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1000 Titel
  • Early in-hospital course of critically ill nontrauma patients in a resuscitation room of a German emergency department (OBSERvE2 study)
1000 Titelzusatz
  • Früher innerklinischer Verlauf kritisch kranker nichttraumatischer Patienten im Schockraum einer deutschen Notaufnahme (OBSERvE2-Studie)
1000 Autor/in
  1. Grahl, C. |
  2. Hartwig, T. |
  3. Weidhase, L. |
  4. Laudi, S. |
  5. Petros, S. |
  6. Gries, A. |
  7. Bernhard, M. |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-04-30
1000 Erschienen in
1000 Quellenangabe
  • 71(10):774-783
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00101-021-00962-3 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9525338/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Management of critically ill nontrauma (CINT) patients in the resuscitation room of the emergency department (ED) is very challenging. Detailed data describing the patient characteristics and management of this population are lacking. This observational study describes the epidemiology, management and outcome in CINT ED patients in the resuscitation room.!##!Methods!#!This prospective, single center observational study included all adult patients who were consecutively admitted to the ED resuscitation room during 2 periods of 1 year (September 2014-August 2015 vs. September 2017- August 2018). Patient characteristics, out-of-hospital/in-hospital treatment, admission-related conditions, time intervals for diagnostics and interventions and outcome were recorded using a self-developed questionnaire.!##!Results!#!A total of 34,303 patients in the first and 35,039 patients in the second study period were admitted to the ED, of whom 532 and 457 patients, respectively, were admitted to the nontrauma resuscitation room due to acute life-threatening conditions. The patient characteristics did not differ significantly between the study periods (male: 58% vs. 59%, age: 68 ± 17 years vs. 65 ± 17 years). Time intervals for diagnostic and therapeutic interventions were similar. The CINT patients during the second study period were treated faster compared to the first study period (end of ED management: 53 ± 33 min vs. 41 ± 24 min, p < 0.0001). The 30-day all-cause mortality was comparable (34.0% vs. 36.3%).!##!Conclusion!#!Observation of critically ill patient management in the ED resuscitation room showed reliable results between both study periods. Structured ED management guidelines for CINT patients may provide comparable results at one institution.
1000 Sacherschließung
lokal Clinical pathway
lokal Aged, 80 and over [MeSH]
lokal Aged [MeSH]
lokal Hospitalization [MeSH]
lokal Adult [MeSH]
lokal Humans [MeSH]
lokal Prospective Studies [MeSH]
lokal Schockraum
lokal Middle Aged [MeSH]
lokal Hospitals [MeSH]
lokal Nicht-traumatische kritisch kranke Patienten
lokal Notaufnahme
lokal Nontraumatic critically ill patients
lokal Acute Disease [MeSH]
lokal Mortalität
lokal Originalien
lokal Mortality
lokal Male [MeSH]
lokal Emergency Service, Hospital [MeSH]
lokal Shock room
lokal Critical Illness/epidemiology [MeSH]
lokal Klinischer Behandlungspfad
lokal Emergency department
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1000 Erstellt am 2023-05-03T18:25:54.410+0200
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1000 Zuletzt bearbeitet Fri Oct 20 22:41:03 CEST 2023
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