Abstract:
BACKGROUND:Recent years have seen a further decline in the nationwide case fatality rate after major trauma in Germany, but it has not been clear until now whether all centers providing trauma care achieve comparable results. We have attempted to answer this question using data from the trauma registry of the German Society for Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie, DGU). METHODS:The standardized mortality rate of each participating center was calculated on the basis of the RISC prognostic score (Revised Injury Severity Classification) and the observed case fatality rate of the center. Results were compared across centers for the years 2004 to 2007; only the centers that provided the primary treatment of at least 100 patients during this period were included in the analysis. Data from the ten highest-scoring centers, the ten lowest-scoring centers, and the ten centers in the middle of the group were compared, and differences between them were analyzed. RESULTS:The case fatality rate in the top ten centers was 8.7%. The corresponding rate in the bottom ten centers was approXimately twice as high, even though the injuries treated there were of comparable severity. CONCLUSION:It is evident that the fate of a trauma patient in Germany depends partly on the center in which he or she is treated. These data were drawn from a retrospective evaluation of a case registry and should be assessed in awareness of this fact.
journal_name
Dtsch Arztebl Intjournal_title
Deutsches Arzteblatt internationalauthors
Hilbert P,Lefering R,Stuttmann Rdoi
10.3238/arztebl.2010.0463subject
Has Abstractpub_date
2010-07-01 00:00:00pages
463-9issue
26issn
1866-0452journal_volume
107pub_type
杂志文章,多中心研究abstract:BACKGROUND:Breast cancer is the most common cancer in women. The German S3 guideline of 2012 has now been updated to take account of advances in the early detection, diagnostic evaluation, treatment, and follow-up care of this disease. METHODS:The updating process was based on the adaptation of identified source guide...
journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
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更新日期:2018-05-04 00:00:00
abstract:BACKGROUND:In Germany, rehabilitation is considered to be indicated after an acute hospital stay for the treatment of a severe cardiac condition. In comparative studies, at least 51% of German hospital patients with coronary heart disease (CHD) who were entitled to rehabilitative measures actually took part n rehabilit...
journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
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abstract:BACKGROUND:When gunshot and blast injuries affect only a single person, first aid can always be delivered in conformity with the relevant guidelines. In contrast, when there is a dynamic casualty situation affecting many persons, such as after a terrorist attack, treatment may need to be focused on immediately life-thr...
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pub_type: 杂志文章
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
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更新日期:2011-10-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,meta分析
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更新日期:2018-01-19 00:00:00
abstract::[This corrects the article DOI: 10.3238/arztebl.2017.0661.]. ...
journal_title:Deutsches Arzteblatt international
pub_type: 已发布勘误
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更新日期:2017-11-01 00:00:00
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pub_type: 杂志文章
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journal_title:Deutsches Arzteblatt international
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
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更新日期:2009-07-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2018-11-16 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
doi:10.3238/arztebl.2011.0222
更新日期:2011-04-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
doi:10.3238/arztebl.2015.0803
更新日期:2015-11-20 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
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更新日期:2019-01-18 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,meta分析,评审
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更新日期:2015-11-27 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
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更新日期:2014-08-04 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
doi:10.3238/arztebl.2017.0302
更新日期:2017-04-28 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
doi:10.3238/arztebl.2010.0361
更新日期:2010-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-08-05 00:00:00