{"id":11580,"date":"2020-06-03T04:02:33","date_gmt":"2020-06-03T02:02:33","guid":{"rendered":"http:\/\/news-papers.eu\/?p=11580"},"modified":"2020-05-26T22:22:56","modified_gmt":"2020-05-26T20:22:56","slug":"fightingcorona-epidemiologische-daten-aus-den-usa","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=11580","title":{"rendered":"#FightingCorona: Epidemiologische Daten aus den USA"},"content":{"rendered":"
\"www.news-papers.eu\"
www.news-papers.eu<\/figcaption><\/figure>\n

In einer prospektiven Beobachtungsstudie wurden in New York 1150 Patienten in ein Krankenhaus aufgenommen und hinsichtlich der Epidemiologie, klinischem Verlauf und Behandlungsergebnis der kritisch kranken Patienten betrachtet:<\/p>\n

Cummings MJ et al.\u00a0Epidemiology, clinical course, and outcomes of critically ill\u00a0adults with COVID-19 in New York City: a prospective\u00a0cohort study. The Lancet\u00a0https:\/\/doi.org\/10.1016\/S0140-6736(20)31189-2<\/strong><\/p><\/blockquote>\n

Studie:<\/strong><\/p>\n

    \n
  • prospektive Beobachtungsstudie<\/li>\n
  • n=1150 station\u00e4r aufgenommene Patienten<\/li>\n
  • n=257 kritisch kranke Patienten (22%)<\/li>\n<\/ul>\n

    Ergebnisse:<\/strong><\/p>\n

    Die 257 intensivmedizinisch betreuten Patienten wiesen folgende Charakteristika auf:<\/p>\n

      \n
    • 62 Jahre (Interquartile range, IQR: 51\u201372)<\/li>\n
    • n=171 (67%) m\u00e4nnlich<\/li>\n
    • n=212 (82%) hatten chronische Erkrankungen:\n
        \n
      • arterielle Hypertension, n=162 (63%)<\/li>\n
      • Diabetes mellitus, n=92 (36%)<\/li>\n
      • \u00dcbergewicht n=119 (46%)<\/li>\n
      • Mortalit\u00e4t n=101 (39%)<\/li>\n<\/ul>\n<\/li>\n
      • Behandlung:\n
          \n
        • Invasive Beatmung, n=203 (79%), Median 18 Tage (IQR 9\u201328)<\/li>\n
        • Katecholamine, n=170 (66%)<\/li>\n
        • Nierenersatzverfahren, n=79 (31%)<\/li>\n<\/ul>\n<\/li>\n
        • Zeit bis zur innenklinischen Verschlechterung: Median\u00a03 Tage (IQR 1\u20136)<\/li>\n
        • Risikofaktoren f\u00fcr die innerklinische Mortalit\u00e4t:\n
            \n
          • h\u00f6heres Lebensalter, aHR: 1,31, 95%CI: 1,09-1,57<\/li>\n
          • chronische Herzerkrankung, aHR 1,76, 95%CI: 1,08\u20132,86<\/li>\n
          • chronische Lungenerkrankung,\u00a0aHR 2,94, 95%CI: 1,48-5,84<\/li>\n
          • hohe IL6-Konzentration, aHR 1,11, 95%CI: 1,02-1,20<\/li>\n
          • hohe D-Dimere-Konzentration, aHR 1,10, 95%CI: 1,01-1,19<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

            Zahlreiche weitere epidemiologische Daten werden in dieser spannenden Studie pr\u00e4sentiert.<\/p>\n","protected":false},"excerpt":{"rendered":"

            In einer prospektiven Beobachtungsstudie wurden in New York 1150 Patienten in ein Krankenhaus aufgenommen und hinsichtlich der Epidemiologie, klinischem Verlauf und Behandlungsergebnis der kritisch kranken Patienten betrachtet: Cummings MJ et […]<\/p>\n","protected":false},"author":2,"featured_media":11155,"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}},"categories":[1821],"tags":[1825],"class_list":["post-11580","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","tag-covid-19"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/03\/Starfleet-Medical-Corona.png?fit=1623%2C1623&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-30M","jetpack-related-posts":[{"id":13365,"url":"https:\/\/news-papers.eu\/?p=13365","url_meta":{"origin":11580,"position":0},"title":"Nichttraumatologisch kritisch kranke Schockraumpatienten (OBSERvE2-Studie)","author":"Michael Bernhard","date":"Mai 6, 2021","format":false,"excerpt":"Das Management von nichttraumatologisch kritisch kranken Patienten im Schockraum einer Zentralen Notaufnahme ist sehr anspruchsvoll. Bisher fehlen aber detaillierte Daten, die die Patientencharakteristika und das Management dieser Population beschreiben. Das Ziel der OBSERvE2-Studie war es die Epidemiologie, das Management und das Behandlungsergebnis bei nicht-traumatologisch kritisch kranken Patienten im Schockraum zu\u2026","rel":"","context":"In "NON-Trauma-Schockraum"","block_context":{"text":"NON-Trauma-Schockraum","link":"https:\/\/news-papers.eu\/?cat=2047"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/05\/Bildschirmfoto-2021-04-30-um-19.07.29.png?fit=1200%2C657&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/05\/Bildschirmfoto-2021-04-30-um-19.07.29.png?fit=1200%2C657&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/05\/Bildschirmfoto-2021-04-30-um-19.07.29.png?fit=1200%2C657&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/05\/Bildschirmfoto-2021-04-30-um-19.07.29.png?fit=1200%2C657&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/05\/Bildschirmfoto-2021-04-30-um-19.07.29.png?fit=1200%2C657&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":13846,"url":"https:\/\/news-papers.eu\/?p=13846","url_meta":{"origin":11580,"position":1},"title":"Aufnahmeblutzucker als Risikoparameter im nicht-traumatologischen Schockraum\u00a0","author":"Michael Bernhard","date":"Juni 23, 2021","format":false,"excerpt":"Abnormale Blutglukosewerte (Admission Blood Glucose) bei Aufnahme im Schockraum (Hypo- und Hyerglyk\u00e4mien) wurden als n\u00fctzlicher Pr\u00e4diktor f\u00fcr ein schlechtes Behandlungsergebnis bei schwerkranken Patienten berichtet. K\u00f6nnen wir dies nun im nicht-traumatologischen Schockraummanagement nachvollziehen ? Bernhard M et al., Admission Blood Glucose in the Emergency Department is Associated with Increased In-Hospital Mortality\u2026","rel":"","context":"In "NON-Trauma-Schockraum"","block_context":{"text":"NON-Trauma-Schockraum","link":"https:\/\/news-papers.eu\/?cat=2047"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Zucker-300x275.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":11995,"url":"https:\/\/news-papers.eu\/?p=11995","url_meta":{"origin":11580,"position":2},"title":"Aufnahmelaktat als Mortalit\u00e4tspr\u00e4diktor bei nicht-traumatologischen Schockraumpatienten","author":"Michael Bernhard","date":"August 29, 2020","format":false,"excerpt":"Erh\u00f6hte Blutlaktatspiegel wurden als n\u00fctzliche Pr\u00e4diktoren f\u00fcr das klinische Behandlungsergebnis und die Mortalit\u00e4t bei kritisch kranken Patienten angesehen. Um Patienten mit erh\u00f6htem Risiko zu identifizieren, wurde in der folgenden Untersuchung die Beziehung zwischen der Patientensterblichkeit und den Aufnahme-Laktatwerten bei der Behandlung von nicht-traumatisierten kritisch kranken Patienten in der Notaufnahme (ED)\u2026","rel":"","context":"In "Schockraummanagement"","block_context":{"text":"Schockraummanagement","link":"https:\/\/news-papers.eu\/?cat=682"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/12\/Laktat.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/12\/Laktat.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/12\/Laktat.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/12\/Laktat.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/12\/Laktat.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":7251,"url":"https:\/\/news-papers.eu\/?p=7251","url_meta":{"origin":11580,"position":3},"title":"Die OBSERvE-Studie: Konservatives Schockraummanagement","author":"Michael Bernhard","date":"Mai 22, 2018","format":false,"excerpt":"In einer prospektiven monozentrischen Studie wurde die ersten Daten zum nicht-traumatologischen Schockraummanagement kritisch kranker Patienten\u00a0in einer Zentralen Notaufnahme in Deutschland\u00a0publiziert:\u00a0 Bernhard M, D\u00f6ll S, Hartwig T, et al. (2018) Resuscitation room management of critically ill nontraumatic patients in a German emergency department (OBSERvE-study). Eur J Emerg Med 2018 (online) DOI:\u2026","rel":"","context":"In "Schockraummanagement"","block_context":{"text":"Schockraummanagement","link":"https:\/\/news-papers.eu\/?cat=682"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/05\/OBSERvE_Studienlogo.png?fit=1011%2C308&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/05\/OBSERvE_Studienlogo.png?fit=1011%2C308&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/05\/OBSERvE_Studienlogo.png?fit=1011%2C308&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/05\/OBSERvE_Studienlogo.png?fit=1011%2C308&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":11487,"url":"https:\/\/news-papers.eu\/?p=11487","url_meta":{"origin":11580,"position":4},"title":"Schwere Blutungen unter oralen Antikoagulanzien","author":"Michael Bernhard","date":"Mai 17, 2020","format":false,"excerpt":"Lindhoff-Last, et al.Schwere Blutungen unter oralen Antikoagulanzien.\u00a0Eine prospektive Beobachtungsstudie zum klinischen Verlauf unter Vitamin-K-Antagonisten (VKA) oder direkten oralen Antikoagulanzien (DOAK). Dtsch Arztebl Int 2020; 117: 312-9; DOI: 10.3238\/arztebl.2020.0312 (PDF) prospektive, multizentrische Beobachtungsstudie prim\u00e4re Endpunkt: Mortalit\u00e4t im Krankenhaus bis einschlie\u00dflich Tag 30 nach station\u00e4rer Aufnahme Sekund\u00e4re Endpunkte: Blutungsdauer, 193 Patienten mit\u2026","rel":"","context":"In "Blutungsmanagement"","block_context":{"text":"Blutungsmanagement","link":"https:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Bildschirmfoto-2019-10-25-um-21.37.13.png?fit=1200%2C802&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Bildschirmfoto-2019-10-25-um-21.37.13.png?fit=1200%2C802&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Bildschirmfoto-2019-10-25-um-21.37.13.png?fit=1200%2C802&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Bildschirmfoto-2019-10-25-um-21.37.13.png?fit=1200%2C802&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Bildschirmfoto-2019-10-25-um-21.37.13.png?fit=1200%2C802&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":8423,"url":"https:\/\/news-papers.eu\/?p=8423","url_meta":{"origin":11580,"position":5},"title":"Tourniquet: Vigilanz gegen\u00fcber Lungenembolien?","author":"Michael Bernhard","date":"Dezember 17, 2018","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz: K\u00fcrzlich wurde im Journal of the American College of Surgeons eine sehr sch\u00f6ne Studie zum Einsatz des Tourniquets in der zivilen Notfallmedizin ver\u00f6ffentlicht: Teixeira PGR et al. Civilian Prehospital Tourniquet Use Is Associated with Improved Survival in Patients with Peripheral Vascular Injury.\u2026","rel":"","context":"In "Notfalltechnik"","block_context":{"text":"Notfalltechnik","link":"https:\/\/news-papers.eu\/?cat=202"},"img":{"alt_text":"Tourniquet improvisiert","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/04\/THIERBACH_SYLVI_Tourniquet-e1736370995935.png?fit=896%2C937&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/04\/THIERBACH_SYLVI_Tourniquet-e1736370995935.png?fit=896%2C937&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/04\/THIERBACH_SYLVI_Tourniquet-e1736370995935.png?fit=896%2C937&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/04\/THIERBACH_SYLVI_Tourniquet-e1736370995935.png?fit=896%2C937&ssl=1&resize=700%2C400 2x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11580"}],"version-history":[{"count":3,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11580\/revisions"}],"predecessor-version":[{"id":11583,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11580\/revisions\/11583"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/11155"}],"wp:attachment":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11580"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11580"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}