Evidence map›Paper›PMID 33712892›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

The impact of regionalized trauma care on the distribution of severely injured patients in the Netherlands.

Suzan Dijkink, Erik W van Zwet, Pieta Krijnen, Luke P H Leenen, Frank W Bloemers, Michael J R Edwards, Dennis Den Hartog, Peter A Leenhouts, Martijn Poeze, W Richard Spanjersberg and 4 more

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Suzan DijkinkDepartment of Trauma Surgery, Leiden University Medical Center, Post zone K6-R, P.O. Box 9600, 2300 RC, Leiden, The Netherlands. s.dijkink@lumc.nl.ORCID http://orcid.org/0000-0002-8191-4247
Erik W van ZwetDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
Pieta KrijnenDepartment of Trauma Surgery, Leiden University Medical Center, Post zone K6-R, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Luke P H LeenenDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Frank W BloemersDepartment of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
Michael J R EdwardsDepartment of Trauma Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Dennis Den HartogTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Peter A LeenhoutsDepartment of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
Martijn PoezeDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
W Richard SpanjersbergDepartment of Trauma Surgery, Isala Klinieken, Zwolle, The Netherlands.
Klaus W WendtDepartment of Trauma Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Ralph J De WitDepartment of Trauma Surgery, Medisch Spectrum Twente, Enschede, The Netherlands.
Stefan W A M Van ZuthpenDepartment of Surgery, Elisabeth Tweesteden Ziekenhuis, Tilburg, The Netherlands.
Inger B SchipperDepartment of Trauma Surgery, Leiden University Medical Center, Post zone K6-R, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwenty years ago, an inclusive trauma system was implemented in the Netherlands. The goal of this study was to evaluate the impact of structured trauma care on the concentration of severely injured patients over time.

methodsAll severely injured patients (Injury Severity Score [ISS] ≥ 16) documented in the Dutch Trauma Registry (DTR) in the calendar period 2008-2018 were included for analysis. We compared severely injured patients, with and without severe neurotrauma, directly brought to trauma centers (TC) and non-trauma centers (NTC). The proportion of patients being directly transported to a trauma center was determined, as was the total Abbreviated Injury Score (AIS), and ISS.

resultsThe documented number of severely injured patients increased from 2350 in 2008 to 4694 in 2018. During this period, on average, 70% of these patients were directly admitted to a TC (range 63-74%). Patients without severe neurotrauma had a lower chance of being brought to a TC compared to those with severe neurotrauma. Patients directly presented to a TC were more severely injured, reflected by a higher total AIS and ISS, than those directly transported to a NTC.

conclusionSince the introduction of a well-organized trauma system in the Netherlands, trauma care has become progressively centralized, with more severely injured patients being directly presented to a TC. However, still 30% of these patients is initially brought to a NTC. Future research should focus on improving pre-hospital triage to facilitate swift transfer of the right patient to the right hospital.

Indexed as

Trauma CentersWounds and InjuriesHumansInjury Severity ScoreNetherlandsRegistriesRetrospective StudiesTriageRegionalization of careThe NetherlandsTrauma careTrauma system

Identifiers

PMID33712892
PMCPMC9001217

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