Trauma care in Germany: major differences in case fatality rates between centers.

Deutsches Ärzteblatt International
Peter HilbertRalph Stuttmann

Abstract

Recent years have seen a further decline in the nationwide case fatality rate after major trauma in Germany, but it has not been clear until now whether all centers providing trauma care achieve comparable results. We have attempted to answer this question using data from the trauma registry of the German Society for Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie, DGU). The standardized mortality rate of each participating center was calculated on the basis of the RISC prognostic score (Revised Injury Severity Classification) and the observed case fatality rate of the center. Results were compared across centers for the years 2004 to 2007; only the centers that provided the primary treatment of at least 100 patients during this period were included in the analysis. Data from the ten highest-scoring centers, the ten lowest-scoring centers, and the ten centers in the middle of the group were compared, and differences between them were analyzed. The case fatality rate in the top ten centers was 8.7%. The corresponding rate in the bottom ten centers was approXimately twice as high, even though the injuries treated there were of comparable severity. It is evident that the fate of a trauma patient in Germany depends partly...Continue Reading

References

Feb 28, 1998·Der Unfallchirurg·C WaydhasD Nast-Kolb
Oct 24, 2002·The Journal of Trauma·Turner M OslerSteven R Shackford
Apr 13, 2005·Der Unfallchirurg·A BiewenerUNKNOWN AG Notfallmedizin der DGU
Jan 27, 2006·The New England Journal of Medicine·Ellen J MacKenzieDaniel O Scharfstein
Mar 2, 2006·The Journal of Trauma·Lynne MooreMarcel Emond
Aug 30, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M HelmL Lampl
Mar 21, 2008·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C ProbstUNKNOWN Traumaregister der Deutschen Gesellschaft für Unfallchirurgie
May 29, 2009·Annals of Surgery·Lynne MooreEric Bergeron
Dec 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Lauri HandolinEero Hirvensalo

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Citations

Dec 14, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Martin HutterDirk Stengel

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