Young Hee Jung, Dae Han Wi, Sang Do Shin, Hideharu Tanaka, Goh E. Shaun, Wen-Chu Chiang, Jen-Tang Sun, Li-Min Hsu, Kentaro Kajino, Sabariah Faizah Jamaluddin, Akio Kimura, James F. Holmes, Kyoung Jun Song, Young Sun Ro, Ki Jeong Hong, Sung Woo Moon, Ju Ok Park, Min Jung Kim
Clin Exp Emerg Med 2019;6(4):321-329. Published online December 31, 2019
Objective This study aimed to compare the demographic characteristics and trauma service structures and processes of hospitals in 15 countries across the Asia Pacific, and to provide baseline data for the integrated trauma database: the Pan-Asian Trauma Outcomes Study (PATOS).
Methods Medical directors and emergency physicians at PATOS-participating hospitals in countries across the Asia Pacific were surveyed through a standardized questionnaire. General information, trauma care system data, and trauma emergency department (ED) outcomes at each hospital were collected by email and analyzed using descriptive statistics.
Results Survey data from 35 hospitals across 15 countries were collected from archived data between June 2014 and July 2015. Designated trauma centers were identified as the highest hospital level for trauma patients in 70% of surveyed countries. Half of the hospitals surveyed had special teams for trauma care, and almost all prepared activation protocol documents for these teams. Most hospitals offered specialized trauma education programs, and 72.7% of hospitals had a hospital-based trauma registry. The total number of trauma patients visiting the ED across 25 of the hospitals was 300,376. The overall survival-to-discharge rate was 97.2%; however, it varied greatly between 85.1% and 99.7%. The difference between survival-to-discharge rates of moderate and severe injury groups was highest in Taiwan (41.8%) and lowest in Thailand (18.6%).
Conclusion Trauma care systems and ED outcomes vary widely among surveyed hospitals and countries. This information is useful to build further detailed, systematic platforms for trauma surveillance and evidence-based trauma care policies.
Citations
Citations to this article as recorded by
Association of prehospital optimal blood pressure and peripheral oxygen saturation with hospital outcomes in sports-related and recreation-related traumatic brain injury (SRR-TBI) in Asia Jirayu Chantanakomes, Wasin Pansiritanachot, Sattha Riyapan, Sang Do Shin, Kyoung Jun Song, Wen-Chu Chiang, Sabariah Faizah Jamaluddin, Kentaro Kajino Emergency Medicine Journal.2026; 43(4): 238. CrossRef
Association between prehospital time and trauma outcomes: A multicenter cohort study from the Pan-Asian Trauma Outcomes Study (PATOS) Pimpan Usawasuraiin, Chaisiri Angkurawaranon, Theerapon Tangsuwanaruk, Chanchanok Aramrat, Nattikarn Meelarp, Nutchar Wiwatkunupakarn, Rudklao Sairai, Sang Do Shin, Wen Chu Chiang, Parinya Tianwibool The American Journal of Emergency Medicine.2026; 106: 115. CrossRef
Early Impact of a Dedicated Trauma Surgery Unit on Outcomes in a Malaysian Tertiary Center Muhamad Izwan Ismail, Janusyia Sivananthan, Rizasohaini Baseri, Norfarizan Azmi, Zaidah Mohd Ali, Rizal Imran Alwi World Journal of Surgery.2026;[Epub] CrossRef
Effect of a generalized early mobilization and rehabilitation protocol on outcomes in trauma patients admitted to the intensive care unit: a retrospective pre–post study Tsuyoshi Ichikawa, Asuka Tsuchiya, Yusuke Tsutsumi, Tatsuya Okawa, Daisuke Kubo, Yu Horimizu, Ryo Tsutsui, Hina Shukumine, Kento Noda, Katsuhiro Mizuno Critical Care.2025;[Epub] CrossRef
Audiometric and vestibular outcomes following temporal bone fractures: a retrospective analysis of a major trauma center cohort in China Caijuan Wu, Qiang He Frontiers in Medicine.2025;[Epub] CrossRef
Trauma systems in Asian countries: challenges and recommendations Dinesh Bagaria, Amila S. Ratnayake, Aireen Madrid, Tamara J. Worlton Critical Care.2024;[Epub] CrossRef
Disparity in guideline adherence for prehospital care according to patient age in emergency medical service transport for moderate to severe trauma Eun Seon Ahn, Ki Hong Kim, Jeong Ho Park, Kyoung Jun Song, Sang Do Shin Injury.2024; 55(9): 111630. CrossRef
The effect of time to neurosurgical or neuroradiological intervention therapy on outcomes and quality of care after traumatic brain injury, a registry-based observational study Wasin Pansiritanachot, Sattha Riyapan, Sang Do Shin, Jirayu Chantanakomes, Netiporn Thirawattanasoot, Wichayada Rangabpai, Bongkot Somboonkul, Joo Jeong, Kyoung Jun Song, Wen-Chiu Chiang, Sabariah Faizah Jamaluddin, Kentaro Kajino International Journal of Emergency Medicine.2024;[Epub] CrossRef
A Review of Nurses’ Perceptions of Traumatic Haemorrhagic Shock Management in Emergency Nursing Cecilia Amponsem-Boateng, Jonathan Boakye-Yiadom, Ninon P. Amertil Open Journal of Nursing.2023; 13(11): 824. CrossRef
Association between Scene Time Interval and Survival in EMS-Treated Major Trauma Admitted to the Intensive Care Unit: A Multinational, Multicenter Observational Study Duy Bui Van, Kyoung Jun Song, Sang Do Shin, Young Sun Ro, Joo Jeong, Huy Le Bao, Cong Nguyen Duc, Ki Hong Kim Prehospital Emergency Care.2022; 26(4): 600. CrossRef
The preventability of trauma-related death: A two-year cohort study in a trauma center in middle Taiwan Chao-Ying Wu, Chun-Chih Chou, Hao-Chun Hsu, Matthew Huei-Ming Ma, Yi-Ching Ho, Chen-Chiang Lin, Yi-Jung Chen, Wen-Chu Chiang Injury.2022; 53(9): 3039. CrossRef
Objective High cholesterol level is a risk factor for coronary artery disease, and coronary artery disease is a major risk factor for out-of-hospital cardiac arrest (OHCA). However, the effect of cholesterol level on outcomes of OHCA has been poorly studied. This study aimed to determine the effect of cholesterol level on outcomes of OHCA.
Methods This cross-sectional study used the CAPTURES (Cardiac Arrest Pursuit Trial with Unique Registration and Epidemiologic Surveillance) project database in Korea. Multivariable conditional logistic regression analysis was performed to estimate the effect of cholesterol level on outcomes in OHCA.
Results In all, 584 cases of OHCA were analyzed; those with cholesterol levels <120 mg/dL were classified as having low total cholesterol (TC) (n=197), those with levels ranging from 120–199 mg/dL as middle TC (n=322), and those with ≥200 mg/dL as high TC (n=65). Compared to low TC, more patients with middle TC and high TC survived to discharge (9.1% vs. 22.0% and 26.2%, respectively, P=0.001). The good cerebral performance category also increased in that order (4.1 % vs. 14.6% and 23.1%, respectively, P≤0.001). Comparing middle TC and high TC with low TC, adjusted odds ratios (95% confidence intervals) were 1.97 (1.06 to 3.64) and 2.53 (1.08 to 5.92) for survival to discharge, respectively, and 2.53 (1.07 to 5.98) and 4.73 (1.63 to 13.71) for good neurological recovery, respectively.
Conclusion Higher cholesterol is associated with better outcomes in OHCA; cholesterol level is a good predictor of outcomes of OHCA.
Citations
Citations to this article as recorded by
The prognostic effects of comorbidity on mortality and neurological outcomes at hospital discharge after adult out-of-hospital cardiac arrest Wan-Ru Huang, Bo-Yu Hsiao, Kuo-Liong Chien, Min-Shan Tsai, Li-Kuo Kuo, Hsin-Hui Hsu, Wei-Chun Huang, Chih-Hung Lai, Chien-Hua Huang Journal of the Formosan Medical Association.2026; 125(5): 558. CrossRef
Cardiometabolic multimorbidity and survival after out-of-hospital cardiac arrest Yue Li, Nur Shahidah, David Pflug, Yang Zhao, Fahad Javaid Siddiqui, Benjamin Sieu-Hon Leong, Michael Yih Chong Chia, Desmond Renhao Mao, Han Nee Gan, Wei Ming Ng, Nausheen Edwin Doctor, Marcus EH Ong, Shir Lynn Lim, Tiah Ling, Wei Ling Tay, Si Oon Cheah, Resuscitation Plus.2026; 30: 101365. CrossRef
Neutrophil to high-density lipoprotein cholesterol ratio as a potential inflammatory marker for predicting all-cause mortality in out-of-hospital cardiac arrest survivors Da-Long Chen, Yu-Kai Lin, Guei-Jane Wang, Kuan-Cheng Chang Scientific Reports.2025;[Epub] CrossRef
Intra‐arrest blood‐based biomarkers for out‐of‐hospital cardiac arrest: A scoping review Justin L. Benoit, Andrew N. Hogan, Katherine M. Connelly, Jason T. McMullan JACEP Open.2024; 5(2): e13131. CrossRef
Lactate-to-albumin ratio and cholesterol levels predict neurological outcome in cardiac arrest survivors Da-Long Chen, Chia-Min Chung, Guei-Jane Wang, Kuan-Cheng Chang The American Journal of Emergency Medicine.2024; 83: 9. CrossRef
A model study for the classification of high-risk groups for cardiac arrest in general ward patients using simulation techniques Seok Young Song, Won-Kee Choi, Sanggyu Kwak Medicine.2023; 102(37): e35057. CrossRef
Cardiac gas on immediate postmortem computed tomography after cardiopulmonary resuscitation indicates the progression of anaerobic metabolism Tomoaki Hagita, Seiji Shiotani, Nagahiro Toyama, Naoki Tominaga, Hiromi Miyazaki, Nobuhiko Ogasawara Forensic Imaging.2021; 25: 200446. CrossRef
Low serum cholesterol level as a risk factor for out-of-hospital cardiac arrest: a case-control study Jae Kwang Yang, Yu Jin Kim, Joo Jeong, Jungeun Kim, Jeong Ho Park, Young Sun Ro, Sang Do Shin Clinical and Experimental Emergency Medicine.2021; 8(4): 296. CrossRef
First
Prev
