{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T00:22:00Z","timestamp":1724458920207},"reference-count":4,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T00:00:00Z","timestamp":1717545600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T00:00:00Z","timestamp":1717545600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum D\u00fcsseldorf. Anstalt \u00f6ffentlichen Rechts"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Durch eine stetige Verbesserung in der Behandlung \u00fcberleben immer mehr Schwer- und Schwerstverletzte. Die Komplexit\u00e4t der Verletzungsmuster dieser Patient*innen bedingt, dass diese nur schwer in Routinedaten abbildbar sind.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Das Ziel der Auswertung war es, <jats:italic>International Statistical Classification of Diseases and Related Health Problems<\/jats:italic> (ICD-10)-Diagnosen, welche eine Assoziation mit einem Injury Severity Score (ISS) \u2265\u202f16 aufweisen und somit zur Operationalisierung von Schwerverletzten in Routinedaten genutzt werden k\u00f6nnten, zu identifizieren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Es wurden die kodierten vierstelligen ICD-10-S-Diagnosen und der errechnete ISS von Traumapatienten des Bundeswehrzentralkrankenhauses Koblenz (BwZKrhs) und des Universit\u00e4tsklinikums D\u00fcsseldorf (UKD) mittels statistischer Assoziationsma\u00dfe (Phi und Cramers\u00a0V), linearer Regressionen sowie Methoden des <jats:italic>Machine Learning <\/jats:italic>(wie beispielsweise Random Forrest) analysiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es konnten S\u2011Diagnosen zu Gesichts\u2011, Kopf\u2011, Thorax- und Beckenverletzungen, die mit einem ISS \u2265\u202f16 assoziiert waren, identifiziert werden. Manche S\u2011Diagnosen zeigten nur in einem der beiden Datens\u00e4tze eine Assoziation mit einem ISS \u2265\u202f16. Ebenso fanden sich assoziierte Gesichts\u2011, Kopf\u2011, Thorax- und Beckenverletzungen in der Subgruppenanalyse der 18- bis 55-J\u00e4hrigen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die aktuellen Auswertungen zeigen, dass es m\u00f6glich ist, ICD-10-S-Diagnosen, welche eine signifikante Assoziation zu einem ISS \u2265\u202f16 aufweisen, zu identifizieren. Gem\u00e4\u00df dem Jahresbericht des TR-DGU\u00ae sind insbesondere in den Regionen Kopf und Thorax h\u00e4ufig Verletzungen mit einem <jats:italic>Abbreviated Injury Scale<\/jats:italic> Wert von \u2265\u202f3 (AIS \u2265\u202f3) zu finden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphic abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1007\/s00113-024-01446-w","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T18:04:33Z","timestamp":1717610673000},"page":"660-664","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Eine retrospektive Identifikation von Schwerverletzten mittels ICD-10-Diagnosen","A retrospective identification of severely injured patients using ICD 10 diagnoses codes"],"prefix":"10.1007","volume":"127","author":[{"given":"Anne","family":"Neubert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Hempe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronika","family":"Gontscharuk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carina","family":"Jaekel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Windolf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erwin","family":"Kollig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catharina","family":"G\u00e4th","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"LeAf Trauma Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Bieler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,5]]},"reference":[{"key":"1446_CR1","first-page":"215","volume-title":"Deutsche Kodierrichtlinien 2023: Allgemeine und spezielle Kodierrichtlinien f\u00fcr die Verschl\u00fcsselung von Krankheiten und Prozeduren. Version 2023","author":"Deutsche Krankenhausgesellschaft","year":"2022","unstructured":"Deutsche Krankenhausgesellschaft, GKV-Spitzenverband, Verband der Privaten Krankenversicherung, Institut f\u00fcr das Entgeltsystem im Krankenhaus (2022) Deutsche Kodierrichtlinien 2023: Allgemeine und spezielle Kodierrichtlinien f\u00fcr die Verschl\u00fcsselung von Krankheiten und Prozeduren. Version 2023. Deutscher \u00c4rzteverlag, K\u00f6ln, S\u00a0215"},{"issue":"9","key":"1446_CR2","doi-asserted-by":"publisher","first-page":"e0257183","DOI":"10.1371\/journal.pone.0257183","volume":"16","author":"M Niemann","year":"2021","unstructured":"Niemann\u00a0M, M\u00e4rdian\u00a0S, Niemann\u00a0P, Tetteh\u00a0L, Tsitsilonis\u00a0S, Braun\u00a0KF et\u00a0al (2021) Transforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)\u2014Introducing a\u00a0new method for automated re-coding. Simmen HP, editor. Plos One 16(9):e257183","journal-title":"Plos One"},{"issue":"06","key":"1446_CR3","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1055\/s-0035-1546217","volume":"153","author":"R Hartensuer","year":"2015","unstructured":"Hartensuer\u00a0R, Nikolov\u00a0B, Franz\u00a0D, Weimann\u00a0A, Raschke\u00a0M, Juhra\u00a0C (2015) Vergleich von ICD-10 und AIS mit der Entwicklung einer Methode zur automatisierten Umwandlung. Z\u00a0Orthop Unfallchir 153(06):607\u2013612","journal-title":"Z Orthop Unfallchir"},{"key":"1446_CR4","unstructured":"Jahresbericht 2023 \u2013 TraumaRegister DGU\u00ae f\u00fcr das Unfalljahr 2022. M\u00fcnchen: Akademie der Unfallchirurgie; [cited 2023 Nov 5]. (AUC \u2013 Akademie der Unfallchirurgie, editor. Allgemeiner Jahresbericht). Report No.: September 2023. https:\/\/www.auc-online.de\/fileadmin\/AUC\/Dokumente\/Register\/TraumaRegister_DGU\/TR-DGU-Jahresbericht_2023.pdf"}],"container-title":["Die Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-024-01446-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-024-01446-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-024-01446-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T14:55:58Z","timestamp":1724424958000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00113-024-01446-w"}},"subtitle":["Teil des Projekts \u201eLebensqualit\u00e4t und Arbeitsf\u00e4higkeit nach schwerem Trauma\u201c (LeAf Trauma)","Part of the project \u201cQuality of life and ability to work after severe trauma\u201d (LeAf Trauma)"],"short-title":[],"issued":{"date-parts":[[2024,6,5]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["1446"],"URL":"https:\/\/doi.org\/10.1007\/s00113-024-01446-w","relation":{},"ISSN":["2731-7021","2731-703X"],"issn-type":[{"type":"print","value":"2731-7021"},{"type":"electronic","value":"2731-703X"}],"subject":[],"published":{"date-parts":[[2024,6,5]]},"assertion":[{"value":"15 May 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 June 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"A.\u00a0Neubert, S.\u00a0Hempe, V.\u00a0Gontscharuk, C.\u00a0Jaekel, J.\u00a0Windolf, E.\u00a0Kollig, C.\u00a0G\u00e4th, LeAf Trauma Group und D.\u00a0Bieler geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Diese retrospektive Studie erfolgte nach Konsultation der zust\u00e4ndigen Ethikkommission und im Einklang mit nationalem Recht.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}