Carsten Schoeneberg1, Bjoern Hussmann2, Thomas Wesemann3, Ludger Pientka3, Marie-Christin Vollmar4, Christine Bienek4, Markus Steinmann5, Benjamin Buecking6, Sven Lendemans7,2. 1. Klinik für Unfallchirurgie und Orthopädie, Alfried Krupp Krankenhaus Essen Steele, Hellweg 100, 45276, Essen, Deutschland. carsten.schoeneberg@krupp-krankenhaus.de. 2. Klinik für spezielle Unfallchirurgie, Alfried Krupp Krankenhaus Essen Rüttenscheid, Essen, Deutschland. 3. Zentrum für Altersmedizin und Geriatrische Rehabilitation, Marien Hospital Wattenscheid, Katholisches Klinikum Bochum, Bochum, Deutschland. 4. Zentrum für Altersmedizin, St. Elisabeth-Krankenhaus Niederwenigern, Katholische Kliniken Ruhrhalbinsel, Hattingen, Deutschland. 5. Qualitäts- und Risikomanagement, Alfried Krupp Krankenhaus Essen Steele und Rüttenscheid, Essen, Deutschland. 6. Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Marburg, Deutschland. 7. Klinik für Unfallchirurgie und Orthopädie, Alfried Krupp Krankenhaus Essen Steele, Hellweg 100, 45276, Essen, Deutschland.
Abstract
BACKGROUND: At present, there is a high percentage and increasing tendency of patients presenting with orthogeriatric injuries. Moreover, significant comorbidities often exist, requiring increased interdisciplinary treatment. These developments have led the German Society of Trauma Surgery, in cooperation with the German Society of Geriatrics, to establish geriatric trauma centers. METHODS: As a conglomerate hospital at two locations, we are cooperating with two external geriatric clinics. In 2015, a geriatric trauma center certification in the form of a conglomerate network structure was agreed upon for the first time in Germany. For this purpose, the requirements for certification were observed. Both structure and organization were defined in a manual according to DIN EN ISO 9001:2015. RESULTS: Between 2008 and 2016, an increase of 70% was seen in geriatric trauma cases in our hospital, with a rise of up to 360% in specific diagnoses. The necessary standards and regulations were compiled and evaluated from our hospitals. After successful certification, improvements were necessary, followed by a planned re-audit. These were prepared by multiprofessional interdisciplinary teams and implemented at all locations. CONCLUSIONS: A network structure can be an alternative to classical cooperation between trauma and geriatric units in one clinic and help reduce possible staffing shortage. Due to the lack of scientific evidence, future evaluations of the geriatric trauma register should reveal whether network structures in geriatric trauma surgery lead to a valid improvement in medical care.
BACKGROUND: At present, there is a high percentage and increasing tendency of patients presenting with orthogeriatric injuries. Moreover, significant comorbidities often exist, requiring increased interdisciplinary treatment. These developments have led the German Society of Trauma Surgery, in cooperation with the German Society of Geriatrics, to establish geriatric trauma centers. METHODS: As a conglomerate hospital at two locations, we are cooperating with two external geriatric clinics. In 2015, a geriatric trauma center certification in the form of a conglomerate network structure was agreed upon for the first time in Germany. For this purpose, the requirements for certification were observed. Both structure and organization were defined in a manual according to DIN EN ISO 9001:2015. RESULTS: Between 2008 and 2016, an increase of 70% was seen in geriatric trauma cases in our hospital, with a rise of up to 360% in specific diagnoses. The necessary standards and regulations were compiled and evaluated from our hospitals. After successful certification, improvements were necessary, followed by a planned re-audit. These were prepared by multiprofessional interdisciplinary teams and implemented at all locations. CONCLUSIONS: A network structure can be an alternative to classical cooperation between trauma and geriatric units in one clinic and help reduce possible staffing shortage. Due to the lack of scientific evidence, future evaluations of the geriatric trauma register should reveal whether network structures in geriatric trauma surgery lead to a valid improvement in medical care.
Entities:
Keywords:
Certification; Geriatric fracture; Geriatric trauma center; Geriatrics; Trauma surgery
Authors: Anders Prestmo; Gunhild Hagen; Olav Sletvold; Jorunn L Helbostad; Pernille Thingstad; Kristin Taraldsen; Stian Lydersen; Vidar Halsteinli; Turi Saltnes; Sarah E Lamb; Lars G Johnsen; Ingvild Saltvedt Journal: Lancet Date: 2015-02-05 Impact factor: 79.321