Burchardi, Hilmar

[["dc.bibliographiccitation.artnumber","160"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Anesthesiology"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Braune, Stephan"],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Engel, Markus"],["dc.contributor.author","Nierhaus, Axel"],["dc.contributor.author","Ebelt, Henning"],["dc.contributor.author","Metschke, Maria"],["dc.contributor.author","Rosseau, Simone"],["dc.contributor.author","Kluge, Stefan"],["dc.date.accessioned","2019-07-09T11:41:51Z"],["dc.date.available","2019-07-09T11:41:51Z"],["dc.date.issued","2015"],["dc.description.abstract","Abstract Background To evaluate the economic implications of the pre-emptive use of extracorporeal carbon dioxide removal (ECCO2R) to avoid invasive mechanical ventilation (IMV) in patients with hypercapnic ventilatory insufficiency failing non-invasive ventilation (NIV). Methods Retrospective ancillary cost analysis of data extracted from a recently published multicentre case–control-study (n = 42) on the use of arterio-venous ECCO2R to avoid IMV in patients with acute on chronic ventilatory failure. Cost calculations were based on average daily treatment costs for intensive care unit (ICU) and normal medical wards as well as on the specific costs of the ECCO2R system. Results In the group treated with ECCO2R IMV was avoided in 90 % of cases and mean hospital length of stay (LOS) was shorter than in the matched control group treated with IMV (23.0 vs. 42.0 days). The overall average hospital treatment costs did not differ between the two groups (41.134 vs. 39.366 €, p = 0.8). A subgroup analysis of patients with chronic obstructive pulmonary disease (COPD) revealed significantly lower median ICU length of stay (11.0 vs. 35.0 days), hospital length of stay (17.5 vs. 51.5 days) and treatment costs for the ECCO2R group (19.610 vs. 46.552 €, p = 0.01). Conclusions Additional costs for the use of arterio-venous ECCO2R to avoid IMV in patients with acute-on-chronic ventilatory insufficiency failing NIV may be offset by a cost reducing effect of a shorter length of ICU and hospital stay."],["dc.identifier.doi","10.1186/s12871-015-0139-0"],["dc.identifier.pmid","26537233"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/12465"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/58529"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","The use of extracorporeal carbon dioxide removal to avoid intubation in patients failing non-invasive ventilation – a cost analysis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","46"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Medizinische Klinik - Intensivmedizin und Notfallmedizin"],["dc.bibliographiccitation.lastpage","52"],["dc.bibliographiccitation.volume","114"],["dc.contributor.author","Neitzke, G."],["dc.contributor.author","Burchardi, H."],["dc.contributor.author","Duttge, G."],["dc.contributor.author","Hartog, C."],["dc.contributor.author","Erchinger, R."],["dc.contributor.author","Gretenkort, P."],["dc.contributor.author","Michalsen, A."],["dc.contributor.author","Mohr, M."],["dc.contributor.author","Nauck, F."],["dc.contributor.author","Salomon, F."],["dc.contributor.author","Stopfkuchen, H."],["dc.contributor.author","Weiler, N."],["dc.contributor.author","Janssens, U."],["dc.date.accessioned","2019-07-09T11:50:46Z"],["dc.date.available","2019-07-09T11:50:46Z"],["dc.date.issued","2018"],["dc.identifier.doi","10.1007/s00063-018-0514-y"],["dc.identifier.pmid","30506171"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/15997"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59827"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","2193-6226"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject.ddc","340"],["dc.title","Limits to the appropriateness of intensive care"],["dc.title.alternative","Policy statement of the German Interdisciplinary Association of Intensive Care and Emergency Medicine (DIVI)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["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"]]

[["dc.bibliographiccitation.artnumber","R69"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","CRITICAL CARE"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Moerer, Onnen"],["dc.contributor.author","Plock, Enno"],["dc.contributor.author","Mgbor, Uchenna"],["dc.contributor.author","Schmid, Alexandra"],["dc.contributor.author","Schneider, Heinz"],["dc.contributor.author","Wischnewsky, Manfred Bernd"],["dc.contributor.author","Burchardi, Hilmar"],["dc.date.accessioned","2018-11-07T11:06:21Z"],["dc.date.available","2018-11-07T11:06:21Z"],["dc.date.issued","2007"],["dc.description.abstract","Background: Intensive Care Unit ( ICU) costs account for up to 20% of a hospitals costs. We aimed to analyse the individual patient related cost of intensive care at various hospital levels and different groups of disease. Methods: Data from 51 ICUs all over Germany ( 15 primary care ( pcH) and 14 general care ( gcH), 10 maximal care ( mcH) and 12 focused care hospitals ( fcH), were collected in a observational, cross-sectional one day point prevalence study by two external study physicians ( January-October 2003). All ICU patients ( length of stay ( LOS) >24 hours) treated on the study day were included. Reason for admission, severity of illness, surgical/diagnostic procedures, resource consumption, ICU/hospital LOS, outcome and ICU staffing structure were documented. Results: Altogether 453 patients were included. ICU ( hospital) mortality: 12.1% ( 15.7%). Reason for admission and the severity of illness differed between hospital level of care with a higher amount of unscheduled surgical procedures and patients needing mechanical ventilation in mcH and fcH facilities. Mean total costs per day were ()791 pound +/- 305 ( pcH ()685 pound +/- 234, gcH ()672 pound +/- 199, fcH ()816 pound +/- 363, mcH ()923 pound +/- 306) with the highest cost in septic patients ( ()1,090 pound +/- 422). Differences were associated with: staffing, amount of prescribed drugs/blood products and diagnostic procedures. Conclusions: Reason for admission, severity of illness and the occurrence of severe sepsis are directly related to the height of ICU cost. A high fraction of costs result from staffing ( up to 62%). Specialized and maximum care hospitals treat a higher proportion of the more severely ill and most expensive patients."],["dc.identifier.doi","10.1186/cc5952"],["dc.identifier.isi","000247722900018"],["dc.identifier.pmid","17594475"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?goescholar/1250"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/52288"],["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","A German national prevalence study on the cost of ICU care: an evaluation from 51 ICUs"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]