Patient trends in orthopedic traumas and related disorders after tsunami caused by the Great East Japan Earthquake: An experience in the primary referral medical center

Gaku Matsuzawa, Hirotaka Sano, Hideji Ohnuma, Akihito Tomiya, Yoshiyuki Kuwahara, Chihiro Hashimoto, Itaru Imamura, Satoru Ishibashi, Michio Kobayashi, Masakazu Kobayashi, Tadashi Ishii, Iwao Kaneda, Eiji Itoi

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3 Citations (Scopus)

Abstract

Background In the Great East Japan Earthquake, the Japanese Red Cross Ishinomaki Hospital played an important role as a principal referral center within the Ishinomaki region, one of the most severely affected areas in eastern Japan. The present study describes the patient population, clinical characteristics, and time courses of the medical problems observed at this hospital. Methods A retrospective survey of medical logs and records was conducted on the first 2 weeks after the earthquake to characterize orthopedic traumas and related disorders treated during this catastrophe. Patient number, severity of injuries, number of patients secondarily transported to the referral medical centers in the inland area, and the number of surgeries performed during the study period were investigated. Results Totally, 7686 patients visited the hospital. Of which, 1807 patients suffered from exogenous diseases, such as trauma, burns, crush syndrome, deep venous thrombosis, and infectious diseases. Patients who suffered from hypothermia were the most frequently seen within the first 2 weeks after the earthquake. Interestingly, most patients' conditions were not severe and required only simple treatments. Four patients (0.2% of patients with exogenous diseases) were secondarily transported to the referral medical centers in the inland area and only four patients were surgically treated because of a lack of available implants, surgical devices, and electric power supply. Discussion and conclusions The Great East Japan Earthquake and subsequent tsunami, which occurred during an early spring afternoon, resulted in a unique orthopedic patient population, which included few severely injured patients compared with numerous deaths. We believe that each coastal region hospital should develop its own emergency medical care system to address future tsunami events while considering their surrounding environment. The information described in the present study should be important for preparation toward future events involving massive earthquakes followed by tsunami disasters.

Original languageEnglish
Pages (from-to)507-511
Number of pages5
JournalJournal of Orthopaedic Science
Volume21
Issue number4
DOIs
Publication statusPublished - 2016 Jul 1

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    Matsuzawa, G., Sano, H., Ohnuma, H., Tomiya, A., Kuwahara, Y., Hashimoto, C., Imamura, I., Ishibashi, S., Kobayashi, M., Kobayashi, M., Ishii, T., Kaneda, I., & Itoi, E. (2016). Patient trends in orthopedic traumas and related disorders after tsunami caused by the Great East Japan Earthquake: An experience in the primary referral medical center. Journal of Orthopaedic Science, 21(4), 507-511. https://doi.org/10.1016/j.jos.2016.03.007