ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
The evolution of trauma care in the Netherlands over 20 years.
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Rib fractures in the elderly population: a systematic review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Neutrophil phenotyping reflects injury severity when base excess and lactate remain normal.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- New Max Verstappen's on the Rise?: Go-Kart Incidents in a Level-I Trauma Center in the Netherlands.Children (Basel, Switzerland) · 2025Article
- Accuracy of 3D-navigated screw fixation in pelvic ring fractures: a single-centre consecutive observational case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Observational
- Right patient to the right place: the impact of a 6-year regional trauma centre-led prehospital education programme on EMS triage and patient outcomes.BMC emergency medicine · 2025Article
- 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
- Health system governance for injury care in low- and middle-income countries: a survey of policymakers and policy implementors.BMJ global health · 2025Article
- TBI related death has become the new epidemic in polytrauma: a 10-year prospective cohort analysis in severely injured patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- What trauma patients need: the European dilemma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Trauma systems in high socioeconomic index countries in 2050.Critical care (London, England) · 2024Review
- Merging of two level-1 trauma centers in Amsterdam: premerger demand in integrated acute trauma care.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Early correction of base deficit decreases late mortality in polytrauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Outcome of severely injured patients in a unique trauma system with 24/7 double trauma surgeon on-call service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Trauma Patient Volume and the Quality of Care: A Scoping Review.Journal of clinical medicine · 2023Article
- Concepts, utilization, and perspectives on the Dutch Nationwide Trauma registry: a position paper.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Review
- The changing landscape of spinal injuries: A narrative review.Acta orthopaedica et traumatologica turcica · 2023Review
- Pediatric Trauma in The Netherlands: Incidence, Mechanism of Injury and In-Hospital Mortality.World journal of surgery · 2023Article
- Non-operative vs. operative treatment for multiple rib fractures after blunt thoracic trauma: a multicenter prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Observational
- Improvements over time for patients following liver trauma: A 17-year observational study.Frontiers in surgery · 2023Article
- Severe trauma in Germany and Israel: are we speaking the same language? A trauma registry comparison.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn 1999 an inclusive trauma system was initiated in the Netherlands and a nationwide trauma registry, including all admitted trauma patients to every hospital, was started. The Dutch trauma system is run by trauma surgeons who treat both the truncal (visceral) and extremity injuries (fractures). MATERIALS AND
methodsIn this comprehensive review based on previous published studies, data over the past 20 years from the central region of the Netherlands (Utrecht) was evaluated.
resultsIt is demonstrated that the initiation of the trauma systems and the governance by the trauma surgeons led to a region-wide mortality reduction of 50% and a mortality reduction for the most severely injured of 75% in the level 1 trauma centre. Furthermore, major improvements were found in terms of efficiency, demonstrating the quality of the current system and its constructs such as the type of surgeon. Due to the major reduction in mortality over the past few years, the emphasis of trauma care evaluation shifts towards functional outcome of severely injured patients. For the upcoming years, centralisation of severely injured patients should also aim at the balance between skills in primary resuscitation and surgical stabilization versus longitudinal surgical involvement.
conclusionFurther centralisation to a limited number of level 1 trauma centres in the Netherlands is necessary to consolidate experience and knowledge for the trauma surgeon. The future trauma surgeon, as specialist for injured patients, should be able to provide the vast majority of trauma care in this system. For the remaining part, intramural, regional and national collaboration is essential.
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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.