Association between volume of severely injured patients and mortality in German trauma hospitals.

ABSTRACT:

Background

The issue of patient volume related to trauma outcomes is still under debate. This study aimed to investigate the relationship between number of severely injured patients treated and mortality in German trauma hospitals.

Methods

This was a retrospective analysis of the TraumaRegister DGU® (2009-2013). The inclusion criteria were patients in Germany with a severe trauma injury (defined as Injury Severity Score (ISS) of at least 16), and with data available for calculation of Revised Injury Severity Classification (RISC) II score. Patients transferred early were excluded. Outcome analysis (observed versus expected mortality obtained by RISC-II score) was performed by logistic regression.

Results

A total of 39,289 patients were included. Mean(s.d.) age was 49.

SUBMITTER: Zacher MT 

PROVIDER: S-EPMC4758415 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature