ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2023
["Long lie trauma" patients: retrospective analysis of a patient cohort presenting to a university hospital emergency department].
Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- [Action algorithm: management of long lie trauma in clinical acute and emergency medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- Deaths During a Heat Wave.Deutsches Arzteblatt international · 2026Article
- Evaluation of the Sensitivity and Specificity of the Modified Moenchengladbach Resuscitation Team Activation (MJournal of clinical medicine · 2026Article
- Mortality and reproducibility of calcium measurements in patients with hypercalcemia reporting to the emergency department of a tertiary German hospital.International journal of emergency medicine · 2025Article
- [Pulmonary infiltrates following accidental immobilzation].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- Concept of the term long lie: a scoping review.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients discovered recumbent, helpless and incapacitated, awake or unresponsive are referred to as "long lie trauma" (LLT) in the German medical jargon. Yet, a characterization of this cohort is missing.
methodsWe retrospectively analyzed all LLT patients admitted to the emergency department of the University Hospital Cologne from July 2018 to December 2020.
resultsA total of 50 LLT patients (median age 76 years, median time on the ground 13.5 h) were identified. The FD was most often attributed to primary cerebral causes in 40% of the cases (20% ischemic stroke, 16% intracranial hemorrhage, 4% epilepsy), intoxication/overdose (12%), and trauma (10%). It was often associated with infection (52%), injury (22%), hypovolemia (66%), acute kidney injury (20%), and severe rhabdomyolysis (creatine kinase ≥ 5000 U/l, 21%) as well as severe hypothermia < 32 °C (20%). Overall, 69% of the patients were admitted to an intensive care unit and in-hospital mortality was 50%.
conclusionThe term "long lie trauma" describes a complex clinical situation, in which various conditions lead to an incapacitated state with acute onset, which then causes further adverse health effects. Trauma or tissue damage were no obligatory requirement in this syndrome. Considering the high morbidity and in-hospital mortality, patients should initially be treated in the emergency room by an interdisciplinary team.
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