ArticleDer Unfallchirurg2013
[Rescue time and survival of severely injured patients in Germany].
Article in Der Unfallchirurg, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 63 citations in OpenAlex.
- Thirty-Eight-Negative Kinase 1 Is a Mediator of Acute Kidney Injury in Experimental and Clinical Traumatic Hemorrhagic Shock.Frontiers in immunology · 2020Trial
- [Out-of-hospital airway management in trauma patients : Experiences with the C-MAC® video laryngoscope].Der Unfallchirurg · 2016Trial
- Penetrating thoracic stab wounds and the cardiac box: a single-center experience of in-hospital treatment and outcome in Germany.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Independence of the mortality of severely injured patients from types of transport and hospital level in a well-developed trauma network.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- [The golden approach to trauma. Which blood products are needed for optimization of prehospital trauma care?]Die Anaesthesiologie · 2024Article
- In-hospital mortality after prehospital endotracheal intubation versus alternative methods of airway management in trauma patients. A cohort study from the TraumaRegister DGU®.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- [Reassessment of the emergency medical service deployment indication catalogue after traffic accidents].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- [Empirical evaluation of quality indicators for severely injured patients in the TraumaRegister DGU®].Der Unfallchirurg · 2020Article
- Collecting core data in physician-staffed pre-hospital helicopter emergency medical services using a consensus-based template: international multicentre feasibility study in Finland and Norway.BMC health services research · 2019Observational
- Is Prehospital Time Important for the Treatment of Severely Injured Patients? A Matched-Triplet Analysis of 13,851 Patients from the TraumaRegister DGU®.BioMed research international · 2019Article
- Severe thoracic trauma - still an independent predictor for death in multiple injured patients?Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Article
- Significant acceleration of emergency response using smartphone geolocation data and a worldwide emergency call support system.PloS one · 2018Article
- Article
- [Additional emergency medical measures in trauma-associated cardiac arrest].Der Anaesthesist · 2017Article
- Article
- Evaluation of a new imaging tool for use with major trauma cases in the emergency department.BMC musculoskeletal disorders · 2016Article
- [Mortui vivos docent : The dead teach the living].Der Anaesthesist · 2016Review
- Trauma care inside and outside business hours: comparison of process quality and outcome indicators in a German level-1 trauma center.Scandinavian journal of trauma, resuscitation and emergency medicine · 2014Observational
- Are pentraxin 3 and transsignaling early markers for immunologic injury severity in polytrauma? A pilot study.Clinical orthopaedics and related research · 2013Article
- Trauma-related preventable deaths in Berlin 2010: need to change prehospital management strategies and trauma management education.World journal of surgery · 2013Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndependent of the rescue system type, a rescue time of less than 60 min for trauma patients is usually required and considered to be crucial for the outcome. The goal of this study was to investigate the impact of the rescue time on hospital survival in severely injured patients.
methodsWith the help of the German Trauma Registry of the DGU, the population and rescue time were systematically analyzed with regard to the survival rate. A lower mortality rate was observed with a higher injury severity in metropolitan cities compared to small towns.
resultsA multivariate regression analysis revealed no clinically relevant impact of the rescue time length in the German rescue system on survival. This can be explained by a higher amount of preclinical medical procedures during longer rescue times.
conclusionsWithin the German rescue system, the length of rescue time has no relevant impact on the survival of trauma patients admitted to a clinic. This could be explained by the higher numbers of preclinical measures and due to the limitations of a register study with selection bias. Therefore, we advocate that the necessary and suitable preclinical medical procedures be performed to stabilize the patient, even in cases that have exceeded the 60-min gold standard time window. In conclusion the "golden hour" concept today might better be interpreted as an individual and appropriate "golden period" of trauma.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.