Evidence map›Paper›PMID 26754119›Full record

ArticleDeutsches Arzteblatt international2015

Numbers of Severely Injured Patients in Germany. A Retrospective Analysis From the DGU (German Society for Trauma Surgery) Trauma Registry.

Florian Debus, Rolf Lefering, Michael Frink, Christian Alexander Kühne, Carsten Mand, Benjamin Bücking, Steffen Ruchholtz

Erratum issuedAbstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Analgesia in Patients with Trauma in Emergency Medicine.Deutsches Arzteblatt international · 2017
    Pooled it
  4. Health economic evaluation of polytrauma treatment in the current aG-DRG system - Results of a Level I Trauma Center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  5. Article
  6. Adult trauma centers in Poland: where do we stand?International journal of emergency medicine · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. [Trauma team activation-Who should be alerted for which patients?]Unfallchirurgie (Heidelberg, Germany) · 2023
    Review
  11. Article
  12. Process times of severely injured patients in the emergency room are associated with patient volume: a registry-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  13. Evaluation of a standardized instrument for post hoc analysis of trauma-team-activation-criteria in 75,613 injured patients an analysis of the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  14. Article
  15. [Nontraumatic resuscitation room management of critically ill patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021
    Review
  16. [Trauma center management].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Florian DebusDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen and Marburg GmbH, Campus Marburg, Germany, Institute for Research in Operative Medicine (IFOM) Cologne, Witten/Herdecke University, Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German, Trauma Society (DGU).
Rolf Lefering
Michael Frink
Christian Alexander Kühne
Carsten Mand
Benjamin Bücking
Steffen Ruchholtz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersons who sustain severe traumatic injury, i.e., those with an Injury Severity Score (ISS) of 16 or above, go on to suffer major physical, emotional, and socio-economic consequences. It is important to know the incidence of severe trauma so that these patients can be cared for optimally.

methodsData from the year 2012 on severely injured persons with an ISS of 16 or above were obtained from the trauma registry of the German Society for Trauma Surgery (DGU) and analyzed. Further information was obtained from the database of the DGU trauma network. The annual incidence of severe trauma was estimated from these data in three different ways.

resultsAn extrapolation of hospital-based data to the German population yielded a figure of 16 742 severely injured persons per year. A population-based estimate from the German federal state of Bavaria yielded a figure of 16 514/year, while an area-based extrapolation using data from 17 established networks yielded a figure of 16 554/year. We added 10% to each of these figures as a correction for assumed underreporting. We conclude that the number of persons who sustained a severe traumatic injury in Germany in 2012 lay between 18 209 (95% confidence interval [CI]: 17 751-18 646) and 18 416 (95% CI: 18 156-18 695). This corresponds to an incidence of 0.02% per year.

conclusionData from a prospectively maintained nationwide trauma registry were used for the first time to calculate the annual incidence of severe traumatic injury in Germany: the expected number of severely injured persons per year is 18 200-18 400. Previous extrapolations yielded values in the range of 32 500-35 300. A high variability of documentation practices among supraregional trauma centers may have distorted the estimate, along with other factors. The figures were not normalized for age or sex.

Indexed as

RegistriesTrauma Severity IndicesGermanyHospitalizationHumansIncidenceRetrospective StudiesRisk FactorsSocieties, MedicalTraumatologyWounds and Injuries

Identifiers

PMID26754119
PMCPMC4711294

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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.