Evidence map›Paper›PMID 37675253›Full record

ArticleOTA international : the open access journal of orthopaedic trauma2019

Development of trauma systems in Europe-reports from England, Germany, the Netherlands, and Spain.

Tim Js Chesser, Chris Moran, Keith Willett, Bertil Bouillon, Johannes Sturm, Sascha Flohé, Steffen Ruchholtz, Suzan Dijkink, Inger B Schipper, Juan Carlos Rubio-Suarez and 3 more

Open access · goldAbstract read
In one paragraph

Article in OTA international : the open access journal of orthopaedic trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Independence of the mortality of severely injured patients from types of transport and hospital level in a well-developed trauma network.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  3. Adult trauma centers in Poland: where do we stand?International journal of emergency medicine · 2025
    Article
  4. Pediatric trauma management in Switzerland: insights from a nationwide survey.Clinical and experimental emergency medicine · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. A characterization of trauma laparotomies in a scandinavian setting: an observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022
    Observational
  13. Article
  14. Observational
  15. Review
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

13 authors at 11 institutions in 4 countries.

Tim Js ChesserDepartment of Trauma and Orthopaedics, North Bristol NHS Trust, Bristol.
Chris MoranNational Clinical Director for Trauma, Professor of Orthopaedic Trauma Surgery, Nottingham University Hospitals NHS Trust, Nottingham.
Keith WillettNational Director for Acute Care to NHS England, Professor of Orthopaedic Trauma Surgery, University of Oxford, Oxford, UK.
Bertil BouillonDepartment of Trauma and Orthopaedic Surgery, University of Witten/Herdecke, Cologne Merheim Medical Center, Cologne, Germany.
Johannes SturmAUC-Akademie der Unfallchirurgie, Berlin.
Sascha FlohéDepartment of Trauma and Orthopaedic Surgery, City Hospital Solingen.
Steffen RuchholtzDepartment of Trauma and Orthopaedic Surgery, University Hospital Marburg Germany.
Suzan DijkinkDepartment of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Inger B SchipperDepartment of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Juan Carlos Rubio-SuarezHospital Universitario La Paz. University Autonoma of Madrid.
Francisco ChanaHospital Universitario Gregorio Marañon. University Complutense of Madrid, Madrid.
Julio de CasoHospital Universitario Santa Creu i Sant Pau. University Autonoma of Barcelona Barcelona.
Enrique GueradoProfessor and Chairman Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol. University of Malaga. Marbella Malaga, Spain.
Leiden University Medical Center · NLHospital General Universitario Gregorio Marañón · ESHospital Universitario La Paz · ESNorth Bristol NHS Trust · GBNottingham University Hospitals NHS Trust · GBPhilipps University of Marburg · DEStädtisches Klinikum Solingen · DEUniversidad de Málaga · ESUniversitat Autònoma de Barcelona · ESUniversity of Oxford · GBWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major trauma systems have evolved in many European countries and have resulted in improved care in terms of mortality and morbidity. Many of the systems have similar history, with reports of either poor services, or a single disaster, driving change of policy and set up. We report on 4 European systems, looking at the background, set up and some of the results. Similar issues are identified including the importance of triage, the concentration of specialist skills which require patients to bypass hospitals, and the standardization of treatment protocols. The issues of rehabilitation and the increasing importance of measuring outcome with patient reported metrics are discussed.

Indexed as

major trauma systems

Identifiers

PMID37675253
PMCPMC10479367
OpenAlexW2921840214

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.