Evidence map›Paper›PMID 33876258›Full record

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

Evaluation of a standardized instrument for post hoc analysis of trauma-team-activation-criteria in 75,613 injured patients an analysis of the TraumaRegister DGU

Dan Bieler, Heiko Trentzsch, Axel Franke, Markus Baacke, Rolf Lefering, Thomas Paffrath, Lars Becker, Helena Düsing, Björn Heindl, Kai Oliver Jensen and 6 more

Abstract read
In one paragraph

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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

6 citing papers in PubMed.

  1. Article
  2. Undertriage in geriatric trauma: insights from a multicentre cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Observational
  3. Observational
  4. Effectiveness of a two-tiered trauma team activation system at a level I trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Dan BielerDepartment of Orthopaedics and Trauma Surgery, Heinrich Heine University Hospital Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany. dan.bieler@med.uni-duesseldorf.de.ORCID http://orcid.org/0000-0002-0708-1259
Heiko TrentzschInstitut Für Notfallmedizin Und Medizinmanagement (INM), Klinikum der Universität München LMU München, Munich, Germany.ORCID http://orcid.org/0000-0002-6395-6873
Axel FrankeDepartment of Orthopaedics and Trauma Surgery, Heinrich Heine University Hospital Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Markus BaackeDepartment of Trauma and Reconstructive Surgery/Emergency Department, The Krankenhaus der Barmherzigen Brüder Trier (a Brothers of Mercy hospital), Trier, Germany.
Rolf LeferingFaculty of Health, Witten/Herdecke Private University, Institute for Research in Operative Medicine (IFOM), Cologne, Germany.ORCID http://orcid.org/0000-0002-0141-1747
Thomas PaffrathDepartment of Trauma Surgery, Hospital of the Augustinians "Severinsklösterchen", Cologne, Germany.
Lars BeckerDepartment of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany.ORCID http://orcid.org/0000-0001-7876-2580
Helena DüsingDepartment of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
Björn HeindlDepartment of Trauma and Reconstructive Surgery, Diakonie Clinic Jung Stilling Siegen, Siegen, Germany.
Kai Oliver JensenDepartment of Trauma, University Hospital Zurich (USZ), University of Zurich (UZH), Zurich, Switzerland.
Orkun OezkurtulDepartment of Surgical Medicine, Surgery I, University Hospital Leipzig, Leipzig, Germany.
Uwe SchweigkoflerDepartment of Orthopaedic and Trauma Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0001-9863-9109
Kai SprengelDepartment of Trauma, University Hospital Zurich (USZ), University of Zurich (UZH), Zurich, Switzerland.ORCID http://orcid.org/0000-0001-5921-8272
Bernd WohlrathDepartment of Orthopaedic and Trauma Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt, Frankfurt am Main, Germany.
Christian WaydhasDepartment of Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.ORCID http://orcid.org/0000-0002-5291-0853
Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo improve the quality of criteria for trauma-team-activation it is necessary to identify patients who benefited from the treatment by a trauma team. Therefore, we evaluated a post hoc criteria catalogue for trauma-team-activation which was developed in a consensus process by an expert group and published recently. The objective was to examine whether the catalogue can identify patients that died after admission to the hospital and therefore can benefit from a specialized trauma team mostly. MATERIALS AND

methodsThe catalogue was applied to the data of 75,613 patients from the TraumaRegister DGU

resultsThe TraumaRegister DGU DISCUSSION: The consensus-based criteria identified nearly all patients who died as a result of their injuries. If only one criterion was fulfilled, mortality was relatively low. However, it increased to almost 5% if two criteria were fulfilled. Further studies are necessary to analyse and examine the relative weighting of the various criteria. Our instrument is capable to identify severely injured patients with increased in-hospital mortality and injury severity. However, a minimum of two criteria needs to be fulfilled. Based on these findings, we conclude that the criteria list is useful for post hoc analysis of the quality of field triage in patients with severe injury.

Indexed as

AccidentsTriageGermanyHumansInjury Severity ScoreLength of StayRegistriesField triageSevere injuryTrauma careTraumaRegister DGU®Trauma-team-activation

Identifiers

PMID33876258
PMCPMC9001544

What OpenQuestion holds

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Registered trials

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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.