Who, When, Why?—Traumatological Patients in the Emergency Department of a Maximum Care Provider

Nationwide, there is an annual increase in the number of patients in German emergency departments resulting in a growing workload for the entire emergency department staff. Several studies have investigated the situation in emergency departments, most of which were interdisciplinary, but there are n...

Full description

Bibliographic Details
Main Authors: Jason-Alexander Hörauf, Cora Rebecca Schindler, Nils Mühlenfeld, Julian Zabel, Philipp Störmann, Ingo Marzi, Nicolas Söhling, René Danilo Verboket
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/10/2046
_version_ 1797573216249577472
author Jason-Alexander Hörauf
Cora Rebecca Schindler
Nils Mühlenfeld
Julian Zabel
Philipp Störmann
Ingo Marzi
Nicolas Söhling
René Danilo Verboket
author_facet Jason-Alexander Hörauf
Cora Rebecca Schindler
Nils Mühlenfeld
Julian Zabel
Philipp Störmann
Ingo Marzi
Nicolas Söhling
René Danilo Verboket
author_sort Jason-Alexander Hörauf
collection DOAJ
description Nationwide, there is an annual increase in the number of patients in German emergency departments resulting in a growing workload for the entire emergency department staff. Several studies have investigated the situation in emergency departments, most of which were interdisciplinary, but there are no data on a solely traumatological patient population. The present study therefore aims to investigate the situation in a university-based trauma surgery emergency department. A total of 8582 traumatological patients attending a university hospital from 1 January 2019 to 31 December 2019 were studied. Various variables, such as reason for presentation, time of accident, diagnosis, and diagnostic as well as therapeutic measures performed were analyzed from the admission records created. The mean age was 36.2 years, 60.1% were male, 63.3% presented on their own to the emergency department, and 41.2% presented during regular working hours between 8:00 a.m. and 6:00 p.m., Monday through Friday. The most common reason for presentation was outdoor falls at 17.4%, and 63.3% presented to the emergency department within the first 12 h after the sustained trauma. The most common diagnosis was bruise (27.6%), and 14.2% of patients were admitted as inpatients. Many of the emergency room patients suffered no relevant trauma sequelae. In order to reduce the number of patients in emergency rooms in the future, existing institutions in the outpatient emergency sector must be further expanded and effectively advertised to the public. In this way, the emergency medical resources of clinics, including staff, can be relieved to provide the best possible care for actual emergency patients.
first_indexed 2024-03-10T21:06:46Z
format Article
id doaj.art-4b5aa2c3e4704a68b723d6e3c0371f38
institution Directory Open Access Journal
issn 2075-1729
language English
last_indexed 2024-03-10T21:06:46Z
publishDate 2023-10-01
publisher MDPI AG
record_format Article
series Life
spelling doaj.art-4b5aa2c3e4704a68b723d6e3c0371f382023-11-19T17:06:37ZengMDPI AGLife2075-17292023-10-011310204610.3390/life13102046Who, When, Why?—Traumatological Patients in the Emergency Department of a Maximum Care ProviderJason-Alexander Hörauf0Cora Rebecca Schindler1Nils Mühlenfeld2Julian Zabel3Philipp Störmann4Ingo Marzi5Nicolas Söhling6René Danilo Verboket7Department of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, GermanyNationwide, there is an annual increase in the number of patients in German emergency departments resulting in a growing workload for the entire emergency department staff. Several studies have investigated the situation in emergency departments, most of which were interdisciplinary, but there are no data on a solely traumatological patient population. The present study therefore aims to investigate the situation in a university-based trauma surgery emergency department. A total of 8582 traumatological patients attending a university hospital from 1 January 2019 to 31 December 2019 were studied. Various variables, such as reason for presentation, time of accident, diagnosis, and diagnostic as well as therapeutic measures performed were analyzed from the admission records created. The mean age was 36.2 years, 60.1% were male, 63.3% presented on their own to the emergency department, and 41.2% presented during regular working hours between 8:00 a.m. and 6:00 p.m., Monday through Friday. The most common reason for presentation was outdoor falls at 17.4%, and 63.3% presented to the emergency department within the first 12 h after the sustained trauma. The most common diagnosis was bruise (27.6%), and 14.2% of patients were admitted as inpatients. Many of the emergency room patients suffered no relevant trauma sequelae. In order to reduce the number of patients in emergency rooms in the future, existing institutions in the outpatient emergency sector must be further expanded and effectively advertised to the public. In this way, the emergency medical resources of clinics, including staff, can be relieved to provide the best possible care for actual emergency patients.https://www.mdpi.com/2075-1729/13/10/2046emergency departmenttraumacrowdingurgent care
spellingShingle Jason-Alexander Hörauf
Cora Rebecca Schindler
Nils Mühlenfeld
Julian Zabel
Philipp Störmann
Ingo Marzi
Nicolas Söhling
René Danilo Verboket
Who, When, Why?—Traumatological Patients in the Emergency Department of a Maximum Care Provider
Life
emergency department
trauma
crowding
urgent care
title Who, When, Why?—Traumatological Patients in the Emergency Department of a Maximum Care Provider
title_full Who, When, Why?—Traumatological Patients in the Emergency Department of a Maximum Care Provider
title_fullStr Who, When, Why?—Traumatological Patients in the Emergency Department of a Maximum Care Provider
title_full_unstemmed Who, When, Why?—Traumatological Patients in the Emergency Department of a Maximum Care Provider
title_short Who, When, Why?—Traumatological Patients in the Emergency Department of a Maximum Care Provider
title_sort who when why traumatological patients in the emergency department of a maximum care provider
topic emergency department
trauma
crowding
urgent care
url https://www.mdpi.com/2075-1729/13/10/2046
work_keys_str_mv AT jasonalexanderhorauf whowhenwhytraumatologicalpatientsintheemergencydepartmentofamaximumcareprovider
AT corarebeccaschindler whowhenwhytraumatologicalpatientsintheemergencydepartmentofamaximumcareprovider
AT nilsmuhlenfeld whowhenwhytraumatologicalpatientsintheemergencydepartmentofamaximumcareprovider
AT julianzabel whowhenwhytraumatologicalpatientsintheemergencydepartmentofamaximumcareprovider
AT philippstormann whowhenwhytraumatologicalpatientsintheemergencydepartmentofamaximumcareprovider
AT ingomarzi whowhenwhytraumatologicalpatientsintheemergencydepartmentofamaximumcareprovider
AT nicolassohling whowhenwhytraumatologicalpatientsintheemergencydepartmentofamaximumcareprovider
AT renedaniloverboket whowhenwhytraumatologicalpatientsintheemergencydepartmentofamaximumcareprovider