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

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Pre-hospital trauma care in Switzerland and Germany: do they speak the same language?
Creator	Dgu, Traumaregister Halvachizadeh, Sascha Jensen, Kai Ladislav, · Lefering, Rolf Pape, Hans-Christoph Paul, Michel Pfeifer, Roman Simmen, · Hans-Peter Sprengel, Kai Teuben, Johan The, ·
Source	PMC
abstract	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 pre-hospital 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.
has issue date	2020-01-29(xsd:dateTime)
bibo:doi	10.1007/s00068-020-01306-3
bibo:pmid	31996977
has license	no-cc
sha1sum (hex)	deeb9c6b9fdf0b0a6dbc47bab6c85a70e04a5551
schema:url	https://doi.org/10.1007/s00068-020-01306-3
resource representing a document's title	Pre-hospital trauma care in Switzerland and Germany: do they speak the same language?
has PubMed Central identifier	PMC7223374
has PubMed identifier	31996977
schema:publication	Eur J Trauma Emerg Surg
resource representing a document's body	covid:deeb9c6b9fdf0b0a6dbc47bab6c85a70e04a5551#body_text
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