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1. Versorgungsqualität des akuten ischämischen Schlaganfalls in Deutschland 2018

Author

C. Matthis, Klaus Berger, I Bruder, Peter U. Heuschmann, C Burmeister, A Grau, Björn Misselwitz, Peter Hermanek, R Hohnhold, and H C Koennecke

Subjects
Gynecology, Secondary prevention, medicine.medical_specialty, business.industry, General Medicine, 030227 psychiatry, 03 medical and health sciences, Psychiatry and Mental health, 0302 clinical medicine, Neurology, medicine, Neurology (clinical), Quality of care, business, Acute ischemic stroke, 030217 neurology & neurosurgery
Abstract

In der Arbeit wird die aktuelle Qualitat der akutstationaren Versorgung von Schlaganfallpatienten in Deutschland im Jahre 2018 anhand standardisierter und evidenzbasierter Qualitatsindikatoren dargestellt. Hierzu werden die Berichte der regionalen Qualitatssicherungsprojekte zum Krankheitsbild Schlaganfall ausgewertet, die im Rahmen der Arbeitsgemeinschaft Deutschsprachiger Schlaganfall-Register (ADSR) zusammenarbeiten. Insgesamt wurden im Jahre 2018 in den berucksichtigen Qualitatssicherungsprojekten uber 280.000 Behandlungsverlaufe dokumentiert. Die Ergebnisse der 16 definierten Qualitatsindikatoren, die die Behandlungsphasen Diagnostik, Akuttherapie, Rehabilitation sowie Sekundarpravention umfassen, zeigen insgesamt ein sehr hohes Niveau der akutstationaren Behandlung des Schlaganfalls in Deutschland. Lediglich einzelne Qualitatsindikatoren, wie z. B. „fruhzeitige Verlegung zur Thrombektomie“, weisen auf grosere Erfordernisse fur eine Prozessoptimierung hin.

Published
2020

2. Stroke unit admission is associated with better outcome and lower mortality in patients with intracerebral hemorrhage

Author

M N, Ungerer, P, Ringleb, B, Reuter, C, Stock, F, Ippen, S, Hyrenbach, I, Bruder, P, Martus, C, Gumbinger, and Sonja, Hyrenbach

Subjects
medicine.medical_specialty, health care facilities, manpower, and services, Subgroup analysis, Lower risk, law.invention, 03 medical and health sciences, 0302 clinical medicine, Modified Rankin Scale, law, medicine, Humans, 030212 general & internal medicine, Stroke, Cerebral Hemorrhage, Intracerebral hemorrhage, business.industry, Guideline, Odds ratio, Length of Stay, medicine.disease, Intensive care unit, Intensive Care Units, Treatment Outcome, Neurology, Emergency medicine, Neurology (clinical), business, 030217 neurology & neurosurgery
Abstract

Background and purpose There is no clear consensus among current guidelines on the preferred admission ward [i.e. intensive care unit (ICU) or stroke unit (SU)] for patients with intracerebral hemorrhage. Based on expert opinion, the American Heart Association and European Stroke Organization recommend treatment in neurological/neuroscience ICUs (NICUs) or SUs. The European Stroke Organization guideline states that there are no studies available directly comparing outcomes between ICUs and SUs. Methods We performed an observational study comparing outcomes of 10 811 consecutive non-comatose patients with intracerebral hemorrhage according to admission ward [ICUs, SUs and normal wards (NWs)]. Primary outcomes were the modified Rankin Scale score at discharge and intrahospital mortality. An additional analysis compared NICUs with SUs. Results Treatment outside an SU was associated with higher odds for an unfavorable outcome [ICU vs. SU: odds ratio (OR), 1.27; 95% confidence interval (CI), 1.09-1.46; NW vs. SU: OR, 1.28; 95% CI, 1.08-1.52] and higher odds for intrahospital mortality (ICU vs. SU: OR, 2.11; 95% CI, 1.75-2.55; NW vs. SU: OR, 1.52; 95% CI, 1.23-1.89). A subgroup analysis of severely affected patients treated in dedicated NICUs (vs. SUs) showed that they had a lower risk of a poor outcome (OR, 0.45; 95% CI, 0.26-0.79). Conclusions Treatment in SUs was associated with better functional outcome and reduced mortality compared with ICUs and NWs. Our findings support the current guideline recommendations to treat patients with intracerebral hemorrhage in SUs or NICUs and suggest that some patients may further benefit from NICU treatment.

Published
2019

3. Contents Vol. 41, 2013

Author

S. Neumaier, Kristine Hoffmann, Joseph C. Chang, Benoit Daubail, C. Diehm, Elena Ruiz, Richard W. Price, Shanthi Ameratunga, B. Reuter, James T. Becker, W. Hacke, Ahunna Onyenwenyi, Satz Mengensatzproduktion, Haruo Kanno, Inga Liepelt-Scarfone, Asmus Vogel, P Johannsen, S. Rode, Yannick Béjot, Monika Fruhmann Berger, M. Daffertshofer, M.G. Hennerici, Chia-Hung Kao, Druckerei Stückle, Katharina Gauss, Enrique Ramalle-Gomara, Johannes Streffer, Gunhild Waldemar, Hetal Patel, Daniela Berg, Carol Chelimo, Maria-Angeles Gonzalez, Maurice Giroud, Cheng-Li Lin, Belinda Matute, Nanna Aue Sobol, P.A. Ringleb, Carl W. Cotman, Meredith Edwards, E. Drewitz, W. John Boscardin, W. Habscheid, Kristian Steen Frederiksen, Ana-Claire Meyer, Christian Bormann, Marta Serrano, Monica Bartulos, Agnès Jacquin, Beth E. Snitz, Mamuka Teneishvili, Alain Ruffion, Toshimi Aizawa, Bridget Kool, Jérôme Durier, Ming-Chia Lin, Fung-Chang Sung, Ole Terkelsen, Corinne LeReun, Annette Lolk, Chieh-Sen Chuang, Steen G. Hasselbalch, Eiji Itoi, David Castro-Diaz, Nina Beyer, Judith K. Kwasa, Katharina Müller, H. Wiethölter, Maarten Timmers, I. Bruder, C. Gumbinger, Anja Hviid Simonsen, Kristin Khalaf, Hirotaka Sano, Gustavo Saposnik, R. Kern, Walter Maetzler, and Hiroshi Ozawa

Subjects
Traditional medicine, Epidemiology, business.industry, Medicine, Neurology (clinical), business
Published
2013

4. 3rd International Congress on Neurology and Epidemiology. Abu Dhabi, UAE, November 21–23, 2013: Abstracts

Author

W. Habscheid, Marta Serrano, Satz Mengensatzproduktion, Yannick Béjot, Haruo Kanno, W. John Boscardin, Johannes Streffer, Steen G. Hasselbalch, Elena Ruiz, M.G. Hennerici, Chia-Hung Kao, Asmus Vogel, Joseph C. Chang, Judith K. Kwasa, I. Bruder, Monika Fruhmann Berger, Cheng-Li Lin, Maurice Giroud, R. Kern, P Johannsen, Katharina Müller, Anja Hviid Simonsen, Carl W. Cotman, Katharina Gauss, Druckerei Stückle, Kristian Steen Frederiksen, H. Wiethölter, Shanthi Ameratunga, B. Reuter, Hetal Patel, Richard W. Price, Enrique Ramalle-Gomara, Ana-Claire Meyer, Jérôme Durier, Benoit Daubail, Daniela Berg, Chieh-Sen Chuang, Kristine Hoffmann, Toshimi Aizawa, Eiji Itoi, Gustavo Saposnik, Fung-Chang Sung, Gunhild Waldemar, S. Rode, Hirotaka Sano, Ole Terkelsen, P.A. Ringleb, S. Neumaier, W. Hacke, Nanna Aue Sobol, Monica Bartulos, David Castro-Diaz, Inga Liepelt-Scarfone, C. Diehm, James T. Becker, Agnès Jacquin, Nina Beyer, Alain Ruffion, M. Daffertshofer, Mamuka Teneishvili, Maarten Timmers, Christian Bormann, Maria-Angeles Gonzalez, Bridget Kool, C. Gumbinger, Meredith Edwards, Beth E. Snitz, Kristin Khalaf, Belinda Matute, E. Drewitz, Annette Lolk, Ming-Chia Lin, Corinne LeReun, Ahunna Onyenwenyi, Hiroshi Ozawa, Walter Maetzler, and Carol Chelimo

Subjects
medicine.medical_specialty, Abu dhabi, Epidemiology, business.industry, International congress, Library science, Medicine, Optometry, Neurology (clinical), business
Published
2013

5. Acknowledgements to Referees

Author

Richard W. Price, Hetal Patel, Shanthi Ameratunga, C. Diehm, Elena Ruiz, James T. Becker, B. Reuter, S. Neumaier, P Johannsen, Monika Fruhmann Berger, Daniela Berg, Ahunna Onyenwenyi, Nanna Aue Sobol, W. Hacke, Hirotaka Sano, Yannick Béjot, Benoit Daubail, Steen G. Hasselbalch, Monica Bartulos, Agnès Jacquin, Cheng-Li Lin, Alain Ruffion, Maarten Timmers, Carol Chelimo, Joseph C. Chang, Eiji Itoi, Ming-Chia Lin, Haruo Kanno, I. Bruder, S. Rode, Annette Lolk, C. Gumbinger, W. John Boscardin, P.A. Ringleb, Mamuka Teneishvili, W. Habscheid, Anja Hviid Simonsen, M. Daffertshofer, R. Kern, Kristin Khalaf, Katharina Gauss, Corinne LeReun, Ana-Claire Meyer, Bridget Kool, Jérôme Durier, Kristine Hoffmann, H. Wiethölter, Toshimi Aizawa, Belinda Matute, Chieh-Sen Chuang, Gunhild Waldemar, Fung-Chang Sung, Judith K. Kwasa, Ole Terkelsen, M.G. Hennerici, Chia-Hung Kao, Enrique Ramalle-Gomara, Marta Serrano, Katharina Müller, Kristian Steen Frederiksen, Druckerei Stückle, Christian Bormann, Beth E. Snitz, E. Drewitz, Gustavo Saposnik, Maurice Giroud, Carl W. Cotman, David Castro-Diaz, Walter Maetzler, Nina Beyer, Hiroshi Ozawa, Asmus Vogel, Johannes Streffer, Inga Liepelt-Scarfone, Maria-Angeles Gonzalez, Meredith Edwards, and Satz Mengensatzproduktion

Subjects
Medical education, Epidemiology, business.industry, Medicine, Neurology (clinical), business
Published
2010

6. 100 Neonatal Disease Severity Scores and their Predictive Value 3For Early Mortality: A Population-Based Study on Subgroups of VLBW Infants

Author

Jörg Arand, I Dick, T. Böhler, I Bruder, Werner Vach, K Günther, M Teufel, Roland Hentschel, M. Mohrmann, and W Kachel

Subjects
Population based study, Pediatrics, medicine.medical_specialty, Disease severity, business.industry, Vlbw infants, Pediatrics, Perinatology and Child Health, medicine, Base excess, Birth cohort, business, Predictive value
Abstract

Background and aims Benchmarking of newborn mortality needs risk-adjustment of data for heterogeneous sub-populations. To assess utility of neonatal disease severity scores CRIB, CRIB-II and PREM and impact of influenceable items (FiO2max, FiO2min, body temperature (BT) base excess (BE)) to predict mortality in VLBW infants (VLBW), ELBW infants Methods Analysis of birth cohorts of years 2003–2008 from the Baden-Wurttemberg registry. Inclusion criteria: GA Results Total of 5.340 cases, 862 cases Conclusions Standard CRIB is superior to standard CRIB-II, standard PREM, and all score modifications without influenceable items. No difference exists between the 3 scores when omitting influenceable parameters. For ELBW infants

Published
2012

7. A multivariate approach to the classification of alcoholics in an inpatient clinical population

Author

C I Bruder

Subjects
Adult, Male, Multivariate statistics, Injury control, Statistics as Topic, Population, Medicine (miscellaneous), Poison control, Suicide prevention, Occupational safety and health, Injury prevention, medicine, Humans, education, General Psychology, Inpatients, education.field_of_study, business.industry, Human factors and ergonomics, Middle Aged, medicine.disease, Alcoholism, Female, Medical emergency, business, Hospital Units
Published
1982

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