{"id":9846,"date":"2019-08-02T04:17:38","date_gmt":"2019-08-02T02:17:38","guid":{"rendered":"http:\/\/news-papers.eu\/?p=9846"},"modified":"2019-07-04T18:22:54","modified_gmt":"2019-07-04T16:22:54","slug":"letalitaet-in-randomisert-kontrollierten-studien-zur-sepsis","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=9846","title":{"rendered":"Letalit\u00e4t in randomisert kontrollierten Studien zur Sepsis"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1451\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=1451\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?fit=640%2C480\" data-orig-size=\"640,480\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sepsis\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?fit=640%2C480\" class=\"size-medium wp-image-1451 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?resize=300%2C225\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?resize=300%2C225 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?w=640 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Sinkt die <strong>Letalit\u00e4t in randomisert kontrollierten Studien zur Sepsis<\/strong> \u00fcber die Jahre? Luhr et al. haben dies in einer umfangreichen Datenanalyse von 2002-2016 untersucht und kommen zu einem erstaunlichen Ergebnis:<\/p>\n<blockquote>\n<p class=\"article-title small-padding-top small-padding-bottom\"><a href=\"http:\/\/click.springernature.com\/f\/a\/2dmA8nV7LghZpdDvEs-Ndw~~\/AAEGiQA~\/RgRfAEXpP0REaHR0cHM6Ly9jY2ZvcnVtLmJpb21lZGNlbnRyYWwuY29tL2FydGljbGVzLzEwLjExODYvczEzMDU0LTAxOS0yNTI4LTBXA3NwY0IKAB4TwR1dgXRP21IVbWljaGVsYmVybmhhcmRAZ214LmRlWAQAAAAA\" target=\"_blank\" rel=\"noopener\"><strong>Luhr R et al.\u00a0Trends in sepsis mortality over time in randomised sepsis trials: a systematic literature review and meta-analysis of mortality in the control arm, 2002\u20132016. Crit Care 2019; 23: 241<\/strong><\/a><\/p>\n<\/blockquote>\n<p>Die Autoren kommen zu dem Schluss, dass sich ein Trend hinzu einer reduzierten Letalit\u00e4t findet. Jedoch nach Analyse f\u00fcr beeinflussende Faktoren konnte dieses Ergebnis nicht best\u00e4tigt werden. Weitere Untersuchungen sind notwendig.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sinkt die Letalit\u00e4t in randomisert kontrollierten Studien zur Sepsis \u00fcber die Jahre? Luhr et al. haben dies in einer umfangreichen Datenanalyse von 2002-2016 untersucht und kommen zu einem erstaunlichen Ergebnis: [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1451,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[57],"tags":[],"class_list":["post-9846","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sepsis"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?fit=640%2C480","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-2yO","jetpack-related-posts":[{"id":4171,"url":"http:\/\/news-papers.eu\/?p=4171","url_meta":{"origin":9846,"position":0},"title":"Fieber und Letalit\u00e4t bei Notaufnahmepatienten","author":"Michael Bernhard","date":"Mai 13, 2017","format":false,"excerpt":"\"Hohes Fieber = hohe Krankheitsschwere = hohe Letalit\u00e4t\" das k\u00f6nnte man denken, aber gibt es daf\u00fcr Beweise? \u00a0In einer aktuellen Untersuchung gehen Sunden-Cullberg und Kollegen dieser Fragestellung nach: Sunden-Cullberg J et al.\u00a0Fever in the Emergency Department Predicts\u00a0Survival of Patients With Severe Sepsis and\u00a0Septic Shock Admitted to the ICU. Crit Care\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Fieberthermometer.jpg?fit=1200%2C900&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Fieberthermometer.jpg?fit=1200%2C900&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Fieberthermometer.jpg?fit=1200%2C900&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Fieberthermometer.jpg?fit=1200%2C900&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Fieberthermometer.jpg?fit=1200%2C900&resize=1050%2C600 3x"},"classes":[]},{"id":11962,"url":"http:\/\/news-papers.eu\/?p=11962","url_meta":{"origin":9846,"position":1},"title":"Phosphat als Marker der Letalit\u00e4t bei Sepsis?","author":"Michael Bernhard","date":"August 24, 2020","format":false,"excerpt":"Eine Gewebshypoperfusion assoziierte isch\u00e4mische Gewebesch\u00e4digung ist eine der Hauptfolgen\u00a0der Sepsis. Bei isch\u00e4mischer Gewebesch\u00e4digung sind die Phosphatkonzentrationen erh\u00f6ht. In der nachfolgenden Studie sollte Zusammenhang zwischen der Phosphatkonzentration und der Mortalit\u00e4t bei Patienten mit Sepsis zu untersucht werden: Jang DH et al. Moderate to severe hyperphosphataemia as an\u00a0independent prognostic factor for 28-day\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"Labor","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Labor.png?fit=512%2C512&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":4536,"url":"http:\/\/news-papers.eu\/?p=4536","url_meta":{"origin":9846,"position":2},"title":"Sepsis 3.0 &#8211; Kritische Stimmen","author":"Michael Bernhard","date":"Juni 15, 2017","format":false,"excerpt":"Wie bereits schein ein paar Mal auf news-papers.eu\u00a0berichtet, wird die neue Definition der Sepsis in Expertenkreisen kritisch diskutiert: Definition der Sepsis - Teil 1 Definition der Sepsis - Teil 2 Diskussion Sepsis Mnemonic LUCCAASS Sepsisempfehlungen Teil 1 Sepsisempfehlungen Teil 2 Dabei ist die Sepsis aber eine Erkrankung mit sehr hoher\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=500%2C343&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":4334,"url":"http:\/\/news-papers.eu\/?p=4334","url_meta":{"origin":9846,"position":3},"title":"Blitzlicht: Fr\u00fche Antibiotikatherapie und Mortalit\u00e4t","author":"Michael Bernhard","date":"Juni 3, 2017","format":false,"excerpt":"Dass man bei Sepsis fr\u00fchzeitig eine Antibiotikatherapie applizieren soll, ist jedem klar. Dass man dies bereits im Notarztdienst nach Rekrutierung von Blutkulturen durchf\u00fchrt, wird kontrovers diskutiert. Aber der Zusammenhang zwischen Mortalit\u00e4t und fr\u00fcher Antibiotikagabe wird immer wieder hervorgehoben. Bristol B. Whiles und Kollegen haben nun eine sehr interessante Arbeit zu\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Blitzlicht-e1491322131188.jpg?fit=500%2C375&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":3994,"url":"http:\/\/news-papers.eu\/?p=3994","url_meta":{"origin":9846,"position":4},"title":"DINK 2017: Sepsis Session und mehr","author":"Michael Bernhard","date":"M\u00e4rz 10, 2017","format":false,"excerpt":"Aktuell l\u00e4uft der Deutsche interdisziplin\u00e4re Notfallmedizin Kongress (DINK) 2017 in Koblenz. Eine wirklich sehr gut besuchte, inhaltlich hochwertige und toll organisierte Veranstaltung mit vielen wichtigen Themen rund um die Notfallmedizin. Am 9.03.2016\u00a0fand eine sehr interessante Sitzung zur Sepsis (Sepsis und septischer Schock in Pr\u00e4klinik und Notaufnahme) statt und Dr. S.\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/03\/Bildschirmfoto-2017-03-10-um-04.50.44.png?fit=890%2C617&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/03\/Bildschirmfoto-2017-03-10-um-04.50.44.png?fit=890%2C617&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/03\/Bildschirmfoto-2017-03-10-um-04.50.44.png?fit=890%2C617&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/03\/Bildschirmfoto-2017-03-10-um-04.50.44.png?fit=890%2C617&resize=700%2C400 2x"},"classes":[]},{"id":553,"url":"http:\/\/news-papers.eu\/?p=553","url_meta":{"origin":9846,"position":5},"title":"Die neue Definition der Sepsis und des septischen Schocks &#8211; Teil 2","author":"Michael Bernhard","date":"Februar 26, 2016","format":false,"excerpt":"K\u00fcrzlich sind wir auf die neue Definition der Sepsis und des septischen Schocks der 3. internationalen Consensuskonferenz SEPSIS-3 eingegangen (hier). Nachfolgend greifen wir weitere Punkte aus dieser Publikation auf. Singer M, et al. The third international consensus conference definitions for sepsis and septic shock (Sepsis-3). JAMA\u00a02016; 315: 801-810 Warum brauchte\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=1050%2C600 3x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9846","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9846"}],"version-history":[{"count":2,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9846\/revisions"}],"predecessor-version":[{"id":9848,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9846\/revisions\/9848"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/1451"}],"wp:attachment":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9846"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9846"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9846"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}