Hörauf Jason-Alexander, Schindler Cora Rebecca, Mühlenfeld Nils, Zabel Julian, Störmann Philipp, Marzi Ingo, Söhling Nicolas, Verboket René Danilo
Department of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Life (Basel). 2023 Oct 12;13(10):2046. doi: 10.3390/life13102046.
Nationwide, there is an annual increase in the number of patients in German emergency departments resulting in a growing workload for the entire emergency department staff. Several studies have investigated the situation in emergency departments, most of which were interdisciplinary, but there are no data on a solely traumatological patient population. The present study therefore aims to investigate the situation in a university-based trauma surgery emergency department. A total of 8582 traumatological patients attending a university hospital from 1 January 2019 to 31 December 2019 were studied. Various variables, such as reason for presentation, time of accident, diagnosis, and diagnostic as well as therapeutic measures performed were analyzed from the admission records created. The mean age was 36.2 years, 60.1% were male, 63.3% presented on their own to the emergency department, and 41.2% presented during regular working hours between 8:00 a.m. and 6:00 p.m., Monday through Friday. The most common reason for presentation was outdoor falls at 17.4%, and 63.3% presented to the emergency department within the first 12 h after the sustained trauma. The most common diagnosis was bruise (27.6%), and 14.2% of patients were admitted as inpatients. Many of the emergency room patients suffered no relevant trauma sequelae. In order to reduce the number of patients in emergency rooms in the future, existing institutions in the outpatient emergency sector must be further expanded and effectively advertised to the public. In this way, the emergency medical resources of clinics, including staff, can be relieved to provide the best possible care for actual emergency patients.
在全国范围内，德国急诊科患者数量每年都在增加，这导致整个急诊科工作人员的工作量不断增加。多项研究调查了急诊科的情况，其中大多数是跨学科研究，但没有关于单纯创伤患者群体的数据。因此，本研究旨在调查大学创伤外科急诊科的情况。对2019年1月1日至2019年12月31日在一家大学医院就诊的8582名创伤患者进行了研究。从创建的入院记录中分析了各种变量，如就诊原因、事故发生时间、诊断以及所采取的诊断和治疗措施。平均年龄为36.2岁，60.1%为男性，63.3%自行前往急诊科就诊，41.2%在周一至周五上午8:00至下午6:00的正常工作时间内就诊。最常见的就诊原因是户外跌倒，占17.4%，63.3%在遭受创伤后的前12小时内前往急诊科就诊。最常见的诊断是瘀伤（27.6%），14.2%的患者被收治住院。许多急诊室患者没有遭受相关的创伤后遗症。为了未来减少急诊室患者数量，门诊急诊部门的现有机构必须进一步扩大，并有效地向公众宣传。这样，包括工作人员在内的诊所急诊医疗资源可以得到缓解，以便为实际急诊患者提供尽可能好的护理。
