Status quo der Boden- und Luftrettung schwerverletzter Patienten

Günkel, Sebastian; König, M.; Albrecht, Roxie M.; Brüesch, Martin; Lefering, Rolf; Sprengel, Kai; Werner, C.; Simmen, Hans‐Peter; Wanner, G.A.

doi:10.1007/s00113-014-2567-6

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…Thereby, the findings of the current study underline the benefits of emergency physician presence (reflected by higher intubation rates in the German cohort) in the treatment of craniocerebral injuries. Increased intubation rates may partly explain enhanced outcome observed in neurotrauma patients treated by emergency physicians compared with treatment systems with lower pre-hospital emergency physician attendance [22,23].…”

Section: Despite Equal Injury Severity and A Comparable Amountmentioning

confidence: 99%

Pre-hospital trauma care in Switzerland and Germany: do they speak the same language?

Jensen

Teuben

Lefering

et al. 2020

Eur J Trauma Emerg Surg

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Purpose Swiss and German (pre-)hospital systems, distribution and organization of trauma centres differ from each other. It is unclear if outcome in trauma patients differs as well. Therefore, this study aims to determine differences in characteristics, therapy and outcome of trauma patients between both German-speaking countries. Methods The TraumaRegister DGU ® (TR-DGU) was used. Patients with Injury Severity Score ≥ 9 admitted to a level 1 trauma centre between 01/2009 and 12/2017 were included if they required ICU care or died. Trauma pattern, pre-hospital procedures and outcome were compared between Swiss (CH, n = 4768) and German (DE, n = 66,908) groups. Results Swiss patients were older than German patients (53 vs. 50 years). ISS did not differ between groups (CH 23.8 vs. DE 23.0 points). There were more low falls < 3 m (34% vs. 21%) at the expense of less traffic accidents (37% vs. 52%) in the Swiss population. In Switzerland 30% of allocations were done without physician involvement, whereas this occurred in 4% of German cases. Despite a comparable number of patients with a GCS ≤ 8 (CH 29.6%; DE 26.4%), differences in prehospital intubation rates occurred (CH 31% vs. DE 40%). Severe traumatic brain injuries were diagnosed most frequently in Switzerland (CH 62% vs. DE 49%). Admission vital signs were similar, and standardized mortality ratios were close to one in both countries. Conclusion This study demonstrates that patients' age, trauma patterns and pre-hospital care differ between Germany and Switzerland. However, adjusted mortality was almost similar. Further benchmarking studies are indicated to optimize trauma care in both German-speaking countries.

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Section: Despite Equal Injury Severity and A Comparable Amountmentioning

confidence: 99%