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Background <p>As part of the update of the S3&#xa0;guideline on Polytrauma and severe injury care, criteria for the allocation of patients, divided into high risk of severe injury (HRSI; previously grade of recommendation [GoR]&#xa0;A) and moderate risk of severe injury (MRSI, formerly GoR&#xa0;B) criteria, were adapted. The aim of this study is to analyze the reasons for trauma room allocation by the emergency medical services based on these criteria groups.</p> Materials and methods <p>The present study is based on a survey in eight German trauma centers (supraregional [ÜTZ] and regional trauma centers [RTZ]) regarding the reasons for patient allocation to the trauma room.</p> Results <p>Of the 211 questionnaires analyzed, HRSI was selected as the reason for referral in 55.9% and MRSI in 17.0%. In 18.9% of cases, a combination of HRSI and MRSI was used. In 8.0% of cases, neither of the two criteria was mentioned. In these cases, allocation was based on a provider decision. Allocation due to accidents from the old guideline continues to be frequently used.</p> Conclusion <p>The present evaluation shows that in many cases patient allocation to the trauma room is based on a combination of several trauma room activation criteria. Furthermore, old criteria, in particular regarding the mode of trauma, continue to be used despite the lack of validity in the updated guideline.</p>

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Schockraumzuweisung – was sind die Gründe? Ergebnisse einer Multicenterstudie (Umfrage)

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月4日

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  • Maximilian Wolf,
  • Oliver Kamp,
  • Marcel Dudda,
  • Dan Bieler,
  • Uwe Schweigkofler

摘要

Background

As part of the update of the S3 guideline on Polytrauma and severe injury care, criteria for the allocation of patients, divided into high risk of severe injury (HRSI; previously grade of recommendation [GoR] A) and moderate risk of severe injury (MRSI, formerly GoR B) criteria, were adapted. The aim of this study is to analyze the reasons for trauma room allocation by the emergency medical services based on these criteria groups.

Materials and methods

The present study is based on a survey in eight German trauma centers (supraregional [ÜTZ] and regional trauma centers [RTZ]) regarding the reasons for patient allocation to the trauma room.

Results

Of the 211 questionnaires analyzed, HRSI was selected as the reason for referral in 55.9% and MRSI in 17.0%. In 18.9% of cases, a combination of HRSI and MRSI was used. In 8.0% of cases, neither of the two criteria was mentioned. In these cases, allocation was based on a provider decision. Allocation due to accidents from the old guideline continues to be frequently used.

Conclusion

The present evaluation shows that in many cases patient allocation to the trauma room is based on a combination of several trauma room activation criteria. Furthermore, old criteria, in particular regarding the mode of trauma, continue to be used despite the lack of validity in the updated guideline.