Pre-hospital and in-hospital parameters and outcomes in patients with traumatic brain injury: a comparison between German and Australian trauma registries Engel, D.C., Mikocka-Walus, A., Cameron, P.A. and Maegele, M. 2010, Pre-hospital and in-hospital parameters and outcomes in patients with traumatic brain injury: a comparison between German and Australian trauma registries, Injury, vol. 41, no. 9, pp. 901-906, doi: 10.1016/j.injury.2010.01.002. Attached Files Name Description MIMEType Size Downloads Title Pre-hospital and in-hospital parameters and outcomes in patients with traumatic brain injury: a comparison between German and Australian trauma registries Author(s) Engel, D.C. Mikocka-Walus, A. orcid.org/0000-0003-4864-3956 Cameron, P.A. Maegele, M. Journal name Injury Volume number 41 Issue number 9 Start page 901 End page 906 Total pages 6 Publisher Elsevier Place of publication Amsterdam, The Netherlands Publication date 2010-09 ISSN 0020-1383 1879-0267 Keyword(s) traumatic brain injury pre-hospital management emergency medical service system DOC-ALS paramedic trauma registry Summary INTRODUCTION: In Germany, physician-operated emergency medical services (EMS) manage most pre-hospital trauma care. Australia uses a different EMS system, deploying highly trained paramedics for road and air transport of trauma patients. The effect of these different systems on secondary insults to traumatic brain injury (TBI) patients is unclear. There is conflicting evidence regarding which system is preferable. To add to the body of evidence, we compared the profile of injury, pre-hospital management and outcomes of TBI patients from both populations. METHODS: Cases aged > or = 16 years, with AIS head > or = 3, AIS other body parts < or = 3, recorded in the Victorian State Trauma Registry (VSTR) and Trauma Registry of the German Society of Trauma Surgery (TR-DGU) from 2002 to 2007 were compared. RESULTS: 10,183 cases (5665 German, 4518 Australian) were included. No difference in sex or median age was observed. There were major between-registry differences in type of injury, trauma circumstance, intent and severity of injury. German cases sustained more serious injury and received more pre-hospital interventions. Mortality was significantly higher amongst German patients even when adjusted for demographics, injury severity and in- and pre-hospital parameters. German patients had a longer hospital and ICU stay. CONCLUSION: There were clear differences in injury characteristics and outcomes in TBI patients between Germany and Australia. As differences in coding, data collection and patient selection are evident, firm conclusions regarding the contribution of variations in pre-hospital care are not possible. The differences in outcome deserve further exploration in prospective studies. Language eng DOI 10.1016/j.injury.2010.01.002 Field of Research 111716 Preventive Medicine 170101 Biological Psychology (Neuropsychology, Psychopharmacology, Physiological Psychology) 110305 Emergency Medicine 1103 Clinical Sciences 1110 Nursing 1117 Public Health And Health Services Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified HERDC Research category C1.1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2010, Elsevier Persistent URL http://hdl.handle.net/10536/DRO/DU:30090087 Document type: Journal Article Collections: Faculty of Health School of Psychology Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Mon, 05 Dec 2016, 14:45:56 EST Tue, 06 Dec 2016, 04:04:10 EST Tue, 06 Dec 2016, 10:09:13 EST Mon, 23 Jan 2017, 12:45:09 EST Tue, 24 Jan 2017, 05:04:41 EST Fri, 27 Jan 2017, 11:23:17 EST Fri, 27 Jan 2017, 11:24:37 EST Fri, 27 Jan 2017, 11:26:42 EST Fri, 27 Jan 2017, 11:29:44 EST Fri, 27 Jan 2017, 11:31:49 EST Sat, 21 Oct 2017, 02:32:12 EST Filtered Full Citation counts:   Cited 12 times in TR Web of Science Cited 12 times in Scopus Search Google Scholar Access Statistics: 220 Abstract Views, 1 File Downloads  -  Detailed Statistics Created: Mon, 23 Jan 2017, 12:45:09 EST

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