ArticleWorld journal of surgery2012
Overall distribution of trauma-related deaths in Berlin 2010: advancement or stagnation of German trauma management?
Article in World journal of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Extracorporeal cardiopulmonary resuscitation in patients with traumatic cardiac arrest during the acute phase following injury: a comprehensive systematic review and meta-analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Mortality Patterns in Patients with Multiple Trauma: A Systematic Review of Autopsy Studies.PloS one · 2016Pooled it
- Hyperspectral imaging for objective microcirculatory assessment in trauma patients.Scientific reports · 2026Observational
- Reversible causes of death and the potential benefit of invasive emergency techniques in paediatric and adolescent trauma: a 12-years retrospective forensic analysis.BMC emergency medicine · 2026Observational
- Bimodal distribution of trauma-related acute kidney injury (TrAKI): A clinical review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026Review
- Interobserver variability in preclinical assessment of collision variables following traffic accidents.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Perioperative mortality among trauma patients in Northwest Ethiopia: a prospective cohort study.Scientific reports · 2023Article
- In vivo immunomodulation of IL6 signaling in a murine multiple trauma model.Immunologic research · 2023Article
- The Need for Trauma Management Training and Evaluation on a Prehospital Setting.International journal of environmental research and public health · 2022Article
- Clinical Prediction Scoring Scheme for 24 h Mortality in Major Traumatic Adult Patients.Healthcare (Basel, Switzerland) · 2022Article
- Design and Development of an Interactive Web-Based Simulator for Trauma Training: A Pilot Study.Journal of medical systems · 2021Article
- Epidemiologic, Postmortem Computed Tomography-Morphologic and Biomechanical Analysis of the Effects of Non-Invasive External Pelvic Stabilizers in Genuine Unstable Pelvic Injuries.Journal of clinical medicine · 2021Article
- Pre-hospital trauma care in Switzerland and Germany: do they speak the same language?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Trauma-induced coagulopathy.Nature reviews. Disease primers · 2021Review
- An Elucidation of Pattern of Injuries in Patients with Fall from Height.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Article
- Synergistic Effects of Forensic Medicine and Traumatology: Comparison of Clinical Diagnosis Autopsy Findings in Trauma-Related Deaths.World journal of surgery · 2020Article
- Causes of brain dysfunction in acute coma: a cohort study of 1027 patients in the emergency department.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Observational
- More interdisciplinary research is needed in forensic medicine.Forensic science, medicine, and pathology · 2019Article
- Changes in the temporal distribution of in-hospital mortality in severely injured patients-An analysis of the TraumaRegister DGU.PloS one · 2019Article
- Observational
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrauma is the leading cause of death among children, adolescents, and young adults. The latest data from the German Trauma Registry reveals a constant decrease in trauma mortality, indicating that 11.6 % of all trauma patients in 2010 died in hospital. Notably, trauma casualties dying before admission to hospital have not been systematically surveyed and analyzed in Germany.
methodsWe conducted a prospective observational study of all traumatic deaths in Berlin, recording demographic data, trauma mechanisms, and causes/localization and time of death after trauma. Inclusion criteria were all deaths following trauma from 1 January 2010 to 31 December 2010.
resultsA total of 440 trauma fatalities were included in this study, with a mortality rate of 13/100,000 inhabitants; 78.6 % were blunt injuries, and fall from a height >3 m (32.7 %) was the leading trauma mechanism. 32.5 % died immediately, 23.9 % died within 60 min, 7.7 % died within 1-4 h, 16.8 % died within 4-48 h, 11.1 % died <1 week later, and 8 % died >1 week after trauma. The predominant causes of death were polytrauma (45.7 %), sTBI (38 %), exsanguination (9.5 %), and thoracic trauma (3.2 %). Death occurred on-scene in 58.7 % of these cases, in the intensive care unit in 33.2 %, and in 2.7 % of the cases, in the emergency department, the operating room, and the ward, respectively.
conclusionsPolytrauma is the leading cause of death, followed by severe traumatic brain injury (sTBI). The temporal analysis of traumatic death indicates a shift from the classic "trimodal" distribution to a new "bimodal" distribution. Besides advances in road safety, prevention programs and improvement in trauma management-especially the pre-hospital phase-have the potential to significantly improve the survival rate after trauma.
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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.