Asian Trauma Outcomes Study (PATOS): Rationale and Methodology of an International and Multicenter Trauma Registry

Abstract: The PATOS network is expected to provide comparison of the trauma EMS systems and to benchmark best practice with participating communities.

Cited by 35 publications

References 30 publications

Physical trauma and injury: A multi-center study comparing local residents and refugees in Lebanon

Physical trauma and injury: A multi-center study comparing local residents and refugees in Lebanon

Association between prehospital field to emergency department delta shock index and in-hospital mortality in patients with torso and extremity trauma: A multinational, observational study

Association between prehospital time and outcome of trauma patients in 4 Asian countries: A cross-national, multicenter cohort study

Contact Info

Product

Resources

About