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1,052 results on '"Hess E."'

105. Charakteristika von 833 Patienten, die neu mit GLP-1-Analoga oder DPP-IV Inhibitoren in 38 Diabetes-Schwerpunktpraxen therapiert werden

Author

Hess, G, primary, Hess, E, additional, Weber, D, additional, Scheper, C, additional, Kaltheuner, M, additional, Molinski, M, additional, Krakow, D, additional, Reuter, HM, additional, Nitzsche, G, additional, Simonsohn, M, additional, Lederle, M, additional, Hübbenet, J von, additional, Faber-Heinemann, G, additional, and Heinemann, L, additional

Published
2011
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106. Evaluierung der Morbiditäten und Co-Morbiditäten von Patienten mit Diabetes, die in diabetologischen Schwerpunkt-Praxen behandelt werden

Author

Weber, D, primary, Kaltheuner, M, additional, Scheper, C, additional, Hübbenet, J von, additional, Heckermann, S, additional, Reichert, D, additional, Hess, E, additional, Hess, G, additional, Krakow, D, additional, Lederle, M, additional, Molinski, M, additional, Nitzsche, G, additional, Reuter, HM, additional, Simonsohn, M, additional, Heinemann, L, additional, and Faber-Heinemann, G, additional

Published
2011
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120. Dynamic storage expansion in NASTRAN

Author

Hess, E. N

Subjects
Structural Mechanics
Abstract

Some functions of NASTRAN require a large block of working computer storage to execute. The method of meeting this requirement, because of insufficient data, was to specify in advance an excessive amount of data to avoid a fatal exit. A method was developed to calculate the amount of working space needed for the analysis and to inform the analyst of this data or, in the case of Univac computers, to acquire this extra storage and continue the analysis.

Published
1978

122. 37: Lower Thoracic Fluid Impedance Measured Non-invasively by Impedance Cardiography Predicts ICU Admission and In-hospital Mortality in Emergency Department Shock Patients

Author

Kashyap, R., primary, Hess, E., additional, Campbell, R.L., additional, Bellolio, M.F., additional, Sztajnkrycer, M., additional, Smith, V., additional, Schears, R.M., additional, White, R., additional, Afessa, B., additional, Gajic, O., additional, and Stead, L.G., additional

Published
2008
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124. Knowledge Translation Consensus Conference: Research Methods

Author

Compton, S., primary, Lang, E., additional, Richardson, T. M., additional, Hess, E., additional, Green, J., additional, Meurer, W., additional, Stanley, R., additional, Dunne, R., additional, Scott-Findlay, S., additional, Khare, R. K., additional, and Grimshaw, J., additional

Published
2007
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138. What is the impact of prehospital intubation on survival in patients with moderate to severe traumatic brain injury?

Author

Dowling, S., Hess, E., Vaillancourt, C., Wells, G., and Stiell, I.G.

Subjects
Brain -- Injuries, Brain -- Patient outcomes, Brain -- Care and treatment, Health, Health care industry, Science and technology
Abstract

Introduction: Prehospital intubation is the standard of care for patients with Glasgow Coma Score (GCS) < 9 but some have questioned its usefulness and safety. We compared in-hospital mortality for patients with moderate to severe traumatic brain injury (TBI) who underwent prehospital endotracheal intubation (P-ETI) or emergency department endotracheal intubation (ED-ETI). Methods: We studied a prospective cohort of patients from the Ontario Prehospital Advance Life Support--Major Trauma Study who had moderate to severe TBI (defined as head abbreviated injury score [greater than or equal to]3) and underwent either P-ETI or ED-ETI. We compared baseline characteristics, prehospital management and outcomes between these 2 groups. For the primary outcome, in-hospital mortality, we calculated unadjusted and adjusted odds ratios (OR). Results: We included 306 adult patients from 17 Ontario cities. Baseline characteristics of the P-ETI and ED-ETI groups were: median age 36.0 and 40.0; 64% and 70% male; GCS < 9 93% and 69%; median on-scene systolic BP 90.6 and 116.6; mean injury severity score (ISS) 35 and 31.6; median scene time 20 and 15 minutes; median hospital length of stay 7 and 17 days; mortality 69% and 35%. Independent predictors of mortality included lower GCS, increasing age, ISS and hypotension. We observed a significant association between P-ETI and in-hospital mortality. Unadjusted OR for P-ETI was 3.65 (95% CI 2.0-6.5) (p ??0.0001). After adjusting for age, gender, injury severity score, head abbreviated injury score, scene GCS and systolic BP, the OR was 2.91 (95% CI 1.5-5.7) (p = 0.0018). Conclusion: We observed higher in-hospital mortality in patients with moderate to severe TBI who were intubated in the prehospital setting compared to those who were intubated in the emergency department, even after adjusting for potential confounders. Further study is needed to determine the whether this worse outcome is a function of patient selection, prehospital intubation or how the intubation was performed. Keywords: traumatic brain injury, intubation, OPALS

Published
2009

139. Prehospital intubation and traumatic brain injury: a systematic review

Author

Dowling, S., Hess, E., Rodgers, C., Wells, G., and Stiell, I.G.

Subjects
Brain -- Injuries, Brain -- Analysis, Health, Health care industry, Science and technology
Abstract

Introduction: Prehospital intubation is commonly performed in patients with a GCS ??8. Our objective was to conduct a systematic review on the impact of prehospital intubation on mortality and neurologic outcome in patients with moderate to severe traumatic brain injury. Methods: Inclusion criteria for the review were; 1) patients suffered from a moderate or severe traumatic brain injury (GCS [less than or equal]8 and/or head abbreviated injury score [less than or equal to]3); 2) compared patients that underwent prehospital intubation to patients that underwent ED intubation; and 3) included mortality or neurologic status (Glasgow Outcome Scale) outcomes. Two authors indepedently assessed study eligibility and methodological quality. Search included; MEDLINE, EMBASE, CINAHL and Cochrane Central Trial Registry (up until December 1, 2008), Emergency Medicine and Prehospital Care conference proceedings (2004-2008) and hand-searching of all references. We used the Ottawa-Newcastle scale to assess methodological quality of included studies. Results: From the above sources, 1781 articles were identified, 10 of which met inclusion criteria. All of the studies were observational and 3 were prospective. Nine studies addressed the primary outcome (mortality) and 3 studies included neurologic outcome data. Because of significant clinical, methodological, and statistical heterogeneity, performing a meta-analysis on the mortality or neurological outcomes was deemed inappropriate. However, essentially all studies and all subgroups demonstrated worse outcome with prehospital intubation. Conclusion: The results of the studies in this systematic review suggest that patients with traumatic brain injury who undergo prehospital intubation have worse outcomes. The current studies are unable to provide conclusive evidence that the intervention (prehospital intervention) is responsible for this outcome. Rigorous prospective studies are needed to determine whether the worse outcomes are a function of patient selection, the prehospital intubation or the manner in which it is performed. Keywords: prehospital intubation, traumatic brain injury, systematic review

Published
2009

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