von Dercks N, Melz R, Hepp P, Marquass B, Theopold J, Josten C
Klinik und Poliklinik für Unfall-, Wiederherstellungs- und Plastische Chirurgie, Universitätsklinikum Leipzig AöR, Liebigstraße 20, 04103, Leipzig, Deutschland.
Unfallchirurg. 2011 Nov;114(11):1029-34. doi: 10.1007/s00113-011-2108-5.
Recording DRGs and diagnoses allows their distribution to be shown over the course of the year. Thus, cumulative seasonal occurrence of diseases can be detected.
From 2004 to 2010 we recorded 22,293 main diagnoses and DRGs at the clinic for trauma surgery. Injuries with the same localization and treatment were pooled.
The most frequent injuries were concussion, followed by spinal and lower leg fractures. They showed no seasonal accumulation. Proximal fractures of the humerus occurred approx. 25% more often in winter and ankle fractures about 33% more frequently. The diagnosis of osteoarthritis of the knee is twice as high in the winter as in the summer.
It has to be verified if logistic conclusions of these results can lead to more efficiency in a hospital. The underlying analysis is applicable for every hospital and poses a valid controlling tool.
记录疾病诊断相关分组（DRGs）和诊断信息可展示其在一年中的分布情况。因此，能够检测出疾病的累积季节性发生情况。
2004年至2010年期间，我们在创伤外科诊所记录了22293例主要诊断和DRGs。对定位和治疗相同的损伤进行了汇总。
最常见的损伤是脑震荡，其次是脊柱和小腿骨折。它们未表现出季节性累积。肱骨近端骨折在冬季的发生率比其他季节约高25%，踝关节骨折则约高33%。膝关节骨关节炎的诊断在冬季是夏季的两倍。
这些结果的逻辑结论是否能提高医院效率有待验证。基础分析适用于每家医院，是一种有效的控制工具。
