title: [Rehabilitation of multiple injured patients in Germany: Clinic locations, structural and equipment attributes].
abstract: BACKGROUND
  In recent years, there has been an ongoing improvement in the treatment and structural aspects of acute trauma care. Because of the definition of rehabilitation as a post-acute part of the treatment of traumatic injuries, especially in multiple injured patients, there is need to improve the interaction and cooperation between acute care hospitals and rehabilitation clinics. This article gives a survey of the current state of rehabilitation in Germany.
  
  
  METHODS
  Based on a directory of rehabilitation clinics and an internet search, all rehabilitation clinics were identified and included in the analysis for clinic location, structural and equipment attributes.
  
  
  RESULTS
  In total 551 rehabilitation clinics with expertise in the treatment of traumatic and orthopedic injuries were identified. In detail, broad differences between the federal states could be observed. The number of rehabilitation clinics per state ranged from 1 to 136 and the number of beds from 70 to 18040. The average catchment area covered by a rehabilitation clinic is 648 km(2) (range 149-2106 km(2)) with an average of 1584 patients per clinic per year. Of the clinics 68% can treat patients with methicillin-resistant Staphylococcus aureus (MRSA) infections and 62.1% are able to deal with patients who need renal dialyses. Almost all clinics provide an x-ray facility (96.4%) while computed tomography (CT) and magnetic resonance imaging (MRI) are available in 52.6% and 50.3%, respectively.
  
  
  CONCLUSIONS
  The number of rehabilitation clinics available seems to be adequate for all patients with traumatic injuries but there are enormous differences between the federal states. Because rehabilitation is important for the outcome of multiple injured patients, a further improvement of the quality and integration into the regional trauma network seem to be necessary.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Debus
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Moosdorf
authors.affiliation: Klinik für Visceral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Marburg, Deutschland.
authors.forename: C L
authors.initials: CL
authors.lastname: Lopez
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Ruchholtz
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Schwarting
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland. kuehnec@med.uni-marburg.de.
authors.forename: C A
authors.initials: CA
authors.lastname: Kühne
mesh_terms: D002391:Catchment Area, Health / Q000706:statistics & numerical data*; D003952:Diagnostic Imaging / Q000295:instrumentation / Q000706:statistics & numerical data*; D005858:Germany / Q000453:epidemiology; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data*; D006801:Humans; D009104:Multiple Trauma / Q000453:epidemiology* / Q000534:rehabilitation*; D012046:Rehabilitation / Q000295:instrumentation / Q000706:statistics & numerical data; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D014193:Trauma Centers
keywords: Cooperation; Multiple trauma; Networking; Rehabilitation clinic; Trauma network