Structural and Process Data on Radiological Imaging in the Treatment of Severely Injured Patients - Results of a Survey of Level I and II Trauma Centers in Germany

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PURPOSE: Systematic data collection regarding the integration of radiology as well as structural and process characteristics of radiological diagnostics of severely injured patients in Germany using a structured questionnaire.

MATERIALS AND METHODS: Personal contact with all certified Level I and Level II Trauma Centers in Germany. Data on infrastructure, composition of the trauma room team, equipment, and data on the organization/performance of primary major trauma diagnostics were collected.

RESULTS: With a participation rate of 46.9 % (n = 151) of all German trauma centers (N = 322), a solid database is available. There were highly significant differences in the structural characteristics incl. CT equipment between the level I and II centers: In 63.8 % of the level II centers, the CT unit was located more than 50 m away from the trauma room (34.2 % in the level I centers). A radiologist was part of the trauma room team in 59.5 % of level II centers (level I 88.1 %). Additionally, highly significant differences were found comparing 24-h provision of other radiologic examinations and interventions, such as MRI (level II 44.9 %, level I 92.8 %) and angiography (level II 69.2 %, level I 97.1 %).

CONCLUSION: Heterogeneous structural and process characteristics of the diagnosis of severely injured patients in Germany were revealed, with highly significant differences between level I and level II centers.

KEY POINTS: · This is the first study on the diagnostic reality of radiology in severely injured patients in Germany. Despite a high level of standardization, significant differences were observed.

CITATION FORMAT: · Ernstberger A, Reske SU, Brandl A et al. Structural and Process Data on Radiological Imaging in the Treatment of Severely Injured Patients - Results of a Survey of Level I and II Trauma Centers in Germany. Fortschr Röntgenstr 2022; 194: 505 - 514.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:194

Enthalten in:

RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin - 194(2022), 5 vom: 15. Mai, Seite 505-514

Sprache:

Englisch

Weiterer Titel:

Struktur- und Prozessdaten zur radiologischen Bildgebung bei Behandlung schwerstverletzter Patienten – Ergebnisse einer Befragung überregionaler und regionaler TraumaZentren in Deutschland

Beteiligte Personen:

Ernstberger, Antonio [VerfasserIn]
Reske, Stefan Ulrich [VerfasserIn]
Brandl, Alexandra [VerfasserIn]
Kulla, Martin [VerfasserIn]
Huber-Wagner, Stefan [VerfasserIn]
Popp, Daniel [VerfasserIn]
Kerschbaum, Maximilian [VerfasserIn]
Dendl, Lena Marie [VerfasserIn]
Braunschweig, Rainer [VerfasserIn]
Schreyer, Andreas G [VerfasserIn]

Links:

Volltext

Themen:

Journal Article

Anmerkungen:

Date Completed 06.05.2022

Date Revised 16.05.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1055/a-1682-7377

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334473845