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Volume 15
Issue 9
10.3390/life15091407
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

Influence of Specialization from Intensive Care Physicians on Outcome in Multiply Injured Patients—A Matched-Pair Analysis at a Level I Trauma Center

by
Gökmen Aktas
1,*,
Larissa Rolfes
1,
Maximilian Koblenzer
1,
Vesta Brauckmann
1,
Jorge Mayor
1,
Jan Clausen
1,
Jonas Ajouri
2,
Tarek Omar Pacha
1,
Stephan Sehmisch
1 and
Philipp Mommsen
1
1
Department of Trauma Surgery, Hannover Medical School, Carl-Neuberg St. 1, 30625 Hannover, Germany
2
Department of Anaesthesiology and Critical Care, Campus Kassel of the Philipps University Marburg, Möncheberg St. 41-43, 34125 Kassel, Germany
*
Author to whom correspondence should be addressed.
Life 2025, 15(9), 1407; https://doi.org/10.3390/life15091407
Submission received: 22 July 2025 / Revised: 29 August 2025 / Accepted: 1 September 2025 / Published: 6 September 2025
(This article belongs to the Special Issue Emergency and Trauma Management)
Versions Notes

Abstract

The specialty background of intensive physicians managing severely injured patients varies internationally, with trauma ICUs often led by either trauma surgeons or anesthesiologists, both of whom receive additional intensive care training. Whether physician specialty affects outcomes remains uncertain. We conducted a retrospective single-center cohort study of patients aged ≥ 16 years with an Injury Severity Score (ISS) ≥ 16 admitted to a level I trauma center between January 2005 and December 2022. Patients were treated either in a trauma surgery ICU (T-ICU) or an anesthesiology ICU (A-ICU). Briefly, 1:1 matching was conducted based on demographic and injury-related variables, with the primary outcome being in-hospital mortality and secondary outcomes including transfusion requirements, duration of mechanical ventilation, ICU and hospital length of stay, and Glasgow Outcome Scale (GOS) at discharge. Among the 1015 eligible patients (T-ICU: n = 920; A-ICU: n = 95), 52 patients (26 per group) were successfully matched with comparable baseline characteristics. No significant differences were observed in mortality, GOS, transfusion requirements, ventilation duration, or ICU/hospital length of stay. These findings suggest that, when both are led by certified intensive care specialists, trauma surgery- and anesthesiology-based ICUs achieve comparable outcomes, supporting multidisciplinary models while highlighting the need for larger multicenter studies.
Keywords: critical care; intensive care; trauma; polytrauma; trauma surgery; anesthesiology; intensive care unit critical care; intensive care; trauma; polytrauma; trauma surgery; anesthesiology; intensive care unit

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MDPI and ACS Style

Aktas, G.; Rolfes, L.; Koblenzer, M.; Brauckmann, V.; Mayor, J.; Clausen, J.; Ajouri, J.; Omar Pacha, T.; Sehmisch, S.; Mommsen, P. Influence of Specialization from Intensive Care Physicians on Outcome in Multiply Injured Patients—A Matched-Pair Analysis at a Level I Trauma Center. Life 2025, 15, 1407. https://doi.org/10.3390/life15091407

AMA Style

Aktas G, Rolfes L, Koblenzer M, Brauckmann V, Mayor J, Clausen J, Ajouri J, Omar Pacha T, Sehmisch S, Mommsen P. Influence of Specialization from Intensive Care Physicians on Outcome in Multiply Injured Patients—A Matched-Pair Analysis at a Level I Trauma Center. Life. 2025; 15(9):1407. https://doi.org/10.3390/life15091407

Chicago/Turabian Style

Aktas, Gökmen, Larissa Rolfes, Maximilian Koblenzer, Vesta Brauckmann, Jorge Mayor, Jan Clausen, Jonas Ajouri, Tarek Omar Pacha, Stephan Sehmisch, and Philipp Mommsen. 2025. "Influence of Specialization from Intensive Care Physicians on Outcome in Multiply Injured Patients—A Matched-Pair Analysis at a Level I Trauma Center" Life 15, no. 9: 1407. https://doi.org/10.3390/life15091407

APA Style

Aktas, G., Rolfes, L., Koblenzer, M., Brauckmann, V., Mayor, J., Clausen, J., Ajouri, J., Omar Pacha, T., Sehmisch, S., & Mommsen, P. (2025). Influence of Specialization from Intensive Care Physicians on Outcome in Multiply Injured Patients—A Matched-Pair Analysis at a Level I Trauma Center. Life, 15(9), 1407. https://doi.org/10.3390/life15091407

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