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[德国与欧洲其他地区创伤及事故记录情况对比]

[Trauma and accident documentation in Germany compared with elsewhere in Europe].

作者信息

Probst C, Richter M, Haasper C, Lefering R, Otte D, Oestern H J, Krettek C, Hüfner T

机构信息

Unfallchirurgische Klinik, Medizinischen Hochschule, Carl-Neuberg-Strasse 1, Hannover, Germany.

出版信息

Chirurg. 2008 Jul;79(7):650-6. doi: 10.1007/s00104-008-1498-6.

DOI:10.1007/s00104-008-1498-6
PMID:18351306
Abstract

BACKGROUND

The role of trauma documentation has grown continuously since the 1970s. Prevention and management of injuries were adapted according to the results of many analyses. Since 1993 there have been two different trauma databases in Germany: the German trauma registry (TR) and the database of the Accident Research Unit (UFO). Modern computer applications improved the data processing. Our study analysed the pros and cons of each system and compared them with those of our European neighbours.

METHODS

We compared the TR and the UFO databases with respect to aims and goals, advantages and disadvantages, and current status. Results were reported as means +/- standard errors of the mean. The level of significance was set at P<0.05.

RESULTS

There were differences between the two databases concerning number and types of items, aims and goals, and demographics. The TR documents care for severely injured patients and the clinical course of different types of accidents. The UFO describes traffic accidents, accident conditions, and interrelations. The German and British systems are similar, and the French system shows interesting differences.

DISCUSSION

The German trauma documentation systems focus on different points. Therefore both can be used for substantiated analyses of different hypotheses. Certain intersections of both databases may help to answer very special questions in the future.

摘要

背景

自20世纪70年代以来,创伤记录的作用一直在持续增长。伤害的预防和管理根据许多分析结果进行了调整。自1993年以来,德国有两个不同的创伤数据库:德国创伤登记处(TR)和事故研究单位(UFO)的数据库。现代计算机应用改进了数据处理。我们的研究分析了每个系统的优缺点,并将它们与我们欧洲邻国的系统进行了比较。

方法

我们比较了TR和UFO数据库在目标、优缺点和现状方面的情况。结果以均值±均值标准误差的形式报告。显著性水平设定为P<0.05。

结果

两个数据库在项目数量和类型、目标以及人口统计学方面存在差异。TR记录对重伤患者的护理以及不同类型事故的临床过程。UFO描述交通事故、事故情况和相互关系。德国和英国的系统相似,而法国的系统显示出有趣的差异。

讨论

德国的创伤记录系统关注不同的要点。因此,两者都可用于对不同假设进行有充分依据的分析。两个数据库的某些交叉点可能有助于在未来回答非常特殊的问题。

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引用本文的文献

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Trauma care in Germany: an inclusive system.德国的创伤救治:一个综合性的体系。
Clin Orthop Relat Res. 2013 Sep;471(9):2912-23. doi: 10.1007/s11999-013-2967-x.
2
[Trauma care systems in Germany, USA and Australia. An international comparison].[德国、美国和澳大利亚的创伤护理系统。一项国际比较]
Unfallchirurg. 2010 Sep;113(9):771-4, 776-7. doi: 10.1007/s00113-010-1796-6.
3
Trauma care in Germany: major differences in case fatality rates between centers.德国创伤救治:各中心病死率存在显著差异。

本文引用的文献

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[Knee injuries of vulnerable road users in road traffic].[道路交通中易受伤害道路使用者的膝部损伤]
Unfallchirurg. 2006 Dec;109(12):1025-31. doi: 10.1007/s00113-006-1186-2.
2
Improvements in passive car safety led to decreased injury severity--a comparison between the 1970s and 1990s.被动式汽车安全性能的提升降低了伤害的严重程度——20世纪70年代与90年代的对比
Injury. 2005 Apr;36(4):484-8. doi: 10.1016/j.injury.2004.10.001. Epub 2005 Jan 13.
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Free abdominal fluid on ultrasound in unstable pelvic ring fracture: is laparotomy always necessary?
Dtsch Arztebl Int. 2010 Jul;107(26):463-9. doi: 10.3238/arztebl.2010.0463. Epub 2010 Jul 2.
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The role of SIGN in the development of a global orthopaedic trauma database.SIGN 在全球骨科创伤数据库发展中的作用。
Clin Orthop Relat Res. 2010 Oct;468(10):2592-7. doi: 10.1007/s11999-010-1442-1.
不稳定骨盆环骨折超声检查发现腹腔游离液体:是否总是需要剖腹手术?
J Trauma. 2004 Aug;57(2):278-85; discussion 285-7. doi: 10.1097/01.ta.0000133840.44265.ca.
4
[Evaluation of costs incurred for patients with multiple trauma particularly from the perspective of the hospital].[对多发伤患者所产生费用的评估,尤其是从医院角度出发]
Unfallchirurg. 2004 Jul;107(7):563-74. doi: 10.1007/s00113-004-0778-y.
5
[DRG reimbursement for multiple trauma patients -- a comparison with the comprehensive hospital costs using the German trauma registry].[德国创伤登记处对多发伤患者的疾病诊断相关分组(DRG)报销——与综合医院费用的比较]
Unfallchirurg. 2004 Jan;107(1):68-75. doi: 10.1007/s00113-003-0715-5.
6
[The development of a model to calculate the cost of care for the severely injured--an initiative of the Trauma Register of the DGU].[一种用于计算重伤患者护理成本的模型的开发——德国创伤外科学会创伤登记处的一项倡议]
Unfallchirurg. 2003 Apr;106(4):348-57. doi: 10.1007/s00113-003-0605-x.
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Application of guidelines for severe head trauma: data from an Italian database.
Eur J Emerg Med. 2003 Mar;10(1):68-72. doi: 10.1097/00063110-200303000-00020.
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[Systematic literature searches for clinical guideline development in the field of out-of-hospital and early in-hospital care of multiply injured patients].
Unfallchirurg. 2002 Nov;105(11):1022-6. doi: 10.1007/s00113-002-0514-4.
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[Primary external fixation with consecutive procedural modification in polytrauma].多发伤中连续程序改良的一期外固定
Unfallchirurg. 2002 Apr;105(4):315-21. doi: 10.1007/s001130100340.
10
Prehospital intubation in severe thoracic trauma without respiratory insufficiency: a matched-pair analysis based on the Trauma Registry of the German Trauma Society.无呼吸功能不全的严重胸部创伤患者的院前气管插管:基于德国创伤协会创伤登记处的配对分析
J Trauma. 2002 May;52(5):879-86. doi: 10.1097/00005373-200205000-00010.