德国和以色列的严重创伤：我们说的是同一种语言吗？创伤登记比较。
Severe trauma in Germany and Israel: are we speaking the same language? A trauma registry comparison.
机构信息
Israel National Center for Trauma and Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat-Gan, Israel.
Department of Emergency and Disaster Management, Faculty of Medicine, School of Public Health, Sackler Tel Aviv University, Tel Aviv, Israel.
出版信息
Front Public Health. 2023 May 2;11:1136159. doi: 10.3389/fpubh.2023.1136159. eCollection 2023.
BACKGROUND
Trauma registries are a crucial component of trauma systems, as they could be utilized to perform a benchmarking of quality of care and enable research in a critical but important area of health care. The aim of this study is to compare the performance of two national trauma systems: Germany (TraumaRegister DGU®, TR-DGU) and Israel (Israeli National Trauma Registry, INTR).
METHODS
The present study was a retrospective analysis of data from the described above trauma registries in Israel and Germany. Adult patients from both registries treated during 2015-2019 with an Injury Severity Score (ISS) ≥ 16 points were included. Patient demographics, type, distribution, mechanism, and severity of injury, treatment delivered and length of stay (LOS) in the ICU and in the hospital were included in the analysis.
RESULTS
Data were available from 12,585 Israeli patients and 55,660 German patients. Age and sex distribution were comparable, and road traffic collisions were the most prevalent cause of injuries. The ISS of German patients was higher (ISS 24 vs. 20), more patients were treated on an intensive care unit (92 vs. 32%), and mortality was higher (19.4 vs. 9.5%) as well.
CONCLUSION
Despite similar inclusion criteria (ISS ≥ 16), remarkable differences between the two national datasets were observed. Most probably, this was caused by different recruitment strategies of both registries, like trauma team activation and need for intensive care in TR-DGU. More detailed analyses are needed to uncover similarities and differences of both trauma systems.
背景
创伤登记处是创伤系统的重要组成部分，因为它们可用于对护理质量进行基准测试，并能够在医疗保健的一个关键但重要领域进行研究。本研究的目的是比较两个国家的创伤系统：德国（创伤登记处德国创伤学会®，TR-DGU）和以色列（以色列国家创伤登记处，INTR）。
方法
本研究是对上述以色列和德国创伤登记处的数据进行的回顾性分析。纳入了这两个登记处中 2015 年至 2019 年期间，损伤严重程度评分（ISS）≥16 分的成年患者。分析包括患者的人口统计学特征、类型、分布、机制和损伤严重程度、治疗方法以及 ICU 和医院的住院时间（LOS）。
结果
数据来自 12585 名以色列患者和 55660 名德国患者。年龄和性别分布相似，道路交通碰撞是最常见的受伤原因。德国患者的 ISS 更高（ISS 24 与 20），更多的患者在重症监护室治疗（92 与 32%），死亡率也更高（19.4 与 9.5%）。
结论
尽管纳入标准相似（ISS≥16），但两个国家的数据集之间存在显著差异。这很可能是由于两个登记处的不同招募策略造成的，例如 TR-DGU 中的创伤小组激活和对重症监护的需求。需要进行更详细的分析，以揭示两个创伤系统的相似点和不同点。
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