[Cause of Death after Severe Trauma: 30 Years Experience from TraumaRegister DGU].

Autor:	Lefering R; Institut für Forschung in der Operativen Medizin (IFOM), Universität Witten/Herdecke, Köln, Deutschland., Bieler D; Klinik für Orthopädie und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland.; Klinik für Unfallchirurgie und Orthopädie, Wiederherstellungs- und Handchirurgie, Verbrennungsmedizin, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.
Jazyk:	němčina
Zdroj:	Zentralblatt fur Chirurgie [Zentralbl Chir] 2024 Aug; Vol. 149 (4), pp. 378-383. Date of Electronic Publication: 2024 May 27.
DOI:	10.1055/a-2324-1627
Abstrakt:	Every year, thousands of people in Germany succumb to severe injuries. But what causes the death of these patients? In addition to the trauma, pre-traumatic health status, age, and other influencing factors play a role in the outcome after trauma. This study aims to answer the question of what causes the death of a severely injured patient.For this publication, in addition to previously published results, we examined current data from patients in German hospitals from the years 2015-2022 (8 years) documented in the TraumaRegister DGU®. The feature "Presumed Cause of Death", introduced in 2015, was considered. Patients transferred out early (< 48 h) as well as patients with minor injuries were excluded from this analysis.The number of fatalities decreases over time and does not correspond to a traditionally postulated tri-modal mortality distribution. Instead, over time, the distribution of causes of death shows significant variation. In over half of the cases (54%), traumatic brain injury (TBI) was the presumed cause of death, followed by organ failure (24%) and haemorrhage (9%). TBI dominates, especially in the first week, haemorrhage in the first 24 h, and organ failure as a cause steadily increases over time.In summary, it can be observed that the risk of death due to trauma-related consequences is highest in the first minutes, hours, and days, decreasing steadily over time. Particularly, the extent of injuries, head injuries, and significant blood loss are early risk factors. Competing Interests: RL gibt an, das seine Universität ein Service Agreement mit der Akademie der Unfallchirurgie (AUC GmbH) hat, dem Eigner des TR-DGU. DB gibt an, dass kein Interessenskonflikt besteht. (Thieme. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu