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Review
. 2023 Aug;49(4):1619-1626.
doi: 10.1007/s00068-022-02206-4. Epub 2023 Jan 9.

Concepts, utilization, and perspectives on the Dutch Nationwide Trauma registry: a position paper

R J Hoepelman #  1 , M L S Driessen #  2 , M A C de Jongh  3 , R M Houwert  4 , I Marzi  5 , F Lecky  6   7 , R Lefering  8 , B J M van de Wall  9 , F J P Beeres  9 , M G W Dijkgraaf  10   11 , R H H Groenwold  12   13 , L P H Leenen  4   2
Affiliations
Review

Concepts, utilization, and perspectives on the Dutch Nationwide Trauma registry: a position paper

R J Hoepelman et al. Eur J Trauma Emerg Surg. 2023 Aug.

Abstract

Over the last decades, the Dutch trauma care have seen major improvements. To assess the performance of the Dutch trauma system, in 2007, the Dutch Nationwide Trauma Registry (DNTR) was established, which developed into rich source of information for quality assessment, quality improvement of the trauma system, and for research purposes. The DNTR is one of the most comprehensive trauma registries in the world as it includes 100% of all trauma patients admitted to the hospital through the emergency department. This inclusive trauma registry has shown its benefit over less inclusive systems; however, it comes with a high workload for high-quality data collection and thus more expenses. The comprehensive prospectively collected data in the DNTR allows multiple types of studies to be performed. Recent changes in legislation allow the DNTR to include the citizen service numbers, which enables new possibilities and eases patient follow-up. However, in order to maximally exploit the possibilities of the DNTR, further development is required, for example, regarding data quality improvement and routine incorporation of health-related quality of life questionnaires. This would improve the quality assessment and scientific output from the DNTR. Finally, the DNTR and all other (European) trauma registries should strive to ensure that the trauma registries are eligible for comparisons between countries and healthcare systems, with the goal to improve trauma patient care worldwide.

Keywords: DNTR; Trauma registry; Trauma surgery; Trauma systems.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Distribution of Regional Trauma Centers (RTC), Helicopter Emergency Medical services (HEMS) and non-RTCs with emergency departments in the Netherlands
Fig. 2
Fig. 2
Number of acute trauma admission registered by the Regional Trauma Centers (RTC), the non-Regional Trauma Centers and the hospital participation rate in the Dutch National trauma Registry, 2007–2021. *Due to the closure of two Emergency Departments the participation rate fell to 98%
See this image and copyright information in PMC

Comment in

References

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