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1. Laborchemisches und kalorimetrisches Monitoring der medizinischen Ernährungstherapie auf der Intensiv- und Intermediate Care Station: Zweites Positionspapier der Sektion Metabolismus und Ernährung der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin (DIVI)

Author

Elke, Gunnar, Hartl, Wolfgang H., Adolph, Michael, Angstwurm, Matthias, Brunkhorst, Frank M., Edel, Andreas, Heer, Geraldine de, Felbinger, Thomas W., Goeters, Christiane, Hill, Aileen, Kreymann, K. Georg, Mayer, Konstantin, Ockenga, Johann, Petros, Sirak, Rümelin, Andreas, Schaller, Stefan J., Schneider, Andrea, Stoppe, Christian, and Weimann, Arved

Published
2023
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3. Erfassung und apparatives Monitoring des Ernährungsstatus von Patient*innen auf der Intensiv- und Intermediate Care Station: Positionspapier der Sektion Metabolismus und Ernährung der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin (DIVI)

Author

Weimann, Arved, Hartl, Wolfgang H., Adolph, Michael, Angstwurm, Matthias, Brunkhorst, Frank M., Edel, Andreas, de Heer, Geraldine, Felbinger, Thomas W., Goeters, Christiane, Hill, Aileen, Kreymann, K. Georg, Mayer, Konstantin, Ockenga, Johann, Petros, Sirak, Rümelin, Andreas, Schaller, Stefan J., Schneider, Andrea, Stoppe, Christian, and Elke, Gunnar

Published
2022
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6. Laboratory and calorimetric monitoring of medical nutrition therapy in intensive and intermediate care units

Author

Elke, Gunnar, primary, Hartl, Wolfgang H., additional, Adolph, Michael, additional, Angstwurm, Matthias, additional, Brunkhorst, Frank M., additional, Edel, Andreas, additional, Heer, Geraldine de, additional, Felbinger, Thomas W., additional, Goeters, Christiane, additional, Hill, Aileen, additional, Kreymann, K. Georg, additional, Mayer, Konstantin, additional, Ockenga, Johann, additional, Petros, Sirak, additional, Rümelin, Andreas, additional, Schaller, Stefan J., additional, Schneider, Andrea, additional, Stoppe, Christian, additional, and Weimann, Arved, additional

Published
2023
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8. Changes in serum omega fatty acids on a Mediterranean diet intervention in patients with gingivitis: An exploratory study

Author

Bartha, Valentin, primary, Exner, Lea, additional, Basrai, Maryam, additional, Bischoff, Stephan C., additional, Schweikert, Daniela, additional, Adolph, Michael, additional, Bruckner, Thomas, additional, Grueninger, Dirk, additional, Klein, Daniel, additional, Meller, Christian, additional, Woelber, Johan Peter, additional, and Wolff, Diana, additional

Published
2022
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11. Correction: Bartha et al. How to Measure Adherence to a Mediterranean Diet in Dental Studies: Is a Short Adherence Screener Enough? A Comparative Analysis. Nutrients 2022, 14, 1300

Author

Bartha, Valentin, primary, Exner, Lea, additional, Meyer, Anna-Lisa, additional, Basrai, Maryam, additional, Schweikert, Daniela, additional, Adolph, Michael, additional, Bruckner, Thomas, additional, Meller, Christian, additional, Woelber, Johan Peter, additional, and Wolff, Diana, additional

Published
2022
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12. Assessment and technical monitoring of nutritional status of patients in intensive and intermediate care units

Author

Weimann, Arved, primary, Hartl, Wolfgang H., additional, Adolph, Michael, additional, Angstwurm, Matthias, additional, Brunkhorst, Frank M., additional, Edel, Andreas, additional, de Heer, Geraldine, additional, Felbinger, Thomas W., additional, Goeters, Christiane, additional, Hill, Aileen, additional, Kreymann, K. Georg, additional, Mayer, Konstantin, additional, Ockenga, Johann, additional, Petros, Sirak, additional, Rümelin, Andreas, additional, Schaller, Stefan J., additional, Schneider, Andrea, additional, Stoppe, Christian, additional, and Elke, Gunnar, additional

Published
2022
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18. Prospective Study of a Novel Risk Stratification Process for Opioid-Related Harm Reduction in Cancer Patients Seen in an Outpatient Palliative Care Clinic.

Author

Wells-Di Gregorio, Sharla, Ehrman, Sarah, Bartle-Haring, Suzanne, Polder, Jason, Marks, Donald, Probst, Danielle R., Hartman, Amber D., Adolph, Michael, and Taylor, Robert

Subjects
CANCER patient psychology, HARM reduction, RISK assessment, DESCRIPTIVE statistics, PALLIATIVE treatment, PATIENT safety, LONGITUDINAL method
Abstract

Background: Oncologists and palliative specialists prescribe opioids for millions of cancer patients despite limited research on effective screening and mitigation strategies to reduce risk of opioid-related harm in that population. Objective: To evaluate the efficacy of a novel opioid risk stratification process for predicting significant aberrant behaviors (SABs) related to prescribed opioid medications. Design and Setting/Subjects: This is a prospective, longitudinal study of 319 consecutive patients referred to an outpatient palliative care clinic between 2010 and 2012, a period during which prescription opioid-related deaths began to increase in the United States. Measures: Patients completed a psychodiagnostic/substance use risk assessment with a licensed clinical psychologist or social worker at the initial palliative clinic visit. Patients were assigned to Low-, Moderate-, or High-Risk groups based on predetermined stratification criteria and were managed via an opioid harm reduction approach. The primary dependent measure was the presence of at least one SAB after the initial visit. Results: Eighteen percent of patients (n = 56) demonstrated at least one major aberrant behavior. Odds of future aberrant behavior was 15 times greater in the High-Risk versus the Low-Risk category. Five risk factors significantly enhanced our risk model: age 18 to 45 years, job instability, history of bipolar diagnosis, history of substance abuse, and theft. Conclusion: Our risk stratification process provides a useful model for predicting those at greatest risk of future aberrant behaviors and most in need of comanagement. We recommend additional studies to test our proposed streamlined risk stratification tool. [ABSTRACT FROM AUTHOR]

Published
2022
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20. CONTRIBUTORS

Author

Aberg, Judith A., primary, Abernethy, Amy P., additional, Abrahm, Janet L., additional, Adolph, Michael, additional, Aherne, Michael, additional, Allsopp, K., additional, Altisent, Rogelio, additional, Alvarez, Carmen Fernandez, additional, Amigo, Pablo, additional, Anderson, Wendy G., additional, Ang, Sik Kim, additional, Antonelli, Tiziana, additional, Armstrong, John, additional, Armstrong, Wendy S., additional, Arnold, Robert M., additional, Arranz, Pilar, additional, Augustyns, Koen, additional, Sáenz-Diez, Isabel Barreiro-Meiro, additional, Barreto, Pilar, additional, Barton, Debra, additional, Bates, Ursula, additional, Fernandez-Creuchet Santos, Maria B., additional, Bátiz, Jacinto, additional, Benedetti, Costantino, additional, Bennani-Baiti, Nabila, additional, Bennett, Michael I., additional, Berger, Kevin, additional, Bhatnagar, Mamta, additional, Bicanovsky, Lesley, additional, Blue, Lynda, additional, Bobb, Barton, additional, Body, Jean-Jacques, additional, Borasio, Gian Domenico, additional, Borreani, Claudia, additional, Bozzetti, Federico, additional, Bozzetti, Valentina, additional, Braybrooke, Jason, additional, Breitbart, William, additional, Bresnihan, Barry, additional, Broeckaert, Bert, additional, Bruera, Eduardo, additional, Brune, Kay, additional, Buckhout, Bradley, additional, Butow, Phyllis N., additional, Byock, Ira, additional, Byrne, Anthony, additional, Byrne, Clare, additional, Cable-Williams, Beryl E., additional, Callin, Sarah E., additional, Casarett, David, additional, Casper, David, additional, Cassell, Eric J., additional, Cassileth, Barrie, additional, Castagno, Emanuele, additional, Centeno, Carlos, additional, Ceranski, Walter, additional, Ceulemans, Lucas, additional, Chadha, Meghna, additional, Chamberlain, Bruce H., additional, Chang, Eric L., additional, Chang, Victor T., additional, Chochinov, Harvey Max, additional, Chow, Edward, additional, Christ, Grace, additional, Clark, Katherine, additional, Clarke, Stephen, additional, Clayton, Josephine M., additional, Cleary, James F., additional, Clein, Lawrence J., additional, Clemens, Katri Elina, additional, Clemens, Libby, additional, Colebunders, Robert, additional, Connor, Steven R., additional, Conraads, Viviane, additional, Cooney, Colm, additional, Costantini, Massimo, additional, Couceiro, Azucena, additional, Covington, Holly, additional, Cowan, John D., additional, Coyne, Patrick, additional, Crawford, Garnet, additional, Creedon, Brian, additional, Cronin, Hilary, additional, Cullen, Garret, additional, Cummings, Jennifer E., additional, Currow, David C., additional, Daeninck, Paul J., additional, Dalinis, Pamela, additional, Das, Prajnan, additional, Davis, Mellar P., additional, Davison, Sara N., additional, Deamant, Catherine, additional, de Lima, Liliana, additional, Delany, Conor P., additional, Demeulenaere, Peter, additional, Dergham, Lena, additional, Derycke, Noël, additional, Dhupar, Rajeev, additional, Dicato, Mario, additional, Dickerson, Edwin D., additional, Dickman, Andrew, additional, Dietrich, Maria, additional, Dixon, Pamela, additional, Dodd, Philip C., additional, D'Olimpio, James T., additional, Dombernowsky, Per, additional, Dooley, Michael, additional, Dudgeon, Deborah, additional, Dunn, Geoffrey P., additional, Dunwoodie, David, additional, Eades, Jane, additional, El Osta, Badi, additional, Elbert-Avila, Katja, additional, Ellershaw, John, additional, Estfan, Bassam, additional, Exton, Louise, additional, Fairchild, Alysa, additional, Farrelly, Matthew, additional, Fassbender, Konrad, additional, Faulhaber, Jason, additional, Fearon, Kenneth C.H., additional, Fenelon, Lynda E., additional, Ferson, Peter F., additional, Feyer, Petra, additional, Filbet, Marilene, additional, Firth, Pam, additional, FitzGerald, Susan F., additional, Flood, Hugh D., additional, Floriani, Francesca Crippa, additional, Ford, Paul J., additional, Fortner, Barry, additional, Foth, Darlene, additional, Fowler, Bridget, additional, Frame, Karen, additional, Fraser, Thomas G., additional, Frost, Fred, additional, Fulham, Michael J., additional, Gagnon, Pierre R., additional, Gallagher, Lisa M., additional, Gambles, Maureen, additional, Giri, Subhasis K., additional, Glare, Paul, additional, Goh, Cynthia R., additional, Gómez-Batiste, Xavier, additional, Gramlich, Leah, additional, Grassi, Luigi, additional, Grauer, Phyllis A., additional, Green, Claire, additional, Griffiths, Gareth, additional, Griffo, Yvona, additional, Groninger, Hunter, additional, Gruenewald, David A., additional, Gubili, Jyothirmai, additional, Gutgsell, Terence L., additional, Gwyther, Elizabeth, additional, Haber, Paul S., additional, Haemers, Achiel, additional, Haley, Mindi C., additional, Hanna, Mazen A., additional, Hardy, Janet R., additional, Haselkorn, Jodie, additional, Hauser, Katherine, additional, Heaven, Cathy, additional, Herman, Michael, additional, Herrstedt, Jørn, additional, Higgins, Stephen, additional, Higginson, Irene J., additional, Hilden, Joanne M., additional, Hillenbrand, Kathryn L., additional, Hinz, Burkhard, additional, Homsi, Jade, additional, Hood, Kerry, additional, Hou, Juliet Y., additional, Hubens, Guy, additional, Hudson, Peter, additional, Hughes, John G., additional, Hunt, John, additional, Hurwitz, Craig A., additional, Ibinson, James, additional, Janjan, Nora, additional, Jaspers, Birgit, additional, Jehser, Thomas, additional, Joffe, A. Mark, additional, John, Laurence, additional, Johnstone, Jennie, additional, Jones, J. Stephen, additional, Kane, Javier R., additional, Karafa, Matthew T., additional, Keaveny, Andrew P., additional, Keefe, Dorothy M.K., additional, Kelso, Catherine McVearry, additional, Kenny, Rose Anne, additional, Kern, Martina, additional, Khoshknabi, Dilara Seyidova, additional, Kirkova, Jordanka, additional, Kirsh, Kenneth L., additional, Kissane, David W., additional, Klaschik, Eberhard, additional, Komurcu, Seref, additional, Kottke-Marchant, Kandice, additional, Kozell, Kathryn M., additional, Krishnan, Sunil, additional, Kuban, Deborah, additional, Laber, Damian A., additional, Lagman, Ruth L., additional, Lalla, Rajesh V., additional, Lane, Deforia, additional, Larkin, Philip J., additional, Lasheen, Wael, additional, Lawlor, Peter, additional, LeGrand, Susan B., additional, Lens, Vincent, additional, Leskuski, Dona, additional, Levack, Pamela, additional, Levetown, Marcia, additional, Lewandowski, Jeanne G., additional, Lewis, William R., additional, Librach, S. Lawrence, additional, Lichtenthal, Wendy G., additional, Lickiss, J. Norelle, additional, Lijoi, Stefano, additional, Lin, Edward, additional, Lipman, Arthur G., additional, Livrozet, Jean-Michel, additional, Lloyd-Williams, Mari, additional, Logan, Richard M., additional, Martín, Francisco López-Lara, additional, Loprinzi, Charles L., additional, Loughnane, John, additional, Lucey, Michael, additional, Lyckholm, Laurie, additional, Macmillan, Carol, additional, Mair, Frances, additional, Makoni, Stephen N., additional, Malik, Bushra, additional, Malone, Kevin, additional, Maltoni, Marco, additional, Mani, Aruna, additional, Marchand, Lucille R., additional, Mareiniss, Darren P., additional, Marsland, Anna L., additional, Marston, Joan, additional, Martinez, Julia Romero, additional, Martínez de Ubago, Isabel, additional, Martins, Lina M., additional, Maughan, Timothy S., additional, Mayland, Catriona, additional, McClement, Susan E., additional, McCutcheon, Ian, additional, McGee, Michael F., additional, McGill, Neil, additional, McNamara, Stephen, additional, McPherson, Mary Lynn, additional, McQuay, Henry, additional, McQuillan, Regina, additional, McQuown, Robert E., additional, Meiring, Michelle, additional, Mercadante, Sebastiano, additional, Meyer, Elaine C., additional, Miller, Randy D., additional, Millerick, Yvonne, additional, Miniero, Roberto, additional, Mohamed, Armin, additional, Mooka, Busi, additional, Morrison, Helen M., additional, Muir, J. Cameron, additional, Mulcahy, Fiona, additional, Mulcahy, Hugh E., additional, Muller, Monica, additional, Müller-Busch, H. Christof, additional, Murray, Scott A., additional, Nauck, Friedemann, additional, Neasham, Katherine, additional, Nkosi, Busisiwe, additional, Noble, Simon, additional, Noguera, Antonio, additional, Nowak, Anna K., additional, Nuñez-Olarte, Juan, additional, Obbens, Eugenie A.M.T., additional, O'Brien, Tony, additional, Olden, Megan, additional, O'Leary, Norma, additional, Oliver, David, additional, Oliviere, David, additional, Omlin, Aurelius G., additional, Osenga, Kaci, additional, O'Shea, Diarmuid, additional, Ostgathe, Christophe, additional, Ottery, Faith D., additional, Ouellette, Michel, additional, Overton, Edgar Turner, additional, Palacios, Moné, additional, Palmer, Robert, additional, Palmer, Teresa, additional, Paradis, Carmen, additional, Parala, Armida G., additional, Pascual-López, Antonio, additional, Passik, Steven D., additional, Pawlik, Timothy M., additional, Payne, Malcolm, additional, Payne, Sheila, additional, Paz, Silvia, additional, Pereira, José, additional, Perkins, George, additional, Peschardt, Karin, additional, Pessin, Hayley, additional, Peterson, Douglas E., additional, Podichetty, Vinod K., additional, Pollens, Robin, additional, Pontifex, Eliza, additional, Poole, Susan, additional, Porta-Sales, Josep, additional, Poston, Graeme, additional, Powazki, Ruth D., additional, Powderly, William, additional, Pozuelo, Leopoldo, additional, Prommer, Eric, additional, Puchalski, Christina M., additional, Radbruch, Lukas, additional, Raes, David F.J., additional, Read, Jane, additional, Reddy, Anantha, additional, Reger, Steven I., additional, Rehm, Susan J., additional, Reich, Stephen G., additional, Rocafort, Javier, additional, Rosenblatt, Adam, additional, Rushton, Cynda Hylton, additional, Russell, K. Mitchell, additional, Ryan, Karen, additional, Rybicki, Lisa A., additional, Sacerdote, Paola, additional, Sahgal, Vinod, additional, Ann Sammon, Mary, additional, Sandrock, Dirk, additional, Sands, Mark, additional, Schilling, Denise L., additional, Schulz, Valerie Nocent, additional, Schum, Lisa N., additional, Selwyn, Peter, additional, Shadd, Joshua, additional, Shapiro, Charles L., additional, Sharif, Aktham, additional, Sharp, Helen M., additional, Shepard, Kirk V., additional, Sherwood, J. Timothy, additional, Shrestha, Nabin K., additional, Skipworth, Richard J.E., additional, Smith, Howard S., additional, Solomon, Mildred Z., additional, de Prado Otero, Diego Soto, additional, Spencer, Denise Wells, additional, Spice, Ron, additional, Spiegel, David, additional, Srivastava, Manish, additional, Staffurth, John N., additional, Starling, Randall, additional, Stewart, Grant D., additional, Stjernswärd, Jan, additional, Strasser, Florian, additional, Strauss, Edna, additional, Strohscheer, Imke, additional, Summey, Brett Taylor, additional, Sutton, Graham, additional, Sykes, Nigel P., additional, Taege, Alan J., additional, Tamburini, Marcello, additional, Tarumi, Yoko, additional, Tassinari, Davide, additional, Tattersall, Martin H.N., additional, Theil, Karl S., additional, Thomas, Keri, additional, Tookman, Adrian, additional, Torrubia, María P., additional, Towers, Anna, additional, Tsoi, Daphne, additional, Tucker, Rodney O., additional, Tulsky, James A., additional, Tunick, Rachel A., additional, Turner, Claire, additional, Twaddle, Martha L., additional, Twomey, Marie, additional, Ullrich, Christina, additional, Urch, Catherine E., additional, Vachon, Mary L.S., additional, Van den Eynden, Bart, additional, Vigano, Antonio, additional, Vlieghe, Erika, additional, Volandes, Angelo E., additional, Voltz, Raymond, additional, Walker, Paul W., additional, Watanabe, Sharon, additional, Weber, Michael A., additional, Weinstein, Elizabeth, additional, Weinstein, Sharon M., additional, Weise, Kathryn L., additional, Weisenfluh, Sherri, additional, Welsh, John, additional, White, Clare, additional, Wilson, Donna M., additional, Wolfe, Joanne, additional, Yavuzsen, Tugba, additional, Yee, Albert J.M., additional, Yerian, Lisa M., additional, and Zucchetti, Elena, additional

Published
2009
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25. Erratum: DGEM-Leitlinie: „Klinische Ernährung in der Intensivmedizin“

Author

Elke, Gunnar, additional, Hartl, Wolfgang H., additional, Kreymann, K. Georg, additional, Adolph, Michael, additional, Felbinger, Thomas W., additional, Graf, Tobias, additional, de Heer, Geraldine, additional, Heller, Axel R., additional, Kampa, Ulrich, additional, Mayer, Konstantin, additional, Muhl, Elke, additional, Niemann, Bernd, additional, Rümelin, Andreas, additional, Steiner, Stephan, additional, Stoppe, Christian, additional, Weimann, Arved, additional, and Bischoff, Stephan C., additional

Published
2019
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26. Clinical Nutrition in Critical Care Medicine – Guideline of the German Society for Nutritional Medicine (DGEM)

Author

Elke, Gunnar, primary, Hartl, Wolfgang H., additional, Kreymann, K. Georg, additional, Adolph, Michael, additional, Felbinger, Thomas W., additional, Graf, Tobias, additional, de Heer, Geraldine, additional, Heller, Axel R., additional, Kampa, Ulrich, additional, Mayer, Konstantin, additional, Muhl, Elke, additional, Niemann, Bernd, additional, Rümelin, Andreas, additional, Steiner, Stephan, additional, Stoppe, Christian, additional, Weimann, Arved, additional, and Bischoff, Stephan C., additional

Published
2019
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28. The continuous downgrading of malnutrition in the German DRG system

Author

Stollhof, Laura E., Braun, Jessica M., Ihle, Christoph, Schreiner, Anna J., Kufeldt, Johannes, Adolph, Michael, Wintermeyer, Elke, Stöckle, Ulrich, and Nüssler, Andreas

Subjects
NRS, Malnutrition, G-DRG, Activity reimbursement
Abstract

It has been internationally recognized that malnutrition is an independent risk factor for patients' clinical outcome. A new mandatory fixed price payment system based on diagnosis-related groups (G-DRG) went into effect in 2004. The aim of our study was to demonstrate the importance of carefully coding the secondary diagnosis of "malnutrition" in the G-DRG system and to highlight how the economic relevance of malnutrition in the G-DRG system has changed from 2014 to 2016. 1372 inpatient s at the Berufsgenossenschaftliche Unfallklinik (Trauma Center) in Tübingen were screened for the risk of malnutrition using Nutritional Risk Screening (NRS-2002). Patient data were compared with the NRS values collected during the study and a case simulation was carried out separately for each year. We used the codes E44.0 fo r NRS = 3 and E43.0 for NRS > 3. The ICD codes were entered as an additional secondary diagnosis in the in ternal hospital accounting system DIACOS to determine possible changes in the effective weight. In 2014 the highest additional revenue by far was calculated by coding malnutrition. For the 638 patients enrolled in the study in 2014, we were able to calculate an average additional revenue per patient coded with malnourishment of €107. In 2016, we were unable to calculate any additional revenue for the 149 patients enrolled. Although it is well known that malnutrition is an independent risk factor for poor patient outcomes, nationwide screening for a risk of malnutrition when patients are admitted to a hospital is still not required. For this reason, malnutrition in German hospitals continues to be insufficiently documented . Due to the continuous downgrading of diagnosis-related se verity (CCL) of malnutrition in the G-DRG system in trauma surgery patients, it is no longer possible to refi nance the costs incurred by malnourished patients through the conscientious coding of malnutrition. We assume that the indirect positive effects of nutritional interventions will have to be taken into account more in the costing calculations and possibly lead to indirect cost compensation., EXCLI Journal;Vol. 18 2019

Published
2019

30. The continuous downgrading of malnutrition in the German DRG system: possible effects on the treatment of patients at risk for malnutrition

Author

Stollhof, Laura E., Braun, Jessica M., Ihle, Christoph, Schreiner, Anna J., Kufeldt, Johannes, Adolph, Michael, Wintermeyer, Elke, Stöckle, Ulrich, and Nüssler, Andreas

Subjects
NRS, activity reimbursement, G-DRG, Original Article, malnutrition
Abstract

It has been internationally recognized that malnutrition is an independent risk factor for patients' clinical outcome. A new mandatory fixed price payment system based on diagnosis-related groups (G-DRG) went into effect in 2004. The aim of our study was to demonstrate the importance of carefully coding the secondary diagnosis of "malnutrition" in the G-DRG system and to highlight how the economic relevance of malnutrition in the G-DRG system has changed from 2014 to 2016. 1372 inpatients at the Berufsgenossenschaftliche Unfallklinik (Trauma Center) in Tübingen were screened for the risk of malnutrition using Nutritional Risk Screening (NRS-2002). Patient data were compared with the NRS values collected during the study and a case simulation was carried out separately for each year. We used the codes E44.0 for NRS = 3 and E43.0 for NRS > 3. The ICD codes were entered as an additional secondary diagnosis in the internal hospital accounting system DIACOS to determine possible changes in the effective weight. In 2014 the highest additional revenue by far was calculated by coding malnutrition. For the 638 patients enrolled in the study in 2014, we were able to calculate an average additional revenue per patient coded with malnourishment of €107. In 2016, we were unable to calculate any additional revenue for the 149 patients enrolled. Although it is well known that malnutrition is an independent risk factor for poor patient outcomes, nationwide screening for a risk of malnutrition when patients are admitted to a hospital is still not required. For this reason, malnutrition in German hospitals continues to be insufficiently documented. Due to the continuous downgrading of diagnosis-related severity (CCL) of malnutrition in the G-DRG system in trauma surgery patients, it is no longer possible to refinance the costs incurred by malnourished patients through the conscientious coding of malnutrition. We assume that the indirect positive effects of nutritional interventions will have to be taken into account more in the costing calculations and possibly lead to indirect cost compensation., EXCLI Journal; 18:Doc370; ISSN 1611-2156

Published
2019
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31. Commentary

Author

Adolph, Michael D.

Published
2007

34. Adressen

Author

Lehmann, Kuno, Lippert, Hans, Reymond, Marc, Adolph, Michael, Arora, Rohit, Bachleitner-Hofmann, Thomas, Baur, Johannes, Beeres, Frank, Beltzer, Christian, Benedix, Frank, Beshay, Morris, Blarer, Jennifer, Böhm, Elisabeth, Bünter, Isabelle R., Chopra, Sascha, Clavien, Pierre-Alain, Delgadillo, Xavier, Dietz, Ulrich, Droeser, Raoul, Ellerkamp, Verena, Exadactylos, Aristomenis, Fuchs, Jörg, Hess, Gabriel F., Hübel, Kerstin, Jannasch, Olof, Jedamzik, Julia, Jungi, Silvan, Kaderli, Reto M., Kaiser, Peter, Christian Kammerlander, Käser, Samuel, Kastenberger, Tobias, Klein, Holger, Köckerling, Ferdinand, Kommoss, Stefan, Königsrainer, Alfred, Lyatoshinsky, Pavel, Mantke, René, Metzger, Jürg, Meyer, Frank, Müller, Catharina, Neuhaus, Valentin, Nocito, Antonio, Oberkofler, Christian, Pabst, Martina, Petzke, Frank, Plock, Jan, Pratschke, Johann, Pross, Matthias, Quante, Markus, Rau, Beate, Schildberg, Claus, Schläpfer, Martin, Schmidli, Jürg, Schmidt, Andreas, Schneider, Marcel André, Seiler-Blarer, Roland, Settmacher, Utz, Stieger, Claudia, Stroh, Christine, Strohäker, Jens, Tautenhahn, Hans-Michael, Tschumi, Christian, van Veelen, Nicole M., Weiß, Günter, Werner, Jens, Wichmann, Dörte, Wyss, Thomas, Zeindler, Jasmin, Ziegenhorn, Stephan, Zieker-Fischer, Derek, and Zimmermann, Petra

Published
2022
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35. DGEM-Leitlinie: Klinische Ernährung in der Intensivmedizin – Kurzversion

Author

Elke, Gunnar, additional, Hartl, Wolfgang, additional, Kreymann, K., additional, Adolph, Michael, additional, Felbinger, Thomas, additional, Graf, Tobias, additional, de Heer, Geraldine, additional, Heller, Axel, additional, Kampa, Ulrich, additional, Mayer, Konstantin, additional, Muhl, Elke, additional, Niemann, Bernd, additional, Rümelin, Andreas, additional, Steiner, Stephan, additional, Stoppe, Christian, additional, Weimann, Arved, additional, and Bischoff, Stephan, additional

Published
2019
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36. Erratum: DGEM-Leitlinie: „Klinische Ernährung in der Intensivmedizin“

Author

Elke, Gunnar, additional, Hartl, Wolfgang, additional, Kreymann, K., additional, Adolph, Michael, additional, Felbinger, Thomas, additional, Graf, Tobias, additional, de Heer, Geraldine, additional, Heller, Axel, additional, Kampa, Ulrich, additional, Mayer, Konstantin, additional, Muhl, Elke, additional, Niemann, Bernd, additional, Rümelin, Andreas, additional, Steiner, Stephan, additional, Stoppe, Christian, additional, Weimann, Arved, additional, and Bischoff, Stephan, additional

Published
2018
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37. DGEM-Leitlinie: „Klinische Ernährung in der Intensivmedizin“

Author

Elke, Gunnar, additional, Hartl, Wolfgang H., additional, Kreymann, K. Georg, additional, Adolph, Michael, additional, Felbinger, Thomas W., additional, Graf, Tobias, additional, de Heer, Geraldine, additional, Heller, Axel R., additional, Kampa, Ulrich, additional, Mayer, Konstantin, additional, Muhl, Elke, additional, Niemann, Bernd, additional, Rümelin, Andreas, additional, Steiner, Stephan, additional, Stoppe, Christian, additional, Weimann, Arved, additional, and Bischoff, Stephan C., additional

Published
2018
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38. Identification of characteristic user behavior with a simple user interface in the context of space heating

Author

Adolph, Michael, Müller, Dirk, and Frank, Martin

Subjects
learning algorithm, thermostatic valve, heating system, user behavior, ddc:620
Abstract

Increasing the energy efficiency of buildings is a promising approach to reduce a society's energy consumption. This work shows an approach to automatically detect user preferences on room temperature and the thermal behavior of a building solely on feedbacks provided by the user. This information is used to create a temperature schedule for each individual room. If the user is not present, the room's temperature is automatically reduced to save energy. Prior to the user's expected return the temperature is raised again. This automated approach allows the user to save energy without compromising his thermal comfort and the need for complex schedule programming. This work evaluates the suggested base algorithm with simulations conducted in Modelica and a field test. The user characteristics are estimated with three different versions of a learning algorithm. To determine the user's preferences, two different user characteristics are used. The effects of three different building standards are compared. Also different approaches to add a necessary pre-heating period are tested. Additionally, the effects of different heating systems are evaluated. The results are evaluated by thermal comfort, energy consumption and the number of feedbacks, i. e. the user's effort. The field test puts the algorithm in a real life scenario and tests its general functionality and its ease of use, using sensor data and a questionnaire. It is found that energy savings of 10-20 % are possible without sacrificing the user's thermal comfort. All this is possible with an easy to use system that relies only on occasional qualitative feedback.

Published
2017

39. Identification of characteristic user behavior with a simple user interface in the context of space heating; 1. Auflage

Author

Adolph, Michael

Subjects
user behavior, heating system, learning algorithm, thermostatic valve
Abstract

Dissertation, RWTH Aachen University, 2017; Aachen : E.ON Energy Research Center, RWTH Aachen University, E.ON Energy Research Center, 53, 1 Online-Ressource (xvi, 188 Seiten) : Illustrationen (2018). = Dissertation, RWTH Aachen University, 2017, Increasing the energy efficiency of buildings is a promising approach to reduce a society's energy consumption. This work shows an approach to automatically detect user preferences on room temperature and the thermal behavior of a building solely on feedbacks provided by the user. This information is used to create a temperature schedule for each individual room. If the user is not present, the room's temperature is automatically reduced to save energy. Prior to the user's expected return the temperature is raised again. This automated approach allows the user to save energy without compromising his thermal comfort and the need for complex schedule programming. This work evaluates the suggested base algorithm with simulations conducted in Modelica and a field test. The user characteristics are estimated with three different versions of a learning algorithm. To determine the user's preferences, two different user characteristics are used. The effects of three different building standards are compared. Also different approaches to add a necessary pre-heating period are tested. Additionally, the effects of different heating systems are evaluated. The results are evaluated by thermal comfort, energy consumption and the number of feedbacks, i. e. the user's effort. The field test puts the algorithm in a real life scenario and tests its general functionality and its ease of use, using sensor data and a questionnaire. It is found that energy savings of 10-20 % are possible without sacrificing the user's thermal comfort. All this is possible with an easy to use system that relies only on occasional qualitative feedback., Published by E.ON Energy Research Center, RWTH Aachen University, Aachen

Published
2017
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40. Maneuver-free determination of compliance and resistance in ventilated ARDS patients

Author

Guttmann, Josef, Eberhard, Luc, Wolff, Gunther, Bertschmann, Wolfgang, Zeravik, Julius, and Adolph, Michael

Subjects
Positive pressure respiration -- Physiological aspects, Pulmonary gas exchange -- Evaluation -- Physiological aspects, Acute respiratory distress syndrome -- Care and treatment, Health, Care and treatment, Evaluation, Physiological aspects
Abstract

At present, most methods of lung mechanics analysis do not take nonlinearities of compliance and resistance into account. Nevertheless, nonlinearity of compliance is an inherent property of the respiratory system [...]

Published
1992

41. Commentary on “Fish Oil–Containing Lipid Emulsions in Adult Parenteral Nutrition: A Review of the Evidence”

Author

Adolph, Michael, primary, Calder, Philip C., additional, Deutz, Nicolaas E., additional, Carmona, Teodoro Grau, additional, Klek, Stanislaw, additional, Lev, Shaul, additional, Mayer, Konstantin, additional, Michael‐Titus, Adina T., additional, Pradelli, Lorenzo, additional, Puder, Mark, additional, Singer, Pierre, additional, and Vlaardingerbroek, Hester, additional

Published
2018
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45. Therapie der Mangelernährung verringert Komplikationsraten und Krankenhausverweildauern in einer radioonkologischen Universitätsklinik.

Author

Kufeldt, Johannes, Viehrig, Marén, Schweikert, Daniela, Fritsche, Andreas, Bamberg, Michael, and Adolph, Michael

Abstract

Purpose: The nutritional status of inpatients influences the therapeutic outcome. Malnutrition is a common comorbidity in oncological patients. Both radio- and radiochemotherapy may contribute to the additional deterioration of the nutritional status. The aim of this study was to evaluate the impact of specialized treatment of malnutrition as a clinical routine.Methods: The nutritional status of inpatients was assessed by the Nutritional risk screening (NRS-2002) on the day of admission to the University Department of Radiation Oncology. In case of significantly elevated NRS-2002 (NRS ≥ 3), a guideline-compliant, individual nutritional treatment was initiated by a specialized nutrition support team. The influence of the nutritional status and nutritional treatment on length of stay and complication rate was assessed.Results: Of 840 included patients, 344 patients (40.95%) were at risk for malnutrition. Malnutrition was a significant, independent risk factor for both prolonged hospital stay, represented by the deviation between the actual length of stay and the DRG-associated mean length of stay (dLOS at risk: 0.88 days, dLOS not at risk: -0.88 days, p = 0.0047), as well as for the occurrence of complications (OR: 1.758 CI: [1.286-2.402], p = 0.0006). In the group of 337 (40.12%) rehospitalized patients the nutritional management was able to assimilate the values of length of stay as well as the complication rates to standard values.Conclusions: The high risk for malnutrition and the negative consequences for patients and hospitals underline the urgent need for malnutrition screening on admission and treatment of malnutrition. A specialized, interdisciplinary nutrition support team positively influences patient outcome and should be established routinely in all oncological disciplines. [ABSTRACT FROM AUTHOR]

Published
2018
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47. Trust in Physicians Among Rural Medicaid-Enrolled Smokers

Author

Nelms, Emory, Wang, Ling, Pennell, Michael, Wewers, Mary Ellen, Seiber, Eric, Adolph, Michael D., Paskett, Electra D., and Ferketich, Amy K.

Subjects
Adult, Male, Rural Population, Physician-Patient Relations, Medicaid, Smoking, Middle Aged, Trust, Article, United States, Cross-Sectional Studies, Humans, Female, Smoking Cessation, Aged
Abstract

Associations have been found between trusting patient-physician relationships and use of preventive care and a greater adherence to prescribed care. The objectives of this study were to assess the level of trust rural Medicaid smokers have in their physicians and whether trust was related to patient characteristics or physician behavior.This was a cross-sectional study of smokers who were enrolled in a tobacco-dependence treatment program. Participants were rural Medicaid-enrolled adults, age 18 and older, who were current smokers. Participants were enrolled from 8 primary care clinics as they came in for an appointment with their physician. The Trust in Physician Scale was completed at the baseline visit. One week later, an interview was conducted with the smoker to determine whether the physician provided tobacco-dependence treatment counseling at the visit. Mixed models were used to model the relationship between trust and participant characteristics and physician behaviors.Medicaid smokers in this study exhibited a high level of trust in their health care provider, as levels were similar to those reported in the general population of patients. Trust was significantly higher among individuals with better self-reported health.Rural Medicaid smokers appeared to have similar levels of trust in their physician as other patients. Future research should explore the role trust plays in shaping interactions between underserved populations and physicians within the context of smoking cessation counseling.

Published
2013

48. Prevalence and Distribution of Diabetes Mellitus in a Maximum Care Hospital: Urgent Need for HbA1c-Screening.

Author

Kufeldt, Johannes, Kovarova, Marketa, Adolph, Michael, Staiger, Harald, Bamberg, Michael, Häring, Hans-Ulrich, Fritsche, Andreas, and Peter, Andreas

Subjects
PEOPLE with diabetes, DIABETES, DIAGNOSIS of diabetes, TREATMENT of diabetes, MEDICAL care
Abstract

Objective Diabetes mellitus affects almost one in 10 individuals in Germany. So far, little is known about the diabetes prevalence in maximum care hospitals. We assessed the diabetes prevalence, proportion of undiagnosed cases, the effectiveness of diabetes screening in a university hospital, the consequences for hospital stay and acquired complications. Research Design and Methods Over a 4 week period we determined HbA1c from 3 733 adult patients which were hospitalized at the university hospital of Tuebingen and had an available blood sample. Diabetes diagnosis was defined as HbA1c ≥ 6.5 % and/or previously documented diabetes diagnosis, prediabetes was defined as HbA1c ≥ 5.7 % and < 6.5 % without history of previous diabetes. Results 23.68 % of the patients had prediabetes and 22.15 % had diabetes with a high variation between the specialised departments (range 5–43 %). The rate of unknown diabetes was 3.7 %, the number needed to screen was 17 in patients older than 50 years. Patients with diabetes had a prolonged hospital stay compared to the mean length of stay for their diagnosis related group (diabetes: 1.47 ± 0.24 days; no diabetes: − 0.18 ± 0.13 days, p = 0.0133). The prevalence of hospital acquired complications was higher in diabetic patients (diabetes: 197 of 630; no diabetes: 447 of 2 459, p < 0.0001). Conclusions Every fourth patient in the university hospital had diabetes and every second had either prediabetes or diabetes. It is also worthwhile to screen for unknown diabetes in patients over the age of 50. The high prevalence and negative consequences of diabetes require screening and intensified specialized diabetes treatment in hospitals. [ABSTRACT FROM AUTHOR]

Published
2018
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