Five years experience of trauma care in a German urban level I university trauma center

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
H WyenI Marzi

Abstract

A regionalized approach to trauma care with the implementation of designated level I trauma centers has been shown to improve survival after multiple injuries. Our study aimed to describe the current reality in an urban German level I university trauma center concerning the primary admission of patients into the emergency room. We performed a retrospective analysis of all multiple trauma patients that were prospectively documented in our documentation system TraumaWatch(®) from 2003 to 2007. Documentation included physiological findings as well as diagnostic and therapeutic procedures structured as: (A) preclinical phase; (B) emergency room treatment; (C) intensive care unit; and (D) final outcome according to the German Trauma Registry. In total, 1,848 patients were completely documented and, thus, analyzed. The mean ± standard deviation (SD) Injury Severity Score (ISS) was 16.5 ± 14.1 points and the mean ± SD age was 38.7 ± 21.9 years. An increasing number of patients received whole-body computed tomography (48.8% in 2003 vs. 83.3%in 2007, p < 0.001) and, on average, the ISS increased over the years (14.4 points in 2003 vs. 17.9 points in 2007). The overall hospital mortality was 7.1%, without significant change over time. Th...Continue Reading

References

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Citations

Oct 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Otmar Trentz, Ingo Marzi
Aug 1, 2010·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Hendrik WyenUNKNOWN Trauma Registry of DGU
Sep 15, 2016·The Cochrane Database of Systematic Reviews·Fay CrawfordFrancesca M Chappell

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