Mörer, Onnen

[["dc.bibliographiccitation.firstpage","1220"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Intensive Care Medicine"],["dc.bibliographiccitation.lastpage","1223"],["dc.bibliographiccitation.volume","30"],["dc.contributor.author","Neilson, A. R."],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Schneider, H."],["dc.date.accessioned","2018-11-07T10:48:29Z"],["dc.date.available","2018-11-07T10:48:29Z"],["dc.date.issued","2004"],["dc.description.abstract","Objective. To evaluate LOS in developing a concept of borderline ICU LOS for a realistic reimbursement of intensive care. Design. Retrospective analysis of LOS and cost data extracted from patients' electronic records. Setting. Surgical ICU of the University Hospital Gottingen, Germany. Patients and participants. All adult ICU admissions with LOS >24 h over a 24-month period (1 January 2000 to 31 December 2001; n=1631.) Interventions. None. Measurements and results. Cluster analysis partitioned the ICU population into three homogenous groups based on ICU LOS and total direct costs: cluster 1 (n=1405; mean LOS=2.8; mean cost=e2399); cluster 2 (n=190; mean LOS=13.4; mean cost=e12,754); cluster 3 (n=36; mean LOS=34.9; mean cost=e34,173). Cost distribution between cluster 1 and clusters 2 and 3 combined was 48 vs 52%. Upper 95 percentile LOS of 6.7 allowed cluster 1 to be replaced by an LOS profile population of less than or equal to 7 days population (n=1355; 96% population and 91% total ICU cost overlap with cluster 1) representing 83% of total ICU population and 44% of total ICU costs. Stratification of >7 day population into LOS less than or >20 days (n=220; n=56) were further differentiated by mortality (11 vs 23%) and sepsis incidence (33 vs 79%). Conclusions. It may be feasible to formulate a LOS-based reimbursement scheme for ICU services in Germany based on the selection of (appropriate) patients' ICU LOS profiles."],["dc.identifier.doi","10.1007/s00134-004-2168-x"],["dc.identifier.isi","000221730300034"],["dc.identifier.pmid","14985961"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/48204"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0342-4642"],["dc.title","A new concept for DRG-based reimbursement of services in German intensive care units: results of a pilot study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Intensive Care Medicine"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Neilson, A."],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Schneider, H."],["dc.date.accessioned","2018-11-07T10:36:35Z"],["dc.date.available","2018-11-07T10:36:35Z"],["dc.date.issued","2003"],["dc.format.extent","S93"],["dc.identifier.isi","000185745400349"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/45359"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","New york"],["dc.relation.conference","16th Annual Congress of the European-Society-of-Internsive-Care-Medicine (ESICM)"],["dc.relation.eventlocation","AMSTERDAM, NETHERLANDS"],["dc.relation.issn","0342-4642"],["dc.title","DRG-based reimbursement of services in German intensive care units: A new concept"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","S36"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","S42"],["dc.bibliographiccitation.volume","55"],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Burchardi, Hilmar"],["dc.date.accessioned","2018-11-07T09:42:33Z"],["dc.date.available","2018-11-07T09:42:33Z"],["dc.date.issued","2006"],["dc.description.abstract","In recent years great efforts in clinical sepsis research have led to a better understanding of the underlying pathophysiology and new therapeutic approaches including drugs and supportive care. Despite this success, severe sepsis remains a serious health care problem. Each year approximately 75,000 patients in Germany and approximately 750,000 patients in the USA suffer from severe sepsis. The length of stay and the cost of laborious therapies lead to high intensive care unit (ICU) costs. Sepsis causes a significant national socioeconomic burden if indirect costs due to productivity loss are included and in Germany severe sepsis has been estimated to generate costs between 3.6 and 7.7 billion Euro annually. Thus, this complex and life-threatening disease has been identified as a high cost driver not only for the ICU, but also from the perspectives of hospitals and society. To improve the outcome of severe sepsis, innovative drugs and treatment strategies are urgently needed. Some drugs and strategies already offer promising results and will probably play a major role in the future. Even though their cost-effectiveness is likely, intensive care medicine has to carry a substantial economic burden. This article summarizes studies focusing on the evaluation of direct or indirect costs of sepsis and the cost-effectiveness of new therapies."],["dc.identifier.doi","10.1007/s00101-006-1039-y"],["dc.identifier.isi","000239175200006"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/33980"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","The cost of sepsis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Intensive Care Medicine"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Neilson, A."],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Schneider, H."],["dc.date.accessioned","2018-11-07T10:36:34Z"],["dc.date.available","2018-11-07T10:36:34Z"],["dc.date.issued","2003"],["dc.format.extent","S94"],["dc.identifier.isi","000185745400356"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/45358"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","New york"],["dc.relation.conference","16th Annual Congress of the European-Society-of-Internsive-Care-Medicine (ESICM)"],["dc.relation.eventlocation","AMSTERDAM, NETHERLANDS"],["dc.relation.issn","0342-4642"],["dc.title","Relationship of treatment costs with severity scores in ICU patients"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Intensive Care Medicine"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Hinz, Jose Maria"],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Neumann, P."],["dc.contributor.author","Kuhlmann, A."],["dc.contributor.author","Dudykevych, T."],["dc.contributor.author","Criee, C. P."],["dc.contributor.author","Burchardi, Hilmar"],["dc.date.accessioned","2018-11-07T10:05:24Z"],["dc.date.available","2018-11-07T10:05:24Z"],["dc.date.issued","2002"],["dc.format.extent","S91"],["dc.identifier.isi","000178345900343"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/38887"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","New york"],["dc.relation.conference","15th Annual Congress on European-Society-of-Internsive-Care-Medicine"],["dc.relation.eventlocation","BARCELONA, SPAIN"],["dc.relation.issn","0342-4642"],["dc.title","Regional lung impedance tracing compared to pneumotachography"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Intensive Care Medicine"],["dc.bibliographiccitation.volume","27"],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Hofmann, M."],["dc.contributor.author","Herklotz, A."],["dc.contributor.author","Schmid, A."],["dc.contributor.author","Schneider, H."],["dc.contributor.author","Burchardi, Hilmar"],["dc.date.accessioned","2018-11-07T08:42:20Z"],["dc.date.available","2018-11-07T08:42:20Z"],["dc.date.issued","2001"],["dc.format.extent","S283"],["dc.identifier.isi","000171249400577"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/19672"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","New york"],["dc.relation.issn","0342-4642"],["dc.title","Direct costs of severe sepsis patients in three German intensive care units based on retrospective electronic patient record analysis of resource use"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Value in Health"],["dc.bibliographiccitation.volume","6"],["dc.contributor.author","Neilson, A."],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Schneider, H."],["dc.date.accessioned","2018-11-07T10:35:18Z"],["dc.date.available","2018-11-07T10:35:18Z"],["dc.date.issued","2003"],["dc.format.extent","711"],["dc.identifier.isi","000186300900261"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/45063"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Blackwell Publishing Inc"],["dc.publisher.place","Malden"],["dc.relation.issn","1098-3015"],["dc.title","Research 5539: Comparison of actual costs and DRG-based reimbursement of intensive care in German ICUs"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","567"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Medizinische Klinik - Intensivmedizin und Notfallmedizin"],["dc.bibliographiccitation.lastpage","573"],["dc.bibliographiccitation.volume","113"],["dc.contributor.author","Maierhofer, T."],["dc.contributor.author","Pfisterer, F."],["dc.contributor.author","Bender, A."],["dc.contributor.author","Küchenhoff, H."],["dc.contributor.author","Moerer, O."],["dc.contributor.author","Burchardi, H."],["dc.contributor.author","Hartl, W. H."],["dc.date.accessioned","2020-12-10T14:07:56Z"],["dc.date.available","2020-12-10T14:07:56Z"],["dc.date.issued","2017"],["dc.identifier.doi","10.1007/s00063-017-0315-8"],["dc.identifier.eissn","2193-6226"],["dc.identifier.issn","2193-6218"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/70337"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","Kosten als Instrument zur Effizienzbeurteilung intensivmedizinischer Funktionseinheiten"],["dc.title.alternative","Cost analysis as a tool for assessing the efficacy of intensive care units"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1440"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","Intensive Care Medicine"],["dc.bibliographiccitation.lastpage","1446"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Schmid, A."],["dc.contributor.author","Hofmann, M."],["dc.contributor.author","Herklotz, A."],["dc.contributor.author","Reinhart, Konrad"],["dc.contributor.author","Werdan, Karl"],["dc.contributor.author","Schneider, H."],["dc.contributor.author","Burchardi, Hilmar"],["dc.date.accessioned","2018-11-07T10:00:09Z"],["dc.date.available","2018-11-07T10:00:09Z"],["dc.date.issued","2002"],["dc.description.abstract","Objective: To determine the direct costs of severe sepsis patients in German intensive care units (ICUs). Design: Retrospective electronic data analysis. Setting: Three adult intensive care units (surgical/medical) in three university hospitals in Germany. Patients: 385 patients identified by standard definitions as suffering from severe sepsis. Measurements and results: A bottom-up approach was used to determine the direct ICU cost on actual resource use (medication, laboratory tests, microbiological analysis, disposables, and clinical procedures) for patients with severe sepsis. To determine the total direct costs, center-specific personnel and basic bed (\"hotel\") costs were added to total resources consumed. Average hospital mortality of severely septic patients was 42.6%. Mean ICU length of stay (LOS) was 16.6 days. Survivors stayed on average 4 days longer than nonsurvivors. The mean direct ICU costs of care were 23,297 +/- 18,631 euros per patient and 1,318 euros per day. In comparison, average daily charges being paid for an ICU patient by the health care system in Germany are 851 euros (based on official statistics). Nonsurvivors were more expensive than survivors in total direct costs (25,446 vs. 21,984 euros) and in per day direct cost (1,649 vs. 1, 162 euros). Medication makes up the largest part of the direct costs, followed by expenses for personnel. Conclusions: Patients with severe sepsis have a high ICU mortality rate and long ICU LOS and are substantially expensive to treat. Nonsurviving septic patients are more costly than survivors despite shorter ICU LOS. This is due to higher medication costs indicating increased efforts to keep patients alive."],["dc.identifier.doi","10.1007/s00134-002-1429-9"],["dc.identifier.isi","000180753500012"],["dc.identifier.pmid","12373469"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/37738"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0342-4642"],["dc.title","Direct costs of severe sepsis in three German intensive care units based on retrospective electronic patient record analysis of resource use"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","131"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","CRITICAL CARE"],["dc.bibliographiccitation.lastpage","137"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Moerer, Onnen"],["dc.date.accessioned","2018-11-07T09:30:44Z"],["dc.date.available","2018-11-07T09:30:44Z"],["dc.date.issued","2001"],["dc.description.abstract","Intensive-care units (ICUs) must be utilised in the most efficient way. Greater input of intensivists leads to better outcomes and more efficient use of resources. 'Closed' ICUs operate as functional units with a competent on-site team and their own management under the supervision of a full-time intensivist directly responsible for the treatment. Twenty-four-hour coverage by on-site physicians is mandatory to maintain the service. At night, the on-site physicians need not necessarily be specialists as long as an experienced intensivist is on call. Because of the shortage of intensivists, such standards will be difficult to maintain everywhere, but they should, at least, be mandatory for larger hospitals serving as regional centres."],["dc.identifier.doi","10.1186/cc1012"],["dc.identifier.isi","000169503400003"],["dc.identifier.pmid","11353929"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?goescholar/1257"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/31377"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Biomed Central Ltd"],["dc.relation.issn","1466-609X"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Twenty-four hour presence of physicians in the ICU"],["dc.type","review"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]