Akutbehandlung schwangerer Patientinnen nach schwerem Trauma – eine retrospektive Multicenteranalyse

Weißleder, Anne; Kulla, Martin; Annecke, Thorsten; Beese, Anne; Lang, Patricia; Beinkofer, Daniela; Lefering, Rolf; Trentzsch, Heiko; Jöst, Christian; Treffer, Dominik; Dgu, das TraumaRegister

doi:10.1007/s00113-020-00915-2

Cited by 6 publications

(3 citation statements)

References 29 publications

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“…However, some injured victims might possibly have died at the scene and therefore, were not captured in data from clinical settings. Most medical institution-based studies enrolled trauma patients only when they visited or were transported to hospitals or trauma centers [ 5 , 7 , 8 , 9 , 11 , 17 , 18 ]. These patients’ conditions were likely to be categorized as moderate in relation to injury severity.…”

Section: Discussionmentioning

confidence: 99%

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Risk of Mortality in Association with Pregnancy in Women Following Motor Vehicle Crashes: A Systematic Review and Meta-Analysis

Chang

Cheng

Hou

et al. 2022

IJERPH

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The aim of the study was to provide a systematic review and meta-analysis of studies examining the association between mortality risk and motor vehicle crashes (MVCs) in pregnant women compared with nonpregnant women. We used relevant MeSH terms to identify epidemiological studies of mortality risk in relation to MVCs from PubMed, Embase, and MEDLINE databases. The Newcastle–Ottawa Scale (NOS) was used for quality assessment. For comparison of mortality from MVCs between pregnant and nonpregnant women, the pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated using a random effects model. The eight studies selected met all inclusion criteria. These studies included 14,120 injured victims who were pregnant at the time of the incident and 207,935 victims who were not pregnant. Compared with nonpregnant women, pregnant women had a moderate but insignificant decrease in mortality risk (pooled OR = 0.68, 95% CI = 0.38–1.22, I2 = 88.71%). Subgroup analysis revealed that the pooled OR significantly increased at 1.64 (95% CI = 1.16–2.33, I2 < 0.01%) for two studies with a similar difference in the mean injury severity score (ISS) between pregnant and nonpregnant women. Future studies should further explore the risk factors associated with MVCs in pregnant women to reduce maternal mortality.

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Section: Discussionmentioning

confidence: 99%

“… Forest plot of odds ratio for mortality from motor vehicle crashes in association with pregnancy according to differences in ISS between comparison groups [ 5 , 6 , 7 , 9 , 11 , 17 , 18 ]. The black squares represent the odds ratios of the individual studies and the horizontal lines are their 95% CI.…”

Section: Figurementioning

confidence: 99%

Risk of Mortality in Association with Pregnancy in Women Following Motor Vehicle Crashes: A Systematic Review and Meta-Analysis

Chang

Cheng

Hou

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Hauptgrund für die Intensivbehandlung in der Schwangerschaft sind Infektionen (34%), gefolgt von nicht infektiösen pulmonalen Erkrankungen (10%) [2]. Auch Aufnahmen wegen Traumata in Unfallfolge gehören zum Spektrum auf Intensivstationen; in Erhebungen der Deutschen Gesellschaft für Unfallchirurgie sind etwa 3% der schwerverletzten Frauen im gebärfähigen Alter in Deutschland/Österreich und der Schweiz zum Zeitpunkt des Unfalls schwanger [4].…”

Section: Aufnahmegründe Von Schwangeren Auf Der Intensivstationunclassified