Computertomographie bei Polytrauma

Ernstberger, Antonio; Schreyer, A. G.; Schleder, Stephan; Baumer, Sebastian; Angerpointner, Katharina; Diepold, Eva; Nerlich, Michael

doi:10.1007/s10039-016-0204-z

Cited by 2 publications

(3 citation statements)

References 24 publications

(9 reference statements)

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“…This was mainly conditioned by the injury mechanism, as in cycling and equitation, trauma was mostly caused by high-speed incidents and falls from a height. Due to trauma guidelines, radiological imaging should be processed in these cases [ 35 , 36 ]. The high rate of head imaging was also caused by the hierarchy of the study center.…”

Section: Discussionmentioning

confidence: 99%

Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center

Weber

Huber

Frankewycz

et al. 2022

JPM

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Sports-related concussions (SRC) have developed into a highly discussed topic in sports medicine over the last few years and demonstrate a severe issue in the personalized treatment of patients. This retrospective cohort study investigated 86 patients with sports-related concussions in a level 1 trauma center, relating to the mechanism, symptoms, medical history, acute therapy including first assessment and the return to sport. The research is based on medical records as well as questionnaires six months after hospitalization. Loss of consciousness for under 30 min (41.2%), headache (36.5%) and amnesia (29.4%) were the most frequent symptoms when presenting in the emergency room. During the hospitalization, mainly headache and vertigo were documented. Most concussions occurred after incidents in equitation and cycling sports; the most common mechanism was falling to the ground with a subsequent impact (59.3%). At the time of discharge from hospital, in 13.4% of all cases, concussion symptoms were still documented in medical records, in contrast to 39.5% of the concerned athletes who reported symptoms for longer than 24 h, and 41.0% who reported ongoing post-concussion symptoms after six months. Concussions are difficult-to-treat disorders with a challenging diagnostic process and many symptoms in various values and levels of persistence. Therefore, a patient-involving treatment with a complaint-dependent return to sport process should be applied to concerned athletes.

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Section: Discussionmentioning

confidence: 99%

Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center

Weber

Huber

Frankewycz

et al. 2022

JPM

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“…Nach dem aktuellen Stand der Literatur hat sich gezeigt, dass sowohl hämodynamisch stabile als auch instabile schwerstverletzte Patienten von einer Ganzkörper-CT profitieren und ein signifikant besseres Überleben haben [11,12]. Insgesamt kann daher die Ganzkörper-CT in Deutschland als Goldstandard in der Notfalldiagnostik beim schwerverletzten Patienten betrachtet werden [13]. Dabei scheint in der deutschen Kliniklandschaft eine starke Heterogenität bezüglich der verfügbaren Infrastruktur, der organisatorischen und logistischen Integration der Radiologie zur Diagnostik und Therapie des Polytraumas sowie des Angebotes radiologischer Untersuchungsmöglichkeiten über die CT hinaus zu bestehen.…”

Section: Introductionunclassified

“…According to the current literature, both hemodynamically stable as well as unstable severely injured patients benefit from whole-body CT and have a significantly better survival rate [11,12]. Therefore, in Germany, whole-body CT can be considered the gold standard in emergency diagnostics in the case of severely injured patients [13]. There seems to be significant heterogeneity regarding infrastructure, the organizational and logistical integration of radiology for the diagnosis and treatment of polytrauma, and radiological examination options beyond CT in German hospitals.…”

Section: Introductionmentioning

confidence: 99%

Structural and Process Data on Radiological Imaging in the Treatment of Severely Injured Patients – Results of a Survey of Level I and II Trauma Centers in Germany

Ernstberger

Reske²,

Brandl

et al. 2021

Rofo

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Purpose Systematic data collection regarding the integration of radiology as well as structural and process characteristics of radiological diagnostics of severely injured patients in Germany using a structured questionnaire. Materials and Methods Personal contact with all certified Level I and Level II Trauma Centers in Germany. Data on infrastructure, composition of the trauma room team, equipment, and data on the organization/performance of primary major trauma diagnostics were collected. Results With a participation rate of 46.9 % (n = 151) of all German trauma centers (N = 322), a solid database is available. There were highly significant differences in the structural characteristics incl. CT equipment between the level I and II centers: In 63.8 % of the level II centers, the CT unit was located more than 50 m away from the trauma room (34.2 % in the level I centers). A radiologist was part of the trauma room team in 59.5 % of level II centers (level I 88.1 %). Additionally, highly significant differences were found comparing 24-h provision of other radiologic examinations and interventions, such as MRI (level II 44.9 %, level I 92.8 %) and angiography (level II 69.2 %, level I 97.1 %). Conclusion Heterogeneous structural and process characteristics of the diagnosis of severely injured patients in Germany were revealed, with highly significant differences between level I and level II centers. Key Points: Citation Format

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Computertomographie bei Polytrauma

Cited by 2 publications

References 24 publications

Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center

Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center

Structural and Process Data on Radiological Imaging in the Treatment of Severely Injured Patients – Results of a Survey of Level I and II Trauma Centers in Germany

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