{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:21:56Z","timestamp":1740108116857,"version":"3.37.3"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008375","name":"University of Basel","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurg"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund und Fragestellung<\/jats:title>\n                <jats:p>Im Hinblick auf den Ressourcen- und Ausbildungsbedarf eines Schweizer Traumazentrums wollten wir wissen, wie h\u00e4ufig in der Schwerverletztenversorgung relevante Thoraxverletzungen auftreten und wie oft eine thoraxchirurgische Spezialversorgung notwendig ist.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Retrospektive Analyse aller von 2010 bis 2017 notfallm\u00e4\u00dfig mit einem Mindesttrauma-NISS (New Injury Severity Score) \u22658 betreuten Patienten bez. relevanter Thoraxverletzung (Abbreviated Injury Scale [AIS] Thorax [ohne Brustwirbelverletzungen] \u22652).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In der 7\u2011j\u00e4hrigen Beobachtungsperiode wurden 2839 Verletzte mit einem NISS \u22658 notfallm\u00e4\u00dfig behandelt. Davon erlitten 791\u00a0Patienten (27,9\u202f%) eine relevante Thoraxverletzung. Von diesen bedurften 27,1\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u2009215) eines Thoraxeingriffes, der in 86,5\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u2009186) allein einer Thoraxdrainage und in 13,5\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u200929) einem weitergehenden Eingriff entsprach. Bei 19 der Thoraxverletzten musste dar\u00fcber hinaus ein Thoraxchirurg gerufen werden, davon 4\u2011mal sofort und 4\u2011mal innerhalb von 24\u202fh. Die in unserem Haus im Mittel 30 notfallm\u00e4\u00dfigen Thoraxdrainageneinlagen pro Jahr erm\u00f6glichten 1 bis 2\u00a0Eingriffe pro in Ausbildung stehendem Chirurg.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Im Beobachtungszeitraum ben\u00f6tigten nur 1\u202f% aller relevant Thoraxverletzten eine \u00fcber eine Pleuradrainage hinausgehende, notfallm\u00e4\u00dfige thoraxchirurgische Versorgung. Aufgrund dieser geringen Rate erscheint aus Effizienz- wie Kostengr\u00fcnden ein thoraxchirurgischer Pr\u00e4senzdienst an einem derartigen Traumazentrum nicht angezeigt. Die F\u00e4higkeit der Thoraxdrainageneinlage muss allerdings in der chirurgischen Ausbildung entsprechend vermittelt werden. Die gem\u00e4\u00df Facharztausbildungskatalogen notwendigen Mindesteingriffszahlen sollten angesichts der erhobenen Fallzahlen gut erf\u00fcllbar sein.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-020-01292-7","type":"journal-article","created":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T14:02:47Z","timestamp":1602252167000},"page":"721-728","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Wie oft braucht es eine Thoraxdrainageneinlage beim Thoraxtrauma des schwerer Verletzten\u00a0\u2013 und wann mehr?","How often is a chest tube needed following thoracic trauma in the severely injured\u2014and when is more needed?"],"prefix":"10.1007","volume":"92","author":[{"given":"Stephanie","family":"Walkner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Amsler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Gross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"issue":"5","key":"1292_CR1","doi-asserted-by":"publisher","first-page":"1363","DOI":"10.1097\/TA.0b013e31828b82f5","volume":"74","author":"American College of Surgeons","year":"2013","unstructured":"American College of Surgeons (2013) Advanced trauma life support 9th edition. 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