ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2013
History, development and future of trauma care for multiple injured patients in the Netherlands.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Global changes in mortality rates in polytrauma patients admitted to the ICU-a systematic review.World journal of emergency surgery : WJES · 2020Pooled it
- Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands?BMC musculoskeletal disorders · 2025Article
- The Relationship between Hospital Volume and In-Hospital Mortality of Severely Injured Patients in Dutch Level-1 Trauma Centers.Journal of clinical medicine · 2021Article
- The evolution of trauma care in the Netherlands over 20 years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Review
- Differentiation in an inclusive trauma system: allocation of lower extremity fractures.World journal of emergency surgery : WJES · 2018Article
- Quality improvement in trauma care.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2013Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe development of trauma systems all over the world resulted in improved outcome for a broad range of trauma victims. In this review, we demonstrate the developments of an inclusive regionalised trauma system in the Netherlands and the subsequent developments in our level one trauma centre and trauma region in comparison. COMPARISON WITH OTHER TRAUMA SYSTEMS: With the seasoning of the trauma system, further improvements in outcome could be demonstrated, in the region an OR of 0.84 and in the trauma centre an OR of 0.61, in a later comparison over the years another OR 0.74 was noted. In addition, a further diversification of the trauma populations was seen in the various hospitals with different levels, based on a pre-hospital triage system. Torso and multiple injured patients were more seen in the trauma centre and increased to more than 350 patients with an ISS of >15, whereas monotrauma was almost exclusively seen in the level two and three hospitals. The further development of the trauma system is discussed, in which the minimum requirements of the individual trauma surgeon and institution are taken as a guideline. FUTURE, DISCUSSION AND
conclusionBased on these considerations, a further concentration of the most severely injured patients is proposed in a small country as the Netherlands culminating in one trauma centre for the most severely injured patients, combined with an integrated pre-hospital helicopter system, on top of the current good functioning inclusive trauma system. These developments could be a template for further developments of trauma systems in Europe.
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