Pre-hospital trauma care in Switzerland and Germany: do they speak the same language?

Purpose Swiss and German (pre-)hospital systems, distribution and organization of trauma centres differ from each other. It is unclear if outcome in trauma patients differs as well. Therefore, this study aims to determine differences in characteristics, therapy and outcome of trauma patients between...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2021-08, Vol.47 (4), p.1273-1280
Main Authors: Jensen, Kai Oliver, Teuben, Michel Paul Johan, Lefering, Rolf, Halvachizadeh, Sascha, Mica, Ladislav, Simmen, Hans-Peter, Pfeifer, Roman, Pape, Hans-Christoph, Sprengel, Kai
Format: Article
Language:English
Subjects:
Critical Care Medicine
Emergency Medicine
Intensive
Medicine
Medicine & Public Health
Original
Original Article
Sports Medicine
Surgery
Surgical Orthopedics
Trauma
Trauma care
Trauma centers
Traumatic Surgery
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Summary:Purpose Swiss and German (pre-)hospital systems, distribution and organization of trauma centres differ from each other. It is unclear if outcome in trauma patients differs as well. Therefore, this study aims to determine differences in characteristics, therapy and outcome of trauma patients between both German-speaking countries. Methods The TraumaRegister DGU ® (TR-DGU) was used. Patients with Injury Severity Score ≥ 9 admitted to a level 1 trauma centre between 01/2009 and 12/2017 were included if they required ICU care or died. Trauma pattern, pre-hospital procedures and outcome were compared between Swiss (CH, n  = 4768) and German (DE, n  = 66,908) groups. Results Swiss patients were older than German patients (53 vs. 50 years). ISS did not differ between groups (CH 23.8 vs. DE 23.0 points). There were more low falls 
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-020-01306-3