title: [Treatment of severely injured patients : Impact of the German Trauma Registry DGU®].
abstract: The German Trauma Registry DGU® started in 1993 as an initiative of five dedicated trauma centers and has evolved significantly since then. Data were obtained at four points of time from the site of the accident until discharge from hospital. In the first year (1993), the registry collected data of 260 patients from 5 hospitals. In 2015 more than 38.000 were included from 640 hospitals.This paper focusses on the impact of the trauma registry on the treatment of severely injured patients. Several authors could show that the data can be used by hospitals for benchmarking. This can help to detect problems in individual hospitals and to find solutions that can be implemented into the process of care and its subsequent reevaluation. Due to structural and process-related changes, the time necessary for the management in the emergency room could be reduced significantly. Various scientific analyses of the Trauma Registry DGU® data were implemented in the treatment of severely injured patients. In the prehospital treatment, this changed the criteria for intubation and led to a reduction of volume replacement. In the hospital setting, the analysis influenced the radiologic work-up and the treatment of coagulopathy of severely injured patients. Moreover, the risk-adjusted mortality of severely injured patients in Germany could be continuously reduced over the past 20 years.
authors.affiliation: Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Lehrstuhl der Universität Witten/Herdecke am Campus Köln-Merheim, Ostmerheimerstr. 200, 51109, Köln, Deutschland. bouillonb@kliniken-koeln.de.
authors.forename: B
authors.initials: B
authors.lastname: Bouillon
authors.affiliation: Institut für Forschung in der Operativen Medizin (IFOM), Universität Witten/Herdecke, Campus Köln-Merheim, Ostmerheimerstr 200, 51109, Köln, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Lefering
authors.affiliation: Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Lehrstuhl der Universität Witten/Herdecke am Campus Köln-Merheim, Ostmerheimerstr. 200, 51109, Köln, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Paffrath
authors.affiliation: Akademie der Unfallchirurgie (AUC), Wilhelm-Hale-Str. 46b, 80339, München, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Sturm
authors.affiliation: BG Unfallklinik Frankfurt, Friedberger Landstraße 430, 60389, Frankfurt, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Hoffmann
mesh_terms: D066264:Datasets as Topic / Q000706:statistics & numerical data*; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D019317:Evidence-Based Medicine / Q000379:methods; D005858:Germany / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D011159:Population Surveillance / Q000379:methods; D015995:Prevalence; D011785:Quality Assurance, Health Care / Q000379:methods / Q000706:statistics & numerical data*; D058996:Quality Improvement / Q000706:statistics & numerical data*; D012042:Registries / Q000145:classification / Q000706:statistics & numerical data*; D012307:Risk Factors; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*
keywords: Emergency service; Patient discharge; Quality improvement; Registries; Trauma center