ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2014
Update on the definition of polytrauma.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Epidemiology of spinal fractures in polytrauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Prognostic Value of APACHE II and RTS in Predicting ICU Mortality Among Multitrauma Patients: A Single-Center Study from Turkey.Journal of clinical medicine · 2026Article
- Prognostic value of on-admission IL-6, lactate, base deficit, ESR, and CRP in a prospective study of multiple trauma patients.Scientific reports · 2026Observational
- The Impact of Concomitant Traumatic Brain Injuries on the Surgical Treatment of Burns: A Long-Term, Monocentric Retrospective Study.Journal of burn care & research : official publication of the American Burn Association · 2026Article
- Factors influencing patient-reported outcomes in operatively managed tibial plateau fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Perspectives on adherence to prescribed home exercises after polytrauma: A qualitative study.The South African journal of physiotherapy · 2025Article
- Optimization of Patients Outcomes: Management Strategies for Polytrauma in the Neuro-ICU.Korean journal of neurotrauma · 2024Article
- Streamlining management in thoracic trauma: radiomics- and AI-based assessment of patient risks.Frontiers in surgery · 2024Article
- [Interdisciplinary extremity board in the treatment of complex injuries].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Early Mortality Risk in Acute Trauma Patients: Predictive Value of Injury Severity Score, Trauma Index, and Different Types of Shock Indices.Journal of clinical medicine · 2022Article
- Characteristics of Prehospital Death in Trauma Victims.Journal of clinical medicine · 2021Article
- Age and traumatic brain injury as prognostic factors for late-phase mortality in patients defined as polytrauma according to the New Berlin Definition: experiences from a level I trauma center.Archives of orthopaedic and trauma surgery · 2021Article
- Neglected No More: Emerging Cellular Therapies in Traumatic Injury.Stem cell reviews and reports · 2021Review
- Defining major trauma: a Delphi study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Spectral analysis of heart rate variability for trauma outcome prediction: an analysis of 210 ICU multiple trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Laboratory Markers in the Management of Pediatric Polytrauma: Current Role and Areas of Future Research.Frontiers in pediatrics · 2021Review
- Temporal lobe contusions on computed tomography are associated with impaired 6-month functional recovery after mild traumatic brain injury: a TRACK-TBI study.Neurological research · 2018Article
- Does the applied polytrauma definition notably influence outcome and patient population? - a retrospective analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- Outcomes and Risk Factors for In-Hospital Mortality in Mild-to-Moderate Trauma Patients: A Nationwide Observational Study.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
2 authors.
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Abstract
purposeThe definition and use of the term "polytrauma" is inconsistent and lacks validation. This article describes the historical evolution of the term and geographical differences in its meaning, examines the challenges faced in defining it adequately in the current context, and summarizes where the international consensus process is heading, in order to provide the trauma community with a validated and universally agreed upon definition of polytrauma.
conclusionA lack of consensus in the definition of "polytrauma" was apparent. According to the international consensus opinion, both anatomical and physiological parameters should be included in the definition of polytrauma. An Abbreviated Injury Scale (AIS) based anatomical definition is the most practical and feasible given the ubiquitous use of the system. Convincing preliminary data show that two body regions with AIS >2 is a good marker of polytrauma-better than other ISS cutoffs, which could also indicate monotrauma. The selection of the most accurate physiological parameters is still underway, but they will most likely be descriptors of tissue hypoxia and coagulopathy.
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