[Centers for geriatric trauma DGU® : Distribution and development in Germany].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-05-06 DOI:10.1007/s00113-025-01568-9

Josef Stolberg-Stolberg, Charlotte Ramadan, Jeanette Köppe, Janette Iking, Karen Fischhuber, Markus Blätzinger, Michael J Raschke, J Christoph Katthagen

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Abstract

Background: Due to the demographic changes, including the need for more orthogeriatric co-management, addressing the healthcare of geriatric patients is an important issue.

Objective: The aim of this study was to create an overview of the fundamental characteristics of centers for geriatric trauma ATZ-DGU including the distribution of departments and cooperations as well as the level of trauma care. The distribution of sites across Germany was compared to hospital and population data.

Methods: Certified German ATZ-DGU were assigned to Trauma Center DGU^® (TC) certification data (levels III-I) via institutional numbers. They were evaluated descriptively and correlations with several parameters at the federal states level were added.

Results: Due to cooperations 188 institutions formed 147 ATZ-DGU and 152 provided orthogeriatric co-management in domo. Of the facilities with trauma surgery departments 86% (n = 168) were certified as TCs (level II = 33% > III = 30% > I = 22%). The number of ATZ-DGU per German state was correlated with the number of hospitals (r_s = 0.88), inhabitants (r_s = 0.92) and cases in total (r_s = 0.92, p < 0.001 each) but not with the proportion of people older than 65 years (p > 0.05). With only 14 facilities, the new federal states of Germany seemed to be disadvantaged and also showed great disparities compared to each other.

Conclusion: The levels of trauma care revealed a distribution referring to the different focus of the two certificates: treatment of the severely injured vs. geriatric co-treatment. On average, the population in the new German states was older, while there were less ATZ-DGU; however, there seemed to be a slight tendency towards improvement.

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[老年创伤中心DGU®：在德国的分布和发展]。

背景：由于人口结构的变化，包括需要更多的正老年联合管理，解决老年患者的医疗保健是一个重要问题。目的：了解我院老年创伤中心的基本特点，包括科室分布、合作情况以及创伤护理水平。德国各地的站点分布与医院和人口数据进行了比较。方法：经认证的德国ATZ-DGU通过机构编号分配给创伤中心DGU®（TC）认证数据（III-I - i级）。对它们进行了描述性评估，并添加了与联邦州一级的几个参数的相关性。结果：通过合作，188家机构组成ATZ-DGU 147家，152家机构提供骨科联合管理。创伤外科机构中有86%（ = 168）被认定为TCs（二级 = 33% > III = 30% > I = 22%）。德国各州ATZ-DGU数量与医院数量（rs = 0.88）、居民数量（rs = 0.92）和总病例数（rs = 0.92,p 0.05）相关。德国的新联邦州只有14个设施，似乎处于不利地位，而且彼此之间也存在很大的差距。结论：创伤护理水平呈现出不同的分布，这与两种证书的重点不同：重型损伤治疗与老年联合治疗。平均而言，新德国各州的人口年龄较大，而ATZ-DGU较少；然而，似乎有轻微的改善趋势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Unfallchirurgie (Heidelberg, Germany)

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