[Who contributes to research in intensive medicine in Germany? An update].

Introduction: In today's times of financial short-cut, it is of highest interest to improve quality. Research in intensive care medicine is an important instrument to improve therapeutic strategies. The origin of papers published in the field of intensive care medicine by German universities were evaluated and compared to a previous analysis (1992 - 1997).
Methods: Using a Medline analysis, 10 international journals (Crit Care Med; Intensive Care Med; Resuscitation; J Crit Care; Crit Care Clin; Circulation; Chest; Am Resp Crit Care Med; Stroke; J Inf Dist) that exclusively or often publish intensive care papers were analysed over the past 6 years (1998 to 2003). Only original papers from German universities were included and the publications were listed according to the origin of specialty: anesthesiological, surgical, cardiac surgical, neurosurgical, internal medicine, neurological, pediatric intensive care medicine.
Results: The total number of publications has markedly increased (1998 - 2003; n = 1245) compared to a previous analysis (1992 - 1997: n = 621). The number of publication from surgical institutions was still significantly lower than that of other intensive care units (cardiac surgery: n = 44; anesthesia: n = 356; internal medicine: n = 463). Institutions from the formerly eastern part of Germany participated much more to international journals than in the former analysis.
Discussion: Scientific research in intensive care medicine is important to develop new strategies for treating the critically ill. Although the total number of publications has increased, it is astonishing that some intensive care units from German universities did almost not publish in the selected intensive care journals.