{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:42:47Z","timestamp":1740184967973,"version":"3.37.3"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T00:00:00Z","timestamp":1646956800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T00:00:00Z","timestamp":1646956800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008678","name":"Universit\u00e4t Leipzig","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008678","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Durch die neue Datenschutz-Grundverordnung (DS-GVO) sind die Anforderungen an eine sachgerechte Aufkl\u00e4rung der Patienten \u00fcber die Dokumentation pseudonymisierter, personenbezogener Daten in einem Register enorm gestiegen. Dies betrifft ganz besonders das TraumaRegister DGU\u00ae, da eine schriftliche Aufkl\u00e4rung schwer verletzter Patienten in der Akutsituation nicht immer gelingt. Ziel der Untersuchung war es, den Einfluss der infolge fehlender Aufkl\u00e4rung nichtdokumentierten F\u00e4lle auf die standardisierte Mortalit\u00e4tsrate (SMR) zu untersuchen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methode<\/jats:title>\n                <jats:p>Im Jahr 2019 wurden 274\u00a0Patienten retrospektiv erfasst, die die Kriterien des Basiskollektivs erf\u00fcllen. Darunter waren 72\u00a0Sekund\u00e4rverlegungen, die ausgeschlossen wurden. Bei den verbliebenen 197\u00a0Patienten konnte in allen F\u00e4llen der RISC\u00a0II Score erhoben werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Von den 197 prim\u00e4r (72\u202f% m\u00e4nnlich) versorgten Patienten wurden 147 (74,6\u202f%) schriftlich aufgekl\u00e4rt oder waren verstorben und wurden folglich dokumentiert. Die prognostizierte Letalit\u00e4t, tats\u00e4chliche Letalit\u00e4t und SMR betrug 18,5\u202f%, 19,0\u202f% resp. 1,03. Bei den Patienten, die nicht aufgekl\u00e4rt wurden (<jats:italic>n<\/jats:italic>\u202f=\u200950), lagen die prognostizierte Letalit\u00e4t, tats\u00e4chliche Letalit\u00e4t und SMR bei 7,0\u202f%, 0\u202f% resp.\u00a00. Bezieht man diese F\u00e4lle mit ein, ergibt sich eine deutlich g\u00fcnstigere SMR mit 0,93.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Durch die fehlende schriftliche Einwilligung \u00fcberlebender Patienten konnten nur etwa 75\u202f% aller Patienten der Uniklinik Leipzig f\u00fcr das TraumaRegister DGU\u00ae dokumentiert werden. Da die lokale Gesetzeslage andererseits eine Registerdokumentation verstorbener Patienten zul\u00e4sst, ergibt sich daraus eine nachteilige Beeinflussung der SMR, die in unserem Kollektiv etwa 10\u202f% h\u00f6her ausf\u00e4llt, als sie in Realit\u00e4t ist.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-022-01155-2","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T09:06:56Z","timestamp":1646989616000},"page":"293-298","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Einfluss der Datenschutz-Grundverordnung auf die Datenqualit\u00e4t bei der Erhebung von Registerdaten","Influence of the general data protection regulation on data quality in registry data collection"],"prefix":"10.1007","volume":"126","author":[{"given":"Orkun","family":"\u00d6zkurtul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"von Dercks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Fuchs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Ke\u00df","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Osterhoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. F.","family":"Struck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Scholtz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Josten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. K. M.","family":"Fakler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,3,11]]},"reference":[{"key":"1155_CR1","series-title":"Springer Science and Business Media","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1007\/978-3-662-54980-3_4","volume-title":"Management des Schwerverletzten","author":"H Andruszkow","year":"2018","unstructured":"Andruszkow\u00a0H, Oestern\u00a0H\u2011J (2018) Die Einsch\u00e4tzung und Prognose polytraumatisierter Patienten. 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