Polytraumaversorgung in Deutschland

Regionalisation of trauma care in Germany: the “TraumaNetwork DGU®-Project”

“…Recent studies estimate between 33,000 and 38,000 severely injured patients (Injury Severity Score [ISS] C16) per year [2][3][4]. Moreover, a similar quantity of patients must be assumed to be suffering from less severe trauma (ISS \16), but requiring treatment in the emergency room (ER) due to the preceding injury mechanism or a temporary impairment of the vital signs (overtriage).…”

“…On the other hand, by officially discussed individual courses and by several scientific studies, it was shown that the quality of care of the severely injured patient is variable in our country [3,[5][6][7][8].…”

“…The area of care of a hospital in Mecklenburg-Vorpommern is 4,634 km 2 . It is about nine times larger the area of a hospital in Nordrhein-Westfalen (541 km 2 ) [3]. Additionally, an important variation of the quality of organisation, personnel and structure in trauma hospitals have been identified.…”

Multiple blunt trauma after suicidal attempt: an analysis of 4,754 multiple severely injured patients

“…A total of 32,000-36,000 patients are treated in trauma centers every year following multiple severe trauma [1,2]. The socioeconomic relevance of multiple injured patients for the health system is fundamental.…”

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

“…Nathens et al [5] estimate that the full implementation of a trauma system is associated with an 8% decrease in mortality from motor vehicle traffic accident deaths. However, establishing and maintaining level I trauma centers that meet all national requirements, e.g., 24-h presence of a neurosurgical team and a board-certified radiologist, comes at some expense and efforts have been made for a regionalized approach to trauma care [6,7]. This implicates that prehospital trauma triage has to be well coordinated and paramedics on-scene must be aware of the regional trauma network structure.…”