title: [Quality and economy--contradictory demands].
abstract: Polytrauma treatment (40-60,000,-[symbol: see text]) and trauma killed victims (750,000,-[symbol: see text]) are a severe economical problem. The data of the German Trauma Registry show a significant influence of arrival time of the emergency doctor and lethality. There is also a significant increase of the length of stay at the intensive unit in severe thoracic and abdominal trauma (AIS > 3). The analysis of the audit filter for quality management showed between 1999-2000 a decrease of the time till first CCT from 41 to 31 minutes and for the first thoracic X-ray from 20 to 16 minutes. The German Trauma Registry includes till now more than 10,000 polytraumatized patients. There is an increase of 110% between the years 1998 and 2000.
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie Allgemeines Krankenhaus Celle, Siemensplatz 4, 29223 Celle.
authors.forename: H J
authors.initials: HJ
authors.lastname: Oestern
authors.forename: T
authors.initials: T
authors.lastname: Schwermann
mesh_terms: D003363:Cost Control / Q000331:legislation & jurisprudence; D005858:Germany; D017052:Hospital Mortality; D006801:Humans; D009104:Multiple Trauma / Q000191:economics* / Q000401:mortality / Q000628:therapy; D009313:National Health Programs / Q000191:economics*; D011787:Quality of Health Care / Q000191:economics*
vernacular_title: Qualität und Okonomie--ein unüberbrückbarer Gegensatz.