Trentzsch H, Maegele M, Nienaber U, Paffrath T, Lefering R
Institut für Notfallmedizin und Medizinmanagement (INM), Klinikum der Universität München, LMU München, Schillerstr. 51, 80336, München, Deutschland.
Klinik für Unfallchirurgie, Orthopädie & Sporttraumatologie, Klinikum der Privaten Universität Witten/Herdecke , Köln-Merheim, Deutschland.
Unfallchirurg. 2018 Oct;121(10):794-801. doi: 10.1007/s00113-018-0555-y.
Since the publication in 1993, the dataset and documentation form of the TraumaRegister DGU® (TR-DGU) have continuously evolved. On the occasion of the 25th anniversary the authors have analyzed this evolution in order to reflect it in the light of medical progress in the treatment of the severely injured.
Enrolled in the study were 5 reference data entry sheets from the years 1993, 1996, 2002, 2009 and 2016. Every piece of information (item) queried therein was entered into the study database, was categorized by topic and counted for further analysis.
The arrangement of the 4‑page data entry form has remained practically unchanged since 1993 and includes an average of 212 items. A total of 491 items were identified of which 64 were present throughout every dataset. Based on the average extent of the form this equals a proportion of approximately 30%. The dataset actually shows much more consistency than this number suggests because many changes can be traced back to a smarter design of the data entry form. Most items fell into the categories "results/diagnosis" (143 items/29.1%), "coagulation" (104/21.2%) and "surgical approach" (40/8.1%). Many items serve as raw data for the calculation of prognostic risk scores, such as the trauma and injury severity score (TRISS), the revised injury severity classification II (RISC II) and the trauma associated severe hemorrhage (TASH) score. Currently, nine scores can be calculated from the dataset.
The members of the working group TraumaRegister all actively participate in the treatment of severely injured patients. For 25 years this group has managed to unify the latest medical developments and well-established parameters within the TR-DGU dataset at a relatively constant degree of effort for documentation. Practice in place of theory is the driving force behind this development that serves quality assurance and research in the treatment of severely injured patients.
自1993年发布以来，创伤注册数据库DGU®（TR-DGU）的数据集和文档形式不断演变。在其成立25周年之际，作者对这一演变进行了分析，以便根据严重创伤治疗方面的医学进展对其加以反映。
纳入研究的有1993年、1996年、2002年、2009年和2016年的5份参考数据录入表。其中查询到的每条信息（条目）都被录入研究数据库，按主题分类并计数以进行进一步分析。
自1993年以来，4页的数据录入表格式基本保持不变，平均包含212个条目。总共识别出491个条目，其中64个在每个数据集中都有。基于该表格的平均篇幅，这相当于约30%的比例。实际上，数据集显示出的一致性比这个数字所表明的要高得多，因为许多变化可追溯到数据录入表更巧妙的设计。大多数条目属于“结果/诊断”（143条/29.1%）、“凝血”（104条/21.2%）和“手术方式”（40条/8.1%）类别。许多条目用作计算预后风险评分的原始数据，如创伤和损伤严重程度评分（TRISS）、修订的损伤严重程度分类II（RISC II）和创伤相关严重出血（TASH）评分。目前，可从该数据集中计算出9种评分。
创伤注册工作组的成员都积极参与严重创伤患者的治疗。25年来，该团队在记录工作投入相对稳定的情况下，成功地将最新医学进展和既定参数统一纳入TR-DGU数据集中。实践而非理论是这一发展的驱动力，其服务于严重创伤患者治疗中的质量保证和研究。
