Spering, Christopher

[["dc.bibliographiccitation.firstpage","841"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","MEDIZINISCHE KLINIK"],["dc.bibliographiccitation.lastpage","845"],["dc.bibliographiccitation.volume","104"],["dc.contributor.author","Raupach, Tobias"],["dc.contributor.author","Spering, Christopher"],["dc.contributor.author","Baeumler, Christine"],["dc.contributor.author","Burckhardt, Gerhard"],["dc.contributor.author","Truemper, Lorenz H."],["dc.contributor.author","Pukrop, Tobias"],["dc.date.accessioned","2018-11-07T11:22:58Z"],["dc.date.available","2018-11-07T11:22:58Z"],["dc.date.issued","2009"],["dc.description.abstract","In addition to patient care and research activity, physicians working in medical school hospitals serve as teachers in undergraduate medical education. However, teaching qualifications of German university hospital physicians have not been studied in great detail. In January 2009, medical students as well as physicians involved in medical teaching at Gottingen Medical School, Germany, were invited to complete an online survey addressing their views on clinical teachers' educational skills. In addition, physicians' motivation to engage in pedagogical training was assessed. During a 12-day period, 359 students and 126 physicians involved in undergraduate medical education completed the survey. The latter did not feel well prepared for their teaching activities. At the same time, they expressed the willingness to improve their teaching skills. Students felt that, across all instructional methods, teachers would benefit from teacher training programs. In order to improve undergraduate education for future physicians, politicians and local representatives alike must set the scene for the implementation of faculty development measures in German medical schools."],["dc.identifier.doi","10.1007/s00063-009-1180-x"],["dc.identifier.isi","000271851200002"],["dc.identifier.pmid","19916073"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/56090"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Urban & Vogel"],["dc.relation.conference","115th Annual Meeting of the Deutschen-Gesellschaft-fur-Innere-Medizin"],["dc.relation.eventlocation","Wiesbaden, GERMANY"],["dc.relation.issn","0723-5003"],["dc.title","A Contribution to the Needs Assessment of Faculty Development Measures in Medical Schools"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Der Unfallchirurg"],["dc.contributor.author","Dresing, Klaus"],["dc.contributor.author","Kraus, Ralf"],["dc.contributor.author","Fernandez, Francisco"],["dc.contributor.author","Schmittenbecher, Peter"],["dc.contributor.author","Dresing, Kaya"],["dc.contributor.author","Strohm, Peter"],["dc.contributor.author","Spering, Christopher"],["dc.contributor.authorgroup","Sektion Kindertraumatologie der Deutschen Gesellschaft für Unfallchirurgie"],["dc.date.accessioned","2022-01-11T14:08:07Z"],["dc.date.available","2022-01-11T14:08:07Z"],["dc.date.issued","2021"],["dc.description.abstract","Zusammenfassung Hintergrund Die Indikation zum Röntgen sollte bei pädiatrischen und jugendlichen Traumapatienten streng dem ALARA-Prinzip (as low as reasonable achievable) folgen. Die Wirkung der Strahlung auf das wachsende sensible Gewebe dieser Patienten darf nicht außer acht gelassen werden. Fragestellung Die Sektion Kindertraumatologie der Deutschen Gesellschaft für Unfallchirurgie (SKT) wollte klären wie in der Traumaversorgung dem Prinzip gefolgt wird. Methoden Eine Online-Umfrage war 10 Wochen lang offen. Zielgruppen waren Unfall-, Kinder- und Allgemeinchirurgen sowie Orthopäden. Ergebnisse Von 15.11.2019 bis 29.02.2020 beteiligten sich 788 Ärzte: Niederlassung 20,56 %, MVZ 4,31 %, Krankenhaus 75,13 %; Assistenzarzt 16,62 %, Oberarzt 38,07 %, Chefarzt 22,59 %. Nach Facharztqualifikation ergab sich die Verteilung: 38,34 % Chirurgie, 33,16 % Unfallchirurgie, 36,66 % spezielle Unfallchirurgie, 70,34 % Orthopädie und Unfallchirurgie, 18,78 % Kinderchirurgie. Häufigkeit des Kontakts mit Frakturen in der o. g. Altersgruppe wurde angegeben mit 37 % < 10/Monat, 27 % < 20/M, 36 %> 20/M. Etwa 52 % fordern immer Röntgenaufnahmen in 2 Ebenen nach akutem Trauma. Das Röntgen der Gegenseite bei unklaren Befunden lehnen 70 % ab. 23 % wenden die Sonographie regelmäßig in der Frakturdiagnostik an. Bei polytraumatisierten Kindern und Jugendlichen wird das Ganzkörper-CT bei 18 % nie, bei 50 % selten und bei 14 % standardmäßig eingesetzt. Diskussion Die Analyse zeigt, dass es kein einheitliches radiologisches Management von Kindern und Jugendlichen mit Frakturen unter den Befragten gibt. Schlussfolgerung Vergleicht man die Ergebnisse der Umfrage mit den kürzlich in dieser Zeitschrift veröffentlichten Konsensergebnissen des SKT, so bedarf es noch Überzeugungsarbeit, um den Einsatz von Röntgenstrahlen bei der Primärdiagnostik zu ändern."],["dc.description.abstract","Abstract Background The indication for radiography should strictly follow the ALARA (as low as reasonably achievable) principle in pediatric and adolescent trauma patients. The effect of radiation on the growing sensitive tissue of these patients should not be disregarded. Question The Pediatric Traumatology Section (SKT) of the German Trauma Society (DGU) wanted to clarify how the principle is followed in trauma care. Methods An online survey was open for 10 weeks. Target groups were trauma surgeons, pediatric surgeons, general surgeons, and orthopedic surgeons. Results From Nov. 15, 2019, to Feb. 29, 2020, 788 physicians participated: branch office 20.56%, MVZ 4.31%, hospital 75.13%; resident 16.62%, senior 38.07%, chief 22.59%. By specialist qualification, the distribution was: 38.34% surgery, 33.16% trauma surgery, 36.66% special trauma surgery, 70.34% orthopedics and trauma surgery, 18.78% pediatric surgery. Frequency of contact with fractures in the above age group was reported as 37% < 10/month, 27% < 20/M, 36% > 20/M. About 52% always request radiographs in 2 planes after acute trauma. X-ray of the opposite side for unclear findings was rejected by 70%. 23% use sonography regularly in fracture diagnosis. In polytrauma children and adolescents, whole-body CT is never used in 18%, rarely in 50%, and standard in 14%. Discussion The analysis shows that there is no uniform radiological management of children and adolescents with fractures among the respondents. Conclusion Comparing the results of the survey with the consensus findings of the SKT recently published in this journal, persuasion is still needed to change the use of radiography in primary diagnosis."],["dc.description.abstract","Zusammenfassung Hintergrund Die Indikation zum Röntgen sollte bei pädiatrischen und jugendlichen Traumapatienten streng dem ALARA-Prinzip (as low as reasonable achievable) folgen. Die Wirkung der Strahlung auf das wachsende sensible Gewebe dieser Patienten darf nicht außer acht gelassen werden. Fragestellung Die Sektion Kindertraumatologie der Deutschen Gesellschaft für Unfallchirurgie (SKT) wollte klären wie in der Traumaversorgung dem Prinzip gefolgt wird. Methoden Eine Online-Umfrage war 10 Wochen lang offen. Zielgruppen waren Unfall-, Kinder- und Allgemeinchirurgen sowie Orthopäden. Ergebnisse Von 15.11.2019 bis 29.02.2020 beteiligten sich 788 Ärzte: Niederlassung 20,56 %, MVZ 4,31 %, Krankenhaus 75,13 %; Assistenzarzt 16,62 %, Oberarzt 38,07 %, Chefarzt 22,59 %. Nach Facharztqualifikation ergab sich die Verteilung: 38,34 % Chirurgie, 33,16 % Unfallchirurgie, 36,66 % spezielle Unfallchirurgie, 70,34 % Orthopädie und Unfallchirurgie, 18,78 % Kinderchirurgie. Häufigkeit des Kontakts mit Frakturen in der o. g. Altersgruppe wurde angegeben mit 37 % < 10/Monat, 27 % < 20/M, 36 %> 20/M. Etwa 52 % fordern immer Röntgenaufnahmen in 2 Ebenen nach akutem Trauma. Das Röntgen der Gegenseite bei unklaren Befunden lehnen 70 % ab. 23 % wenden die Sonographie regelmäßig in der Frakturdiagnostik an. Bei polytraumatisierten Kindern und Jugendlichen wird das Ganzkörper-CT bei 18 % nie, bei 50 % selten und bei 14 % standardmäßig eingesetzt. Diskussion Die Analyse zeigt, dass es kein einheitliches radiologisches Management von Kindern und Jugendlichen mit Frakturen unter den Befragten gibt. Schlussfolgerung Vergleicht man die Ergebnisse der Umfrage mit den kürzlich in dieser Zeitschrift veröffentlichten Konsensergebnissen des SKT, so bedarf es noch Überzeugungsarbeit, um den Einsatz von Röntgenstrahlen bei der Primärdiagnostik zu ändern."],["dc.description.abstract","Abstract Background The indication for radiography should strictly follow the ALARA (as low as reasonably achievable) principle in pediatric and adolescent trauma patients. The effect of radiation on the growing sensitive tissue of these patients should not be disregarded. Question The Pediatric Traumatology Section (SKT) of the German Trauma Society (DGU) wanted to clarify how the principle is followed in trauma care. Methods An online survey was open for 10 weeks. Target groups were trauma surgeons, pediatric surgeons, general surgeons, and orthopedic surgeons. Results From Nov. 15, 2019, to Feb. 29, 2020, 788 physicians participated: branch office 20.56%, MVZ 4.31%, hospital 75.13%; resident 16.62%, senior 38.07%, chief 22.59%. By specialist qualification, the distribution was: 38.34% surgery, 33.16% trauma surgery, 36.66% special trauma surgery, 70.34% orthopedics and trauma surgery, 18.78% pediatric surgery. Frequency of contact with fractures in the above age group was reported as 37% < 10/month, 27% < 20/M, 36% > 20/M. About 52% always request radiographs in 2 planes after acute trauma. X-ray of the opposite side for unclear findings was rejected by 70%. 23% use sonography regularly in fracture diagnosis. In polytrauma children and adolescents, whole-body CT is never used in 18%, rarely in 50%, and standard in 14%. Discussion The analysis shows that there is no uniform radiological management of children and adolescents with fractures among the respondents. Conclusion Comparing the results of the survey with the consensus findings of the SKT recently published in this journal, persuasion is still needed to change the use of radiography in primary diagnosis."],["dc.identifier.doi","10.1007/s00113-021-01115-2"],["dc.identifier.pii","1115"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/97940"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-507"],["dc.relation.eissn","1433-044X"],["dc.relation.issn","0177-5537"],["dc.title","Bildgebung nach Unfall in Klinik und Praxis bei Kindern und Jugendlichen"],["dc.title.alternative","Teil 1 der Ergebnisse einer bundesweiten Online-Umfrage der Sektion Kindertraumatologie der Deutschen Gesellschaft für Unfallchirurgie"],["dc.title.translated","Imaging after trauma in clinics and practice for children and adolescents"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","225"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Neuroscience"],["dc.bibliographiccitation.lastpage","233"],["dc.bibliographiccitation.volume","31"],["dc.contributor.author","Reich, Arno"],["dc.contributor.author","Spering, Christopher"],["dc.contributor.author","Gertz, Karen"],["dc.contributor.author","Harms, Christoph"],["dc.contributor.author","Gerhardt, Ellen"],["dc.contributor.author","Kronenberg, Golo"],["dc.contributor.author","Nave, Klaus A."],["dc.contributor.author","Schwab, Markus"],["dc.contributor.author","Tauber, Simone C."],["dc.contributor.author","Drinkut, Anja"],["dc.contributor.author","Harms, Kristian"],["dc.contributor.author","Beier, Chrstioph P."],["dc.contributor.author","Voigt, Aaron"],["dc.contributor.author","Goebbels, Sandra"],["dc.contributor.author","Endres, Matthias"],["dc.contributor.author","Schulz, Joerg B."],["dc.date.accessioned","2018-11-07T09:00:08Z"],["dc.date.available","2018-11-07T09:00:08Z"],["dc.date.issued","2011"],["dc.description.abstract","Death receptor (DR) signaling has a major impact on the outcome of numerous neurological diseases, including ischemic stroke. DRs mediate not only cell death signals, but also proinflammatory responses and cell proliferation. Identification of regulatory proteins that control the switch between apoptotic and alternative DR signaling opens new therapeutic opportunities. Fas apoptotic inhibitory molecule 2 (Faim2) is an evolutionary conserved, neuron-specific inhibitor of Fas/CD95-mediated apoptosis. To investigate its role during development and in disease models, we generated Faim2-deficient mice. The ubiquitous null mutation displayed a viable and fertile phenotype without overt deficiencies. However, lack of Faim2 caused an increase in susceptibility to combined oxygen-glucose deprivation in primary neurons in vitro as well as in caspase-associated cell death, stroke volume, and neurological impairment after cerebral ischemia in vivo. These processes were rescued by lentiviral Faim2 gene transfer. In summary, we provide evidence that Faim2 is a novel neuroprotective molecule in the context of cerebral ischemia."],["dc.identifier.doi","10.1523/JNEUROSCI.2188-10.2011"],["dc.identifier.isi","000285915100026"],["dc.identifier.pmid","21209208"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/24077"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Soc Neuroscience"],["dc.relation.issn","0270-6474"],["dc.title","Fas/CD95 Regulatory Protein Faim2 Is Neuroprotective after Transient Brain Ischemia"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","122"],["dc.bibliographiccitation.journal","Scandinavian Journal of Trauma Resuscitation and Emergency Medicine"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Kunze-Szikszay, Nils"],["dc.contributor.author","Krack, Lennart A."],["dc.contributor.author","Wildenauer, Pauline"],["dc.contributor.author","Wand, Saskia"],["dc.contributor.author","Heyne, Tim"],["dc.contributor.author","Walliser, Karoline"],["dc.contributor.author","Spering, Christopher"],["dc.contributor.author","Bauer, Martin"],["dc.contributor.author","Quintel, Michael"],["dc.contributor.author","Roessler, Markus"],["dc.date.accessioned","2018-11-07T10:07:07Z"],["dc.date.available","2018-11-07T10:07:07Z"],["dc.date.issued","2016"],["dc.description.abstract","Background: Hyperfibrinolysis (HF) is a major contributor to coagulopathy and mortality in trauma patients. This study investigated (i) the rate of HF during the pre-hospital management of patients with multiple injuries and (ii) the effects of pre-hospital tranexamic acid (TxA) administration on the coagulation system. Methods: From 27 trauma patients with pre-hospital an estimated injury severity score (ISS) >= 16 points blood was obtained at the scene and on admission to the emergency department (ED). All patients received 1 g of TxA after the first blood sample was taken. Rotational thrombelastometry (ROTEM) was performed for both blood samples, and the results were compared. HF was defined as a maximum lysis (ML) >15 % in EXTEM. Results: The median (min-max) ISS was 17 points (4-50 points). Four patients (15 %) had HF diagnosed via ROTEM at the scene, and 2 patients (7.5 %) had HF diagnosed via ROTEM on admission to the ED. The median ML before TxA administration was 11 % (3-99 %) vs. 10 % after TxA administration (4-18 %; p > 0.05). TxA was administered 37 min (10-85 min) before ED arrival. The ROTEM results before and after TxA administration did not significantly differ. No adverse drug reactions were observed after TxA administration. Discussion: HF can be present in severely injured patients during pre-hospital care. Antifibrinolytic therapy administered at the scene is a significant time saver. Even in milder trauma fibrinogen can be decreased to critically low levels. Early administration of TxA cannot reverse or entirely stop this decrease. Conclusions: The pre-hospital use of TxA should be considered for severely injured patients to prevent the worsening of trauma-induced coagulopathy and unnecessarily high fibrinogen consumption."],["dc.identifier.doi","10.1186/s13049-016-0314-4"],["dc.identifier.isi","000384950400003"],["dc.identifier.pmid","27724970"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13894"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/39223"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Biomed Central Ltd"],["dc.relation.issn","1757-7241"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","The pre-hospital administration of tranexamic acid to patients with multiple injuries and its effects on rotational thrombelastometry: a prospective observational study in pre-hospital emergency medicine"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Clinical Biochemistry"],["dc.contributor.author","Saul, D."],["dc.contributor.author","Hünicke, P."],["dc.contributor.author","Böker, K.O."],["dc.contributor.author","Spering, C."],["dc.contributor.author","Maheshwari, A.K."],["dc.contributor.author","Acharya, M."],["dc.contributor.author","Lehmann, W."],["dc.date.accessioned","2021-06-01T10:49:30Z"],["dc.date.available","2021-06-01T10:49:30Z"],["dc.date.issued","2021"],["dc.identifier.doi","10.1016/j.clinbiochem.2021.04.020"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/86310"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation.issn","0009-9120"],["dc.title","Predicting the disaster – The role of CRP in acetabular surgery"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","487"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","European Journal of Trauma and Emergency Surgery"],["dc.bibliographiccitation.lastpage","497"],["dc.bibliographiccitation.volume","46"],["dc.contributor.author","Spering, Christopher"],["dc.contributor.author","Lefering, Rolf"],["dc.contributor.author","Bouillon, Bertil"],["dc.contributor.author","Lehmann, Wolfgang"],["dc.contributor.author","von Eckardstein, Kajetan"],["dc.contributor.author","Dresing, Klaus"],["dc.contributor.author","Sehmisch, Stephan"],["dc.date.accessioned","2021-04-14T08:26:13Z"],["dc.date.available","2021-04-14T08:26:13Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.1007/s00068-019-01229-8"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/81874"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1863-9941"],["dc.relation.issn","1863-9933"],["dc.title","It is time for a change in the management of elderly severely injured patients! An analysis of 126,015 patients from the TraumaRegister DGU®"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","European Journal of Trauma and Emergency Surgery"],["dc.contributor.author","Spering, Christopher"],["dc.contributor.author","Müller, Gerd"],["dc.contributor.author","Füzesi, László"],["dc.contributor.author","Bouillon, Bertil"],["dc.contributor.author","Rüther, Hauke"],["dc.contributor.author","Lehmann, Wolfgang"],["dc.contributor.author","Lefering, Rolf"],["dc.contributor.authorgroup","and Section of Injury Prevention DGOU"],["dc.contributor.authorgroup","and TraumaRegister DGU"],["dc.date.accessioned","2022-05-02T08:09:29Z"],["dc.date.available","2022-05-02T08:09:29Z"],["dc.date.issued","2022"],["dc.description.abstract","Abstract Purpose The purpose of this study was to evaluate whether prolonged re-boarding of restraint children in motor vehicle accidents is sufficient to prevent severe injury. Methods Data acquisition was performed using the Trauma Register DGU® (TR-DGU) in the time period from 2010 to 2019 of seriously injured children (AIS 2 +) aged 0–5 years as motor vehicle passengers (MVP). Primarily treated and transferred patients where included. Results The study group included 727 of 2030 (35.8%) children, who were severely injured (AIS 2 +) in road traffic accidents, among them 268 (13.2%) as MVPs in the age groups: 0–1 years (42.5%), 2–3 years (26.1%) and 4–5 years (31.3%). The pattern of severe injury was head/brain (56.0%), thoracic (42.2%), abdominal (13.1%), fractures (extremities and pelvis, 52.6%) and spine/severe whiplash (19.8%). The 0–1-year-old MVPs showed the significantly highest proportion of brain injuries with Glasgow Coma Score (GCS) < 8 and severe injury to the spine. The 2–3-year-olds showed the significantly highest proportion of fractures especially the lower extremity and highest proportion of cervical spine injuries of all spine injuries, while the 4–5-year-olds, the significantly highest proportion of abdominal injury and second highest proportion of cervical spine injury of all spine injuries. MVPs of the 0–1-year-old and 2–3-year-old groups showed a higher median Injury Severity Score (ISS) of 21.5 and 22.1 points than the older children (17.0 points). They also suffered an AIS-6-injury significantly more often (9 of 21) of spine ( p  = 0.001). Especially the cervical spine was significantly more often involved. Passengers at the age of 0–1 years were treated with cardiopulmonary resuscitation (CPR) three times as often as older children in the prehospital setting and twice as often at admission in the Trauma Resuscitation Unit (TRU). Their survival rate was 7 out of 8 (0–1 years), 1 out of 6 (2–3 years) and 1 out of 4 (4–5 years). Conclusion Although the younger MVPs are restraint in a re-boarding position, severe injury to the spine and head occurred more often, while older children as front-faced positioned MVPs suffered from significantly higher rates of abdominal and more often severe facial injury. Our data show, that it is more important to properly restrain children in their adequate car seats (i-size-Norm) and additionally consider the age-related physiological and anatomical specific risks of injury as well as co-factors in road traffic accidents, than only prolonging the re-boarding position over the age of 15 months as a single method."],["dc.description.abstract","Abstract Purpose The purpose of this study was to evaluate whether prolonged re-boarding of restraint children in motor vehicle accidents is sufficient to prevent severe injury. Methods Data acquisition was performed using the Trauma Register DGU® (TR-DGU) in the time period from 2010 to 2019 of seriously injured children (AIS 2 +) aged 0–5 years as motor vehicle passengers (MVP). Primarily treated and transferred patients where included. Results The study group included 727 of 2030 (35.8%) children, who were severely injured (AIS 2 +) in road traffic accidents, among them 268 (13.2%) as MVPs in the age groups: 0–1 years (42.5%), 2–3 years (26.1%) and 4–5 years (31.3%). The pattern of severe injury was head/brain (56.0%), thoracic (42.2%), abdominal (13.1%), fractures (extremities and pelvis, 52.6%) and spine/severe whiplash (19.8%). The 0–1-year-old MVPs showed the significantly highest proportion of brain injuries with Glasgow Coma Score (GCS) < 8 and severe injury to the spine. The 2–3-year-olds showed the significantly highest proportion of fractures especially the lower extremity and highest proportion of cervical spine injuries of all spine injuries, while the 4–5-year-olds, the significantly highest proportion of abdominal injury and second highest proportion of cervical spine injury of all spine injuries. MVPs of the 0–1-year-old and 2–3-year-old groups showed a higher median Injury Severity Score (ISS) of 21.5 and 22.1 points than the older children (17.0 points). They also suffered an AIS-6-injury significantly more often (9 of 21) of spine ( p  = 0.001). Especially the cervical spine was significantly more often involved. Passengers at the age of 0–1 years were treated with cardiopulmonary resuscitation (CPR) three times as often as older children in the prehospital setting and twice as often at admission in the Trauma Resuscitation Unit (TRU). Their survival rate was 7 out of 8 (0–1 years), 1 out of 6 (2–3 years) and 1 out of 4 (4–5 years). Conclusion Although the younger MVPs are restraint in a re-boarding position, severe injury to the spine and head occurred more often, while older children as front-faced positioned MVPs suffered from significantly higher rates of abdominal and more often severe facial injury. Our data show, that it is more important to properly restrain children in their adequate car seats (i-size-Norm) and additionally consider the age-related physiological and anatomical specific risks of injury as well as co-factors in road traffic accidents, than only prolonging the re-boarding position over the age of 15 months as a single method."],["dc.description.sponsorship","Georg-August-Universität Göttingen"],["dc.identifier.doi","10.1007/s00068-022-01917-y"],["dc.identifier.pii","1917"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/107389"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-561"],["dc.relation.eissn","1863-9941"],["dc.relation.issn","1863-9933"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Prevention of severe injuries of child passengers in motor vehicle accidents: is re-boarding sufficient?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","852097"],["dc.bibliographiccitation.journal","Frontiers in Surgery"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Becker, L."],["dc.contributor.author","Schulz-Drost, S."],["dc.contributor.author","Spering, C."],["dc.contributor.author","Franke, A."],["dc.contributor.author","Dudda, M."],["dc.contributor.author","Kamp, O."],["dc.contributor.author","Lefering, R."],["dc.contributor.author","Matthes, G."],["dc.contributor.author","Bieler, D."],["dc.contributor.authorgroup","on behalf of the Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU)"],["dc.date.accessioned","2022-07-01T07:35:30Z"],["dc.date.available","2022-07-01T07:35:30Z"],["dc.date.issued","2022"],["dc.description.abstract","Purpose In severely injured patients with multiple rib fractures, the beneficial effect of surgical stabilization is still unknown. The existing literature shows divergent results, and the indication and especially the right timing of an operation are the subject of a broad discussion. The aim of this study was to determine the influence of the time point of surgical stabilization of rib fractures (SSRF) on the outcome in a multicenter database with special regard to the duration of ventilation, intensive care, and overall hospital stay. Methods Data from the TraumaRegister DGU collected between 2010 and 2019 were used to evaluate patients above 16 years of age with severe rib fractures [Abbreviated Injury Score (AIS)  ≥ 3] who received an SSRF in a matched-pairs analysis. In this matched-pairs analysis, we compared the effects of an early SSRF within 48 h after initial trauma vs. late SSRF 3–10 days after trauma. Results After the selection process, we were able to find 142 matched pairs for further evaluation. Early SSRF was associated with a significantly shorter length of stay in the intensive care unit (16.2 days vs. 12.7 days, p  = 0.020), and the overall hospital stay (28.5 days vs. 23.4 days, p  = 0.005) was significantly longer in the group with late SSRF. Concerning the days on mechanical ventilation, we were able to demonstrate a trend for an approximately 1.5 day shorter ventilation time for patients after early SSRF, although this difference was not statistically significant ( p  = 0.226). Conclusions We were able to determine the significant beneficial effects of early SSRF resulting in a shorter intensive care unit stay and a shorter length of stay in hospital and additionally a trend to a shorter time on mechanical ventilation."],["dc.identifier.doi","10.3389/fsurg.2022.852097"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112188"],["dc.notes.intern","DOI-Import GROB-581"],["dc.relation.eissn","2296-875X"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0/"],["dc.title","Impact of Time of Surgery on the Outcome after Surgical Stabilization of Rib Fractures in Severely Injured Patients with Severe Chest Trauma—A Matched-Pairs Analysis of the German Trauma Registry"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","1035"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Musculoskeletal Disorders"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Jäckle, Katharina"],["dc.contributor.author","Meier, Marc-Pascal"],["dc.contributor.author","Seitz, Mark-Tilmann"],["dc.contributor.author","Höller, Sebastian"],["dc.contributor.author","Spering, Christopher"],["dc.contributor.author","Acharya, Mehool R."],["dc.contributor.author","Lehmann, Wolfgang"],["dc.date.accessioned","2022-01-11T14:05:45Z"],["dc.date.accessioned","2022-08-18T12:36:24Z"],["dc.date.available","2022-01-11T14:05:45Z"],["dc.date.available","2022-08-18T12:36:24Z"],["dc.date.issued","2021-12-13"],["dc.date.updated","2022-07-29T12:17:23Z"],["dc.description.abstract","Abstract\r\n \r\n Background\r\n Fragility fractures without significant trauma of the pelvic ring in older patients were often treated conservatively. An alternative treatment is surgery involving percutaneous screw fixation to stabilize the posterior pelvic ring. This surgical treatment enables patients to be mobilized quickly and complications associated with bedrest and temporary immobility are reduced. However, the functional outcome following surgery and quality of life of the patients have not yet been investigated. Here, we present a comprehensive study addressing the long-term well-being and the quality of life of patients with fragility pelvic ring fractures after surgical treatment.\r\n \r\n \r\n Methods\r\n Between 2011–2019, 215 geriatric patients with pelvic ring fractures were surgically treated at the university hospital in Göttingen (Germany). Of these, 94 patients had fragility fractures for which complete sets of computer tomography (CT) and radiological images were available. Fractures were classified according to Tile and according to the FFP classification of Rommens and Hofmann. The functional outcome of surgical treatment was evaluated using the Majeed pelvic score and the Short Form Health Survey-36 (SF-36).\r\n \r\n \r\n Results\r\n Thirty five tile type C and 48 type B classified patients were included in the study. After surgery eighty-three patients scored in average 85.92 points (± 23.39) of a maximum of 100 points using the Majeed score questionnaire and a mean of 1.60 points on the numerical rating scale ranging between 0 and 10 points where 0 points refers to “no pain” and 10 means “strongest pain”. Also, the SF-36 survey shows that surgical treatment positively effects patients with respect to their general health status and by restoring vitality, reducing bodily pain and an increase of their general mental health.\r\n \r\n \r\n Conclusions\r\n Patients who received a percutaneous screw fixation of fragility fractures of the posterior pelvic ring reported an overall positive outcome concerning their long-term well-being. In particular, older patients appear to benefit from surgical treatment.\r\n \r\n \r\n Trial registration\r\n Functional outcome and quality of life after surgical treatment of fragility fractures of the posterior pelvic ring, DRKS00024768. Registered 8th March 2021 - Retrospectively registered. Trial registration number \r\n DRKS00024768\r\n \r\n ."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2022"],["dc.identifier.citation","BMC Musculoskeletal Disorders. 2021 Dec 13;22(1):1035"],["dc.identifier.doi","10.1186/s12891-021-04925-y"],["dc.identifier.pii","4925"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/97739"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112951"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-507"],["dc.publisher","BioMed Central"],["dc.relation.eissn","1471-2474"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.subject","Fragility fractures"],["dc.subject","Percutaneous screw fixation"],["dc.subject","Long-term outcome"],["dc.subject","Quality of life"],["dc.title","A retrospective study about functional outcome and quality of life after surgical fixation of insufficiency pelvic ring injuries"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","23"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Operative Orthopädie und Traumatologie"],["dc.bibliographiccitation.lastpage","28"],["dc.bibliographiccitation.volume","32"],["dc.contributor.author","Tezval, Mohammad"],["dc.contributor.author","Spering, Christopher"],["dc.date.accessioned","2020-12-10T14:08:01Z"],["dc.date.available","2020-12-10T14:08:01Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s00064-019-00639-6"],["dc.identifier.eissn","1439-0981"],["dc.identifier.issn","0934-6694"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/70357"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","Distaler Handblock"],["dc.title.alternative","Distal hand block"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]