ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
Changes in injury patterns, injury severity and hospital mortality in motorized vehicle accidents: a retrospective, cross-sectional, multicenter study with 19,225 cases derived from the TraumaRegister DGU
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Epidemiology of road traffic accident-related head injuries: a multicenter retrospective cohort study.Scientific reports · 2026Article
- Spatiotemporal trends in hospital morbidity indicators due to road traffic injuries in the state of Piauí, Brazil, 2010-2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Undertriage in geriatric trauma: insights from a multicentre cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- In the last 10 years, have our polytrauma patients become geriatric? The emergency trauma bay in the context of demographic change.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Article
- The Ambivalent Role of miRNA-21 in Trauma and Acute Organ Injury.International journal of molecular sciences · 2024Review
- Facial Lacerations Related to Recreational Activities: A National 10-Year Evaluation From US Emergency Departments.Craniomaxillofacial trauma & reconstruction · 2024Article
- Trauma registries: towards global standardisation and outcome evaluation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Evaluation of intra-abdominal injuries in patients referred to the emergency department as a result of traffic accidents.Annals of Saudi medicineArticle
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Authors and funding
7 authors.
Funding
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Abstract
purposeIn the last 20 years, the number of fatalities due to road traffic accidents (RTA) in Germany has steadily decreased from 7503 to 2724 per year. Due to legal regulations, educational measures and the continuous development of safety technology the number of severe traumatic injuries and injury patterns are most likely to change. The aim of the study was to analyse severely injured motorcyclists (MC) and car occupants (CO) that were involved in RTAs in the last 15 years and investigate the development and changes of injury patterns, injury severity and hospital mortality.
methodsWe retrospectively evaluated data from the TraumaRegister DGU
resultsThe mean age increased by 6.9 years and the ratio of severely injured MCs to COs changed from 1:1.92 to 1:1.45. COs were in 65.8% male and more often severely injured in the age groups under 30, while the majority of severely injured MCs were in the age group around 50 years and in 90.1% male. The ISS (- 3.1 points) as well as the mortality of both groups (CO: 14.4% vs. 11.8%; MC: 13.2% vs. 10.2%) steadily decreased over time. Nevertheless, the standardized mortality ratio (SMR) hardly changed and stayed < 1. Regarding the injury patterns, the greatest decline of injuries with AIS 3 + were to the head (CO: - 11.3%; MC: - 7.1%), in addition, a decrease of injuries to extremities (CO: - 1.5%; MC: - 3.3%), to the abdomen (CO: - 2.6%; MC: - 3.6%), to the pelvis in COs (- 4.7%) and to the spine (CO: + 0.1%; MC: - 2.4%) were observed. Thoracic injuries increased in both groups (CO: + 1.6%; MC: + 3.2%) and, furthermore, pelvic injuries in MCs (+ 1.7%). Another finding was the increase of the utilization of whole body CTs from 76.6 to 95.15%.
conclusionThe severity of injuries and their incidence, especially head injuries, have decreased over the years and seem to contribute to a decreasing hospital mortality of polytraumatized MCs and COs injured in traffic accidents. Young drivers and an increasing number of seniors are the age groups at risk and require special attention and treatment.
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