| Title: | ESTES recommendations for the treatment of polytrauma-a European consensus based on the German S3 guidelines for the treatment of patients with severe/multiple injuries |
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| Authors: | ID Rey Valcarcel, Cristina (Author)
ID Bieler, Dan (Author)
ID Bass, Gary A. (Author)
ID Gaarder, Christine (Author)
ID Hildebrand, Frank (Author)
ID Tomaževič, Matevž (Research coworker), et al. |
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| Files: |  PDF - Presentation file, download (797,53 KB)
MD5: 06D16752DFAD1230D8196CFEE3B23EBA
 URL - Source URL, visit https://link.springer.com/article/10.1007/s00068-025-02852-4
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | Introduction: Considerable heterogeneity exists in the configuration and implementation maturity of trauma systems across European healthcare settings, and the opportunities for guideline-informed high-quality care varies considerably. Therefore, the European Society of Trauma and Emergency Surgery (ESTES), with its constituent national societies, has developed comprehensive consensus recommendations for care-context appropriate treatment of polytrauma patients in Europe, from the pre-hospital setting to the first surgical phase. Methods: Adhering to the RAND/UCLA Appropriateness Method (RAM), ESTES conducted a three-round modified Delphi consensus. National society expert delegates assessed Grade of Recommendation (GoR) A and Good Clinical Practice Points (GPP) elements of the German Society of Trauma Surgery (DGU) “S3 guidelines for polytrauma/severe injury management” for appropriateness and implementability within their respective healthcare systems. Results: In the first consensus round, 82 GoR A and 57 GPP recommendations were analysed. Of these, seven GPP were rephrased for clarity and four were removed due to redundancy or conflicting content. Consequently, 135 recommendations (82 GoR A and 53 GPP) remained, with 128 (77 GoR A and 51 GPP) deemed appropriate and necessary, and seven as uncertain due to expert disagreement. Conclusion: These ESTES recommendations constitute the first cohesive Europe-wide framework for managing the polytrauma patient from the prehospital setting to the end of the first surgical phase. They serve as a foundational tool for the development of national guidelines, particularly in regions with evolving trauma systems, and promote alignment towards a uniform standard-of-care across Europe. |
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| Keywords: | polytrauma, injury, guidelines, recommendations, consensus |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2025 |
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| Number of pages: | 17 str. |
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| Numbering: | Vol. 51, article no. ǂ171 |
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| PID: | 20.500.12556/DiRROS-29483  |
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| UDC: | 616-083.98 |
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| ISSN on article: | 1863-9941 |
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| DOI: | 10.1007/s00068-025-02852-4 |
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| COBISS.SI-ID: | 278817027 |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 20. 5. 2026;
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| Publication date in DiRROS: | 20.05.2026 |
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| Views: | 152 |
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| Downloads: | 92 |
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