Kühne C A, Ruchholtz S, Buschmann C, Sturm J, Lackner C K, Wentzensen A, Bouillon B, Waydhas C, Weber C
Klinik für Unfallchirurgie, Universitätsklinikum, Essen.
Unfallchirurg. 2006 May;109(5):357-66. doi: 10.1007/s00113-005-1049-2.
In Germany, a total of more than 30,000 polytraumatized patients are treated in level I-IV trauma centers. The exact number of hospitals fulfilling the requirements for the treatment of severely injured patients is unknown. We analyzed the number of hospitals in Germany capable of managing polytraumatized patients. We further analyzed the influence of various geographic and infrastructure conditions on the management of severely injured patients in the various Federal States in Germany.
First we conducted a nationwide research of all hospitals specialized in trauma management. Points of interest were structural and personnel requirements. These data were compared to the data obtained by the Federal Statistical Office. With a special software program we were able to conduct for the first time a geographic visualization of all trauma hospitals.
There are 108 level I trauma centers, 209 level II trauma centers, and 431 level III and IV trauma centers in Germany. The geographic concentration of hospitals fulfilling the requirements for the treatment of severely injured patients differs regionally. There is an obvious correlation between trauma deaths and a low hospital concentration and less developed infrastructure.
Objectively, the number of trauma centers for the treatment of severely injured patients seems to be adequate in Germany. Nevertheless, there are substantial differences between various Federal States in Germany concerning the distribution of hospitals as well as the geographic and infrastructure conditions. To optimize trauma management in Germany we think that the formation of regional trauma networks is mandatory.
在德国，共有超过30000名多发伤患者在I - IV级创伤中心接受治疗。满足重伤患者治疗要求的医院的确切数量尚不清楚。我们分析了德国能够处理多发伤患者的医院数量。我们还进一步分析了各种地理和基础设施条件对德国各联邦州重伤患者救治工作的影响。
首先，我们对所有专门从事创伤管理的医院进行了全国性研究。关注点为结构和人员要求。这些数据与联邦统计局获得的数据进行了比较。通过一个特殊的软件程序，我们首次对所有创伤医院进行了地理可视化展示。
德国有108个I级创伤中心、209个II级创伤中心以及431个III级和IV级创伤中心。满足重伤患者治疗要求的医院在地理上的集中程度存在地区差异。创伤死亡率与医院集中度低以及基础设施欠发达之间存在明显关联。
客观来看，德国用于治疗重伤患者的创伤中心数量似乎是足够的。然而，德国各联邦州在医院分布以及地理和基础设施条件方面存在显著差异。为优化德国的创伤管理工作，我们认为建立区域创伤网络是必要的。
