ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024
Maturation of trauma systems in Europe.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does the implementation of a trauma system affect injury-related morbidity and economic outcomes? A systematic review.Emergency medicine journal : EMJ · 2024Pooled it
- Geospatial Optimization of Trauma Care Resource Allocation and Timely Access for Severely Injured Patients.JAMA network open · 2026Article
- Early Impact of a Dedicated Trauma Surgery Unit on Outcomes in a Malaysian Tertiary Center.World journal of surgery · 2026Observational
- Traumatic Brain Injury in the Omics Era: Plasma and Extracellular Vesicle Proteomic Signatures in Polytrauma.Medical sciences (Basel, Switzerland) · 2026Article
- Outlining the global variation in resources for traumatic brain injury care: site-level data from the Global Neurotrauma Outcomes Study (GNOS).BMJ global health · 2026Article
- Short-term impact of preinjury antithrombotic therapy on outcomes in older trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Visualisation of a complex healthcare system: mapping vascular and trauma surgery services in Ghana.BMC health services research · 2026Article
- Variation in global trauma care: a survey of 187 hospitals across 51 countries.BMJ global health · 2025Article
- Adult trauma centers in Poland: where do we stand?International journal of emergency medicine · 2025Article
- What Is the Need for and Access to Trauma Surgery in Low- and Middle-Income Countries? A Scoping Review.World journal of surgery · 2025Article
- Trauma systems: a global comparison.OTA international : the open access journal of orthopaedic trauma · 2025Article
- ESTES recommendations for the treatment of polytrauma-a European consensus based on the German S3 guidelines for the treatment of patients with severe/multiple injuries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- Trauma systems in high socioeconomic index countries in 2050.Critical care (London, England) · 2024Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo provide an overview of trauma system maturation in Europe.
methodsMaturation was assessed using a self-evaluation survey on prehospital care, facility-based trauma care, education/training, and quality assurance (scoring range 3-9 for each topic), and key infrastructure elements (scoring range 7-14) that was sent to 117 surgeons involved in trauma, orthopedics, and emergency surgery, from 24 European countries. Average scores per topic were summed to create a total score on a scale from 19 to 50 per country. Scores were compared between countries and between geographical regions, and correlations between scores on different sections were assessed.
resultsThe response rate was 95%. On the scale ranging from 19 to 50, the mean (SD, range) European trauma system maturity score was 38.5 (5.6, 28.2-48.0). Prehospital care had the highest mean score of 8.2 (0.5, 6.9-9.0); quality assurance scored the lowest 5.9 (1.7, 3.2-8.5). Facility-based trauma care was valued 6.9 (1.4, 4.1-9.0), education and training 7.0 (1.2, 5.2-9.0), and key infrastructure elements 10.3 (1.6, 7.6-13.5). All aspects of trauma care maturation were strongly correlated (r > 0.6) except prehospital care. End scores of Northern countries scored significantly better than Southern countries (p = 0.03).
conclusionThe level of development of trauma care systems in Europe varies greatly. Substantial improvements in trauma systems in several European countries are still to be made, especially regarding quality assurance and key infrastructure elements, such as implementation of a lead agency to oversee the trauma system, and funding for growth, innovation and research.
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