[Reality of care based on the data from the Trauma Registry of the German Society of Trauma Surgery].

The Trauma Registry of the German Society for Trauma Surgery (TR-DGU) has documented diagnostics, treatment and outcome of severely injured patients since 1993. In 2009 it became the obligatory tool for quality assessment in the regional trauma networks (TraumaNetzwerk DGU). During that time period many things changed, and data from the TR-DGU could be used to monitor these changes. For example, the time from accident until hospital admission, which is about 70 min, has not changed in recent years. Conversely, major trends were observed regarding a reduced amount of preclinical volume and, in conscious patients, a lower intubation rate. In the acute care hospital whole-body CT is used in nearly all hospitals and has contributed to the fact that the mortality rate today is 2-3% lower than a decade ago.