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

Disaster Med Public Health Prep. 2020 Apr;14(2):208-213. doi: 10.1017/dmp.2019.43. Epub 2019 Jun 25.

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).

Keywords: epidemiology; fractures; infection; soft tissue injuries; tornadoes; wounds and injuries.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • China / epidemiology
  • Female
  • Hospitals, Teaching / organization & administration
  • Hospitals, Teaching / statistics & numerical data
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care / statistics & numerical data
  • Retrospective Studies
  • Tornadoes / statistics & numerical data*
  • Treatment Outcome*
  • Wounds and Injuries / classification*
  • Wounds and Injuries / epidemiology