Resuscitation room management of critically ill nontraumatic patients in a German emergency department (OBSERvE-study)

Bernhard, Michaël; Döll, Stephanie; Hartwig, Thomas; Ramshorn-Zimmer, Alexandra; Yahiaoui-Doktor, Maryam; Weidhase, Lorenz; Petros, Sirak; Gries, A.

doi:10.1097/mej.0000000000000543

Cited by 66 publications

(98 citation statements)

References 17 publications

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“…A study published in 2018 reviewed the outcome of MEP admitted in a similar set up as ours, with equally high mortality, but also a much higher ICU admission (25). This probably reflects different local setups and lack of international guidelines.…”

Section: Resultsmentioning

confidence: 69%

Trigger team activation for acute patients. A cohort study at a level 1 university hospital in Denmark

Posth

Froberg

et al. 2020

Preprint

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Background While patients with major trauma, suspected ST-elevation myocardial infarction (STEMI) or stroke have implemented pathways for quick access to specialized trigger teams, other patients with time dependent diseases present with less obvious aetiology and have less documented pathways at arrival to the hospital. Aim To describe the number, diagnosis and prognosis of patients arriving to the trigger teams for trauma, suspected STEMI, suspected stroke, and Medical emergency patients (MEP) Method Retrospective cohort study of all patients who between November 2012 and September 2015 had either a trauma, STEMI, stroke or MEP trigger team activation at arrival to Odense University Hospital – a level 1 trauma centre, a direct referral centre for patients with suspected STEMI to the catheterization laboratory or stroke, and with a trigger team at emergency department arrival of MEP patients from the local area. Results There were 8,075 activations of a trigger team at hospital arrival, median 7.6 calls per day (range 1-18); 16.7% trauma, 28.3% STEMI, 19.7% stroke and 35.3% MEP calls. This corresponds to 161/100,000 person years (py) with trauma calls, 64/100,000 py STEMI calls, 72/100,000 py stroke calls and 340/100,000 py MEP calls. Patients from the different calls had a 30-day mortality of 12% (trauma), 8% (STEMI), 5% (stroke), and 25% (MEP). Whereas patients from trauma, STEMI and stroke calls were mainly discharged within a few ICD10 (International classification of diseases, version 10) main coding areas, patients from MEP calls had discharge diagnosis within many different ICD10 main coding areas. Conclusion Trauma, STEMI and stroke trigger teams are used at a daily base, treat a prehospitally well-defined patient population and have a relatively low 7-day mortality. Patients with MEP calls are more frequent, have a diverse aetiology and a higher mortality than patients in the other trigger teams.

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Section: Resultsmentioning

confidence: 69%

Trigger team activation for acute patients. A cohort study at a level 1 university hospital in Denmark

Posth

Froberg

et al. 2020

Preprint

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“…In der deutschen monozentrischen OBSERvE-Studie (Observation of critically ill patients in the resuscitation room of the emergency department) waren Bewusstseinsstörungen zu einem Drittel das begründende Leitsymptom für die Behandlung im konservativen Schockraum. In der Abschlussdiagnose hatten sich bei 31 % der Patienten ZNS-Ursachen für die bedrohliche Symptomatik gefunden [26]. Die Interdisziplinarität von notfallmedizinischer, neurologischer und neurochirurgischer Kompetenz wird auch in speziellen "Komamanagement-Algorithmen" vorgeschlagen [5].…”

Section: Dynamik Quantitativer Bewusstseinsstörungen Von Der Akuten Zunclassified

Bewusstseinsstörungen

Erbguth¹,

Lange²

2020

Notaufnahme up2date

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“…In der prospektiven monozentrischen Beobachtungsstudie Observation of Critically Ill Patients in the Resuscitation Room of the Emergency Department (OBSERvE) wurden nun erstmals Daten der Versorgung und Therapie kritisch kranker Patienten an einem Versorgungsstandort erhoben [8]. Allein [8].…”

Section: Erste Versorgungdatenunclassified

“…Für die Versorgung kritisch kranker nichttraumatologischer Patienten in der frühen innerklinischen Behandlung wird ein standardisiertes Vorgehen wie bei der Schockraumversorgung des traumatologischen Patienten gefordert [3-6, 13, 30]. Dabei umfasst das im Schockraum versorgte kritisch kranke Patientenkollektiv rund 1,4-1,5 % aller in einer zentralen Notaufnahme versorgten Patienten [4,8]. Bisher bestehen aber nur rudimentäre Grundlagen zur Umsetzung des sog.…”

Section: Introductionunclassified

Nichttraumatologisches Schockraummanagement

Kumle

Merz

Mittmann

et al. 2019

Notfall Rettungsmed

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Resuscitation room management of critically ill nontraumatic patients in a German emergency department (OBSERvE-study)

Abstract: Observation of critically ill patients in the resuscitation room of the Emergency Department shows the challenge of care for CINT patients in the ED. With high levels of mortality, there is an urgent need for structured ED management guidelines.

Cited by 66 publications

References 17 publications

Trigger team activation for acute patients. A cohort study at a level 1 university hospital in Denmark

Trigger team activation for acute patients. A cohort study at a level 1 university hospital in Denmark

Bewusstseinsstörungen

Nichttraumatologisches Schockraummanagement

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