to the website of the TraumaRegister DGU® of the German Trauma Society (DGU)
The TraumaRegister DGU® (TR-DGU) was founded in 1993 by the Working Group “Polytrauma“ of the DGU. It was comprised of 5 clinics at first and has now grown to include 550 clinics that document over 25,000 polytraumatized patients annually.In accordance with the recommendations of the DGU Whitebook it is obligatory for the TR-DGU to be applied as an instrument of quality assurance in the TraumaNetzwerk DGU® . The TR-DGU is funded by contributions from the participating clinics and is sponsored by AUC - Academy for Trauma Surgery (AUC GmbH). The scientific management of the register is with the Sektion NIS of the DGU.
The TR-DGU is designed to improve the guaranteed availability and quality of medical care for the severely injured person. Essentially, this involves the pursuit of two main aims:
1. Quality assurance at the participating clinics, and
2. Scientific contributions to medical care research.
1. Quality Assurance
Health legislation has made external quality assurance for hospitals obligatory. The TR-DGU makes it possible for hospitals to achieve quality assurance with reasonable effort in the complex area of traumatology.
The participating clinics document their severely injured patients and receive a comprehensive quality report once a year (TR annual report). A summary of the up-to-date quality report is made available online and is always accessible. In addition to descriptive data the reports contain comparative statements on hospital mortality (outcome quality) and on several parameters of process quality.
2. Medical care research
The database of the TR-DGU is expanding from year to year and therefore permits not only descriptive representations on medical care reality, but also analyses of current trends and, to some extent, statements on efficacy of diagnosis and therapeutic interventions in acute care.
The scientific topics addressed include epidemiology of severe trauma, economy, quality of life, prognosis scores, guidelines, and the evaluation of structural institutions such as the TraumaNetzwerk DGU®.
Every year about 20 scientific publications are published in well established (peer-reviewed) specialist journals.
For hospitals participating in certified TraumaNetzwerk DGU® (TNW) participation in the TR-DGU is compulsory and is monitored at regular audit. Instead of the standard documentation form (approx. 100 entries per case) TNW hospitals may also work with the reduced QM data set (approx. 40 entries per case), whereby the right to scientific evaluation in the register is forfeited. Hospitals not participating in TNWs, even those abroad, can participate in the TR-DGU (using the standard data set). An overview of the data to be acquired can be found on Questionnaire for the Severely Injured .
Every patient admitted to the emergency room of a hospital who is in need of intensive care should be documented in the TraumaRegister DGU®. Participating clinics enter the data online in a central database. Data protection is guaranteed by pseudonymization of the data. Registration forms can be obtained here. A list of hospitals currently participating is likewise available.
Criteria for patient enrollment:
The TraumaRegister DGU® aims to enroll all patients, who either have been admitted to hospital via emergency room with subsequent ICU / ICM care or reach the hospital with vital signs and die before admission to ICU / ICM. Furthermore, all those patients have to be recorded in the TraumaRegister DGU®, who have been transferred from another hospital, where already a documentation (form A and B minimum) has been started.