Prävalenz und Behandlung von traumatischen Verletzungen in deutschen Hausarztpraxen
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Philipps-Universität Marburg
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Abstract
Introduction:
Injuries endanger the health of the population and are therefore not only epidemiologically but also economically relevant. The medical care of injured persons is an interdisciplinary task in which general practitioners are also significantly involved. Due to the heterogeneous study situation, the goal of the present study was to analyze the prevalence and treatment of injuries in individuals observed by general practitioners in Germany.
Methods:
This retrospective cross sectional study was conducted using data from the nationwide Disease Analyzer Database (IQVIA) and is based on descriptive analyses. The study included all patients (N = 2,644,037) who visited at least one German general practice (N = 1,063) in 2016. The first outcome was the prevalence of injuries treated by general practitioners. The study considered 12 different types of injuries. The second outcome was the rate of injured patients who were referred to the hospital or specialist care. Finally, three types of drug treatments were included in the analysis.
Results:
In 2016, there were 297,528 patients with an injury diagnosis made in general practices in Germany, representing 11.3 % of the total study population. Excluding unspecified injury diagnoses, the most frequent diagnosis was related to injuries of the ankle and foot (N = 34,661). The prevalence of injuries was highest in individuals aged over 80 years (18.0 %) and lowest in those aged 31 – 40 years (9.5 %). Overall, 55.2 % of injured patients received systemic antirheumatics or analgesics, 12.7 % topical drugs (antibiotics, antiseptics, antirheumatics/analgesics) and 7 % heparins. In addition, 14.3 % of the injured were referred to surgeons, 10.8 % referred to orthopedists and 8.2 % admitted into hospitals.
Conclusion:
In 2016, more than one in ten patients were diagnosed with an injury in German general practices, with those over 80 years having the highest injury rate and especially the lower extremities affected by injuries. The management and treatment of injured individuals, as an important area of responsibility for general practitioners, appeared satisfactory and will continue to be a high priority in the context of demographic development.
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Dates
Created: 2019Issued: 2020-01-13Updated: 2020-01-13
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
DDC-Numbers
610
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Seitz, Vanessa: Prävalenz und Behandlung von traumatischen Verletzungen in deutschen Hausarztpraxen. : Philipps-Universität Marburg 2020-01-13. DOI: https://doi.org/10.17192/z2020.0014.