ArticleWorld journal of surgery2013
Trauma-related preventable deaths in Berlin 2010: need to change prehospital management strategies and trauma management education.
Article in World journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 206 citations in OpenAlex.
- Prehospital management of chest injuries in severely injured patients-a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- [Indications, procedure and outcome of prehospital emergency resuscitative thoracotomy-a systematic literature search].Der Unfallchirurg · 2020Pooled it
- Are Pre-hospital Trauma Deaths Preventable? A Systematic Literature Review.World journal of surgery · 2019Pooled it
- A randomised controlled trial of verbal guidance versus verbal guidance supplemented by a photographic aid for bystander identification of intramuscular tranexamic acid injection sites in a simulated road injury scenario.BMC emergency medicine · 2025Trial
- Evaluation of the impact of high altitude on pre-hospital anaesthetic administration: a scoping review.BJA open · 2026Review
- Korea's preventable trauma death rate falls to single digits: what comes next?Journal of trauma and injury · 2026Article
- Adherence to strong recommendations of the German Polytrauma Guideline: an analysis of TraumaRegister DGU data over a decade.Scientific reports · 2026Article
- Robotic end effector for decompression of tension pneumothorax.International journal of computer assisted radiology and surgery · 2026Article
- [Management and outcome of patients with stab injuries treated at a German level I trauma center : A retrospective analysis over a 3-year period].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Modified Johannesburg technique sets the standard - superior biomechanical stability in chest tube fixation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- 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
- Trauma-related mortality in a European region with an intermediately mature trauma system: a comprehensive population-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Comparison of a New Halloysite Based Haemostatic Gauze (SpeedM) With a Kaolin Based Gauze (QuikClot Combat Gauze) in a Standardised Lethal Porcine Model of Uncontrolled Haemorrhage.EJVES vascular forum · 2026Article
- Are multiple limb injuries in severely injured patients negligible? Evaluation of progression and outcome using a new scoring system for extremity injury: the Extremity Severity Score (ESS).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Comparison of dispatching after motor vehicle accidents - effects of the TPS-eCall system on dispatching time.BMC emergency medicine · 2025Article
- Breaking the silence: communication failures are the leading errors identified in 10-years of trauma morbidity and mortality conferences.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Hemorrhage control in pelvic ring injuries: the role of PCCDs and other acute measures in Germany.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Mechanical trauma in children and adolescents in Berlin.Forensic science, medicine, and pathology · 2025Article
- Enhancing needle puncture detection using high-pass filtering and diffuse reflectance.Frontiers in robotics and AI · 2025Article
- TraumaFlow-development of a workflow-based clinical decision support system for the management of severe trauma cases.International journal of computer assisted radiology and surgery · 2024Article
17 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFatal trauma is one of the leading causes of death in Western industrialized countries. The aim of the present study was to determine the preventability of traumatic deaths, analyze the medical measures related to preventable deaths, detect management failures, and reveal specific injury patterns in order to avoid traumatic deaths in Berlin. MATERIALS AND
methodsIn this prospective observational study all autopsied, direct trauma fatalities in Berlin in 2010 were included with systematic data acquisition, including police files, medical records, death certificates, and autopsy records. An interdisciplinary expert board judged the preventability of traumatic death according to the classification of non-preventable (NP), potentially preventable (PP), and definitively preventable (DP) fatalities.
resultsOf the fatalities recorded, 84.9 % (n = 224) were classified as NP, 9.8 % (n = 26) as PP, and 5.3 % (n = 14) as DP. The incidence of severe traumatic brain injury (sTBI) was significantly lower in PP/DP than in NP, and the incidence of fatal exsanguinations was significantly higher. Most PP and NP deaths occurred in the prehospital setting. Notably, no PP or DP was recorded for fatalities treated by a HEMS crew. Causes of DP deaths consisted of tension pneumothorax, unrecognized trauma, exsanguinations, asphyxia, and occult bleeding with a false negative computed tomography scan.
conclusionsThe trauma mortality in Berlin, compared to worldwide published data, is low. Nevertheless, 15.2 % (n = 40) of traumatic deaths were classified as preventable. Compulsory training in trauma management might further reduce trauma-related mortality. The main focus should remain on prevention programs, as the majority of the fatalities occurred as a result of non-survivable injuries.
Indexed as
Identifiers
What OpenQuestion holds
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.