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

Autor:	Chesser TJ; Department of Trauma and Orthopaedics, North Bristol NHS Trust, Bristol., Moran C; National Clinical Director for Trauma, Professor of Orthopaedic Trauma Surgery, Nottingham University Hospitals NHS Trust, Nottingham., Willett K; National Director for Acute Care to NHS England, Professor of Orthopaedic Trauma Surgery, University of Oxford, Oxford, UK., Bouillon B; Department of Trauma and Orthopaedic Surgery, University of Witten/Herdecke, Cologne Merheim Medical Center, Cologne, Germany., Sturm J; AUC-Akademie der Unfallchirurgie, Berlin., Flohé S; Department of Trauma and Orthopaedic Surgery, City Hospital Solingen., Ruchholtz S; Department of Trauma and Orthopaedic Surgery, University Hospital Marburg Germany., Dijkink S; Department of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands., Schipper IB; Department of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands., Rubio-Suarez JC; Hospital Universitario La Paz. University Autonoma of Madrid., Chana F; Hospital Universitario Gregorio Marañon. University Complutense of Madrid, Madrid., de Caso J; Hospital Universitario Santa Creu i Sant Pau. University Autonoma of Barcelona Barcelona., Guerado E; Professor and Chairman Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol. University of Malaga. Marbella Malaga, Spain.
Jazyk:	angličtina
Zdroj:	OTA international : the open access journal of orthopaedic trauma [OTA Int] 2023 Sep 01; Vol. 2 (Suppl 1), pp. e019. Date of Electronic Publication: 2023 Sep 01 (Print Publication: 2019).
DOI:	10.1097/OI9.0000000000000019
Abstrakt:	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. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.)
Databáze:	MEDLINE
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