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Studies on COVID-19 lethality: Causes and dynamics at German University Hospitals 新冠肺炎致死率研究:德国大学医院的原因和动态
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2021-01-01 DOI: 10.19224/ai2021.244
J. Schüttler, J. Mang, L. Kapsner, S. Seuchter, H. Binder, D. Zoller, O. Kohlbacher, M. Boeker, K. Zacharowski, G. Rohde, J. Balig, M. Kampf, R. Rohrig, H. Prokosch
{"title":"Studies on COVID-19 lethality: Causes and dynamics at German University Hospitals","authors":"J. Schüttler, J. Mang, L. Kapsner, S. Seuchter, H. Binder, D. Zoller, O. Kohlbacher, M. Boeker, K. Zacharowski, G. Rohde, J. Balig, M. Kampf, R. Rohrig, H. Prokosch","doi":"10.19224/ai2021.244","DOIUrl":"https://doi.org/10.19224/ai2021.244","url":null,"abstract":"Background: In the initial phase of the COVID-19 pandemic, a lower incidence and death rate was observed in Germany compared to its neighbouring countries, but some studies showed comparatively high death rates in ventilated COVID-19 patients. Methods: In this retrospective analysis, hospital stays of COVID-19 patients at 14 German university hospitals were analysed. For this purpose, local data integration centres of the German Medical Informatics Initiative (MII) combined their data to present death rates in different subgroups depending on gender, age, length of stay in the intensive care unit, ventilation and in combination with different comorbidities. Results: The total lethality rate in 1,318 COVID-19 patients was 18.8 %. In ventilated cases, the lethality rate was 38.8%. Common comorbidities were renal insufficiency (35.2 %), aplastic and other anaemia (26.0 %) diabetes mellitus (21.1 %). The average length of stay was 18 days, or 28 days in case of ventilated patients. Lethality decreased from 20.7 % to 12.7 % over the observation period. Conclusion: The observed decline in lethality rates may be explained with the continuous optimisation of COVID-19 treatment, increasing experience and improved therapy recommendations. The progress made so far by the MII allows cross-consortium analyses to be carried out just in time to better address the challenges of the COVID-19 pandemic.","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76209879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New treatment approaches and the dilemma of medical ethics and economics using haemoadsorption with Cytosorb 用Cytosorb进行血液吸附的新治疗方法及医学伦理和经济学困境
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2021-01-01 DOI: 10.19224/AI2021.193
T. Datzmann, S. Sausmann, H. Reinelt, K. Träger
{"title":"New treatment approaches and the dilemma of medical ethics and economics using haemoadsorption with Cytosorb","authors":"T. Datzmann, S. Sausmann, H. Reinelt, K. Träger","doi":"10.19224/AI2021.193","DOIUrl":"https://doi.org/10.19224/AI2021.193","url":null,"abstract":"","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86113866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Objektive Verlegungskriterien und proaktives Verlegungs­management zur Steuerung von intensivmedizinischen Kapazitäten 合理部署标准和主动部署管理来控制高精卫医疗能力
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2020-12-01 DOI: 10.19224/AI2020.569
M. Hiller, K. Spohn, J. Schütte, H. Bracht, Laura Hering, J. Bakker, S. Schröder
{"title":"Objektive Verlegungskriterien und proaktives Verlegungs­management zur Steuerung von intensivmedizinischen Kapazitäten","authors":"M. Hiller, K. Spohn, J. Schütte, H. Bracht, Laura Hering, J. Bakker, S. Schröder","doi":"10.19224/AI2020.569","DOIUrl":"https://doi.org/10.19224/AI2020.569","url":null,"abstract":"Despite the high number of intensive care beds in German hospitals compared to other European countries, intensive care medical shortages are common in daily clinical practice. This is due to a hardly established cross-departmental discharge and transfer management with missing objective discharge criteria, lack of personnel and bed closures. Aboveaverage lengths of stays and increased readmission rates to the intensive care unit also indicate an inefficient use of resources in German hospitals. Against this background, a systematic literature search was carried out on the current state of research on discharge criteria from the intensive care unit and transfer processes to follow-up wards. Between 1983 and 2020, 1,917 sources were found, 286 were selected as full text, 104 of which were considered relevant and used as the basis for this work. Approaches, such as a root cause analy- sis of bottleneck situations including the entire hospital system with its interdependent admission, transfer and discharge processes, and the use of electronic decision support in conjunction with standardised discharge criteria can improve the use of existing intensive care capacities and lead to safer and better patient flow. For better use of resources, the therapeutic outcome must be viewed along the entire clinical pathway in order to care for the right patient at the right place and at the right time. A standardised care transition management using objective discharge criteria could help to include the various stakeholders in the discharge decision and patient-transfer process to reflect patient-, caregiver-, process, and institution-specific factors, and ultimately to manage, proactively and efficiently, the available intensive care resources. Decision support in the discharge process using self-learning systems based on available data from patient data management systems is forward-looking, but must be validated more widely in clinical practice.","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73554176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Entwicklung eines zentral gesteuerten Ausbildungs- und Ausstattungs­konzepts für innerklinische Notfälle 开发一个中央控制的培训和部门应急概念
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2020-01-01 DOI: 10.19224/AI2020.040
H. Gässler, B. Hossfeld, J. Gräsner, M. Helm
{"title":"Entwicklung eines zentral gesteuerten Ausbildungs- und Ausstattungs­konzepts für innerklinische Notfälle","authors":"H. Gässler, B. Hossfeld, J. Gräsner, M. Helm","doi":"10.19224/AI2020.040","DOIUrl":"https://doi.org/10.19224/AI2020.040","url":null,"abstract":"","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90289326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anaesthesia recommendations for Kleefstra Syndrome Kleefstra综合征的麻醉建议
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2020-01-01 DOI: 10.19224/AI2020.S358
C. Abdallah
{"title":"Anaesthesia recommendations for Kleefstra Syndrome","authors":"C. Abdallah","doi":"10.19224/AI2020.S358","DOIUrl":"https://doi.org/10.19224/AI2020.S358","url":null,"abstract":"","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81097478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of a structured training on the application of mechanical chest compression devices 结构化训练对机械胸外按压装置应用的影响
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2019-01-01 DOI: 10.19224/ai2019.104
Holger Gaessler, S. Decken, L. Lampl, M. Helm
{"title":"Influence of a structured training on the application of mechanical chest compression devices","authors":"Holger Gaessler, S. Decken, L. Lampl, M. Helm","doi":"10.19224/ai2019.104","DOIUrl":"https://doi.org/10.19224/ai2019.104","url":null,"abstract":"","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74385048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prehospital capnometry as quality indicator for trauma patients - initial analysis from the TraumaRegister DGU (R) 院前血糖测定作为创伤患者的质量指标——来自创伤登记DGU (R)的初步分析
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2019-01-01 DOI: 10.19224/ai2019.419
A. Wilharm, M. Kulla, M. Baacke, F. Wagner, M. Behnke, R. Lefering, H. Trentzsch, TraumaRegister Dgu
{"title":"Prehospital capnometry as quality indicator for trauma patients - initial analysis from the TraumaRegister DGU (R)","authors":"A. Wilharm, M. Kulla, M. Baacke, F. Wagner, M. Behnke, R. Lefering, H. Trentzsch, TraumaRegister Dgu","doi":"10.19224/ai2019.419","DOIUrl":"https://doi.org/10.19224/ai2019.419","url":null,"abstract":"","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76892002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inhospital Management of major incidents and disasters - the importance of anaesthesiology 医院重大事故和灾害的管理——麻醉学的重要性
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2019-01-01 DOI: 10.19224/ai2019.389
T. Wurmb, T. Kerner, G. Geldner, G. Schaelte, A. Heller, B. Hossfeld, Jan-Thorsten Graesner
{"title":"Inhospital Management of major incidents and disasters - the importance of anaesthesiology","authors":"T. Wurmb, T. Kerner, G. Geldner, G. Schaelte, A. Heller, B. Hossfeld, Jan-Thorsten Graesner","doi":"10.19224/ai2019.389","DOIUrl":"https://doi.org/10.19224/ai2019.389","url":null,"abstract":"","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87555400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Functionality and operational fitness of mechanical chest compression devices 机械胸外按压装置的功能和操作适应性
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2019-01-01 DOI: 10.19224/ai2019.113
Dominik Treffer, A. Weissleder, Holger Gaessler, S. Decken, Maximilian Hauptkorn, M. Helm
{"title":"Functionality and operational fitness of mechanical chest compression devices","authors":"Dominik Treffer, A. Weissleder, Holger Gaessler, S. Decken, Maximilian Hauptkorn, M. Helm","doi":"10.19224/ai2019.113","DOIUrl":"https://doi.org/10.19224/ai2019.113","url":null,"abstract":"","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88111644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Die aneurysmatisch bedingte Subarachnoidalblutung: Update 动脉瘤下出血更新
IF 0.7 4区 医学
Anasthesiologie & Intensivmedizin Pub Date : 2017-01-01 DOI: 10.19224/AI2017.481
A. D. Rieg, G. Schubert, H. Schulze‐Steinen, R. Rossaint, G. Schaelte, G. Marx, M. Coburn
{"title":"Die aneurysmatisch bedingte Subarachnoidalblutung: Update","authors":"A. D. Rieg, G. Schubert, H. Schulze‐Steinen, R. Rossaint, G. Schaelte, G. Marx, M. Coburn","doi":"10.19224/AI2017.481","DOIUrl":"https://doi.org/10.19224/AI2017.481","url":null,"abstract":"","PeriodicalId":55516,"journal":{"name":"Anasthesiologie & Intensivmedizin","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77335262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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