| Naslov: | 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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| Avtorji: | ID Rey Valcarcel, Cristina (Avtor)
ID Bieler, Dan (Avtor)
ID Bass, Gary A. (Avtor)
ID Gaarder, Christine (Avtor)
ID Hildebrand, Frank (Avtor)
ID Tomaževič, Matevž (Sodelavec pri raziskavi), et al. |
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| Datoteke: |  PDF - Predstavitvena datoteka, prenos (797,53 KB)
MD5: 06D16752DFAD1230D8196CFEE3B23EBA
 URL - Izvorni URL, za dostop obiščite https://link.springer.com/article/10.1007/s00068-025-02852-4
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| Jezik: | Angleški jezik |
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| Tipologija: | 1.01 - Izvirni znanstveni članek |
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| Organizacija: |  UKC LJ - Univerzitetni klinični center Ljubljana
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| Povzetek: | 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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| Ključne besede: | polytrauma, injury, guidelines, recommendations, consensus |
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| Status publikacije: | Objavljeno |
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| Verzija publikacije: | Objavljena publikacija |
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| Leto izida: | 2025 |
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| Št. strani: | 17 str. |
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| Številčenje: | Vol. 51, article no. ǂ171 |
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| PID: | 20.500.12556/DiRROS-29483  |
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| UDK: | 616-083.98 |
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| ISSN pri članku: | 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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| Opomba: | Nasl. z nasl. zaslona;
Opis vira z dne 20. 5. 2026;
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| Datum objave v DiRROS: | 20.05.2026 |
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| Število ogledov: | 157 |
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| Število prenosov: | 94 |
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| Metapodatki: |    |
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