Otsuka Hiroyuki, Okada Ichiro, Adachi Kiyohiko, Takeda Michihiro, Sato Toshiki
Emergency and Critical Care Medicine, Tokai University Hachioji Hospital, Tokyo, JPN.
Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tokyo, JPN.
Cureus. 2024 Feb 6;16(2):e53737. doi: 10.7759/cureus.53737. eCollection 2024 Feb.
Trauma is a major global health issue, causing significant mortality, disability, and healthcare expenses. Since 2012, the Ajou Trauma Center in South Korea has been at the forefront, providing centralized severe trauma care for a population of 9.5 million. In 2022, the center managed 3,500 cases of severe trauma, including 500 helicopter transports, and conducted 2,800 surgeries, with 450 addressing torso trauma. Its exceptional performance has garnered global recognition, solidifying its position among the top advanced trauma centers. In Tokyo, critically ill and major trauma patients are currently transported to the nearest emergency and critical care centers, each serving a population of approximately 0.5 to 0.6 million people. Due to the low incidence of trauma per facility and an aging population, implementing a high level of trauma care and a comprehensive training framework within Japan's existing system poses significant challenges. A comparative analysis of South Korea's centralized system and Tokyo's decentralized approach indicates that the centralized system may lead to the establishment of a more advanced trauma center with ethical and equity considerations, compared to the decentralized approach. Therefore, consolidating major trauma cases in Tokyo shows promise for establishing exceptional trauma centers. This emphasizes the urgent need for Japan to take immediate steps towards a more robust future in trauma care. This assertion aligns with the global discourse on improving trauma care practices and could make a valuable contribution to the scholarly literature on trauma care systems.
创伤是一个重大的全球健康问题，会导致大量死亡、残疾以及医疗费用增加。自2012年以来，韩国的庆熙创伤中心一直处于前沿，为950万人口提供集中的严重创伤护理。2022年，该中心处理了3500例严重创伤病例，其中包括500例直升机转运，并进行了2800台手术，其中450台针对躯干创伤。其卓越的表现赢得了全球认可，巩固了其在顶级先进创伤中心中的地位。在东京，危重症和重大创伤患者目前被转运至最近的急诊和重症监护中心，每个中心服务人口约为50万至60万。由于每个医疗机构创伤发生率较低且人口老龄化，在日本现有体系内实施高水平的创伤护理和全面的培训框架面临重大挑战。对韩国的集中式系统和东京的分散式方法进行的比较分析表明，与分散式方法相比，集中式系统可能会在兼顾伦理和公平的情况下建立更先进的创伤中心。因此，在东京整合重大创伤病例有望建立卓越的创伤中心。这凸显了日本迫切需要立即采取措施，以在创伤护理方面迈向更强大的未来。这一观点与全球关于改善创伤护理实践的讨论相一致，并且可能会对创伤护理系统的学术文献做出有价值的贡献。
