Reduction in Mortality of Severely Injured Patients in Germany

Abstract

The German Trauma Registry records processes and treatment results in severely injured patients. This information is fed back to participating hospitals. The continuous data feedback is associated with a continuous improvement of process and outcome quality in the treatment of severely injured patients.

Epidemiology of in-hospital trauma deaths

“…Participating hospitals receive extensive annual audit reports. Actually, the TR-DGU collects data from about 400 hospitals, mostly from Germany, with an annual increase of 15,000 cases per year [3]. The basis for the present analysis was the period from 2000 to 2010.…”

Risk factors for sepsis in Korean trauma patients

“…As first aid and hospital procedures for the management of trauma patients have developed, the overall mortality of injured patients has become lower in recent years [1][2][3]. However, mortality in severely injured patients who survive after initial resuscitation is still high if trauma-related complications such as sepsis or multiple organ dysfunction syndrome (MODS) occur [4].…”

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

“…The increasing use of computed tomography in our collective, where over 80% of the patients received MSCT in 2007, is in correspondence with recent publications that suggest the use of MSCT in all patients with suspected multiple injuries [12][13][14]. In Germany, the number of trauma centers using whole-body CT for the early assessment of primary trauma is increasing [15,16]. In this context, Karl-Georga et al described that the integration of whole-body CT into early trauma care significantly increased the probability of survival [16].…”