ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Pre-hospital trauma care in Switzerland and Germany: do they speak the same language?
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- [Polytrauma in the DACH region : Comparison of trauma registry data from Germany, Austria and Switzerland].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- [Prehospital management in trauma patients and the increasing number of helicopter EMS transportations : An epidemiological study of the TraumaRegister DGU®].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- The Use of Prehospital Intensive Care Units in Emergencies-A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Status quo of the use of DCS concepts and outcome with focus on blunt abdominal trauma : A registry-based analysis from the TraumaRegister DGU®.Langenbeck's archives of surgery · 2022Article
- Article
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Authors and funding
10 authors.
Funding
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Abstract
purposeSwiss and German (pre-)hospital systems, distribution and organization of trauma centres differ from each other. It is unclear if outcome in trauma patients differs as well. Therefore, this study aims to determine differences in characteristics, therapy and outcome of trauma patients between both German-speaking countries.
methodsThe TraumaRegister DGU
resultsSwiss patients were older than German patients (53 vs. 50 years). ISS did not differ between groups (CH 23.8 vs. DE 23.0 points). There were more low falls < 3 m (34% vs. 21%) at the expense of less traffic accidents (37% vs. 52%) in the Swiss population. In Switzerland 30% of allocations were done without physician involvement, whereas this occurred in 4% of German cases. Despite a comparable number of patients with a GCS ≤ 8 (CH 29.6%; DE 26.4%), differences in pre-hospital intubation rates occurred (CH 31% vs. DE 40%). Severe traumatic brain injuries were diagnosed most frequently in Switzerland (CH 62% vs. DE 49%). Admission vital signs were similar, and standardized mortality ratios were close to one in both countries.
conclusionThis study demonstrates that patients' age, trauma patterns and pre-hospital care differ between Germany and Switzerland. However, adjusted mortality was almost similar. Further benchmarking studies are indicated to optimize trauma care in both German-speaking countries.
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