Burchardi, Hilmar

[["dc.bibliographiccitation.firstpage","53"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Medizinische Klinik - Intensivmedizin und Notfallmedizin"],["dc.bibliographiccitation.lastpage","55"],["dc.bibliographiccitation.volume","114"],["dc.contributor.author","Janssens, U."],["dc.contributor.author","Lücking, K. M."],["dc.contributor.author","Böll, B."],["dc.contributor.author","Burchardi, H."],["dc.contributor.author","Dannenberg, K."],["dc.contributor.author","Duttge, G."],["dc.contributor.author","Erchinger, R."],["dc.contributor.author","Gretenkort, P."],["dc.contributor.author","Hartog, C."],["dc.contributor.author","Jöbges, S."],["dc.contributor.author","Knochel, K."],["dc.contributor.author","Liebig, M."],["dc.contributor.author","Meier, S."],["dc.contributor.author","Michalsen, A."],["dc.contributor.author","Michels, G."],["dc.contributor.author","Mohr, M."],["dc.contributor.author","Nauck, F."],["dc.contributor.author","Radke, P."],["dc.contributor.author","Rogge, A."],["dc.contributor.author","Salomon, F."],["dc.contributor.author","Seidlein, A.-H."],["dc.contributor.author","Stopfkuchen, H."],["dc.contributor.author","Neitzke, G."],["dc.date.accessioned","2020-12-10T14:07:59Z"],["dc.date.available","2020-12-10T14:07:59Z"],["dc.date.issued","2018"],["dc.identifier.doi","10.1007/s00063-018-0509-8"],["dc.identifier.eissn","2193-6226"],["dc.identifier.issn","2193-6218"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/70348"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-354"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Ergänzung des Dokumentationsbogens „Therapiebegrenzung“ unter Berücksichtigung eines möglichen Organspendewunsches"],["dc.title.alternative","Amendment to the documentation of decisions to withhold or withdraw life-sustaining therapies in consideration of wish to donate organs. Recommendation of the Ethics Section and the Organ Donation and Transplantation Section of the German Interdisciplinary Association of Critical Care and Emergency Medicine (DIVI) in collaboration with the Ethics Section of the German Society of Medical Intensive Care Medicine and Emergency Medicine (DGIIN)"],["dc.title.subtitle","Empfehlung der Sektion Ethik sowie der Sektion Organspende und Organtransplantation der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin (DIVI) unter Mitarbeit der Sektion Ethik der Deutschen Gesellschaft für Internistische Intensivmedizin und Notfallmedizin (DGIIN)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["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.issue","12"],["dc.bibliographiccitation.journal","Critical Care Medicine"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Hinz, Jose Maria"],["dc.contributor.author","Neumann, P."],["dc.contributor.author","Hahn, G."],["dc.contributor.author","Dudykevych, T."],["dc.contributor.author","Hellige, Gerhard"],["dc.contributor.author","Burchardi, Hilmar"],["dc.date.accessioned","2018-11-07T11:20:41Z"],["dc.date.available","2018-11-07T11:20:41Z"],["dc.date.issued","2001"],["dc.format.extent","A84"],["dc.identifier.isi","000172920900273"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/55599"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Lippincott Williams & Wilkins"],["dc.publisher.place","Philadelphia"],["dc.relation.issn","0090-3493"],["dc.title","Regional pulmonary pressure volume curves by electrical impedance tomography"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","47"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Medizinische Klinik - Intensivmedizin und Notfallmedizin"],["dc.bibliographiccitation.lastpage","52"],["dc.bibliographiccitation.volume","108"],["dc.contributor.author","Janssens, Uwe"],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Duttge, Gunnar"],["dc.contributor.author","Erchinger, R."],["dc.contributor.author","Gretenkort, P."],["dc.contributor.author","Mohr, M."],["dc.contributor.author","Nauck, F."],["dc.contributor.author","Rothaermel, S."],["dc.contributor.author","Salomon, F."],["dc.contributor.author","Schmucker, P."],["dc.contributor.author","Simon, Alfred"],["dc.contributor.author","Stopfkuchen, H."],["dc.contributor.author","Valentin, A."],["dc.contributor.author","Weiler, Norbert"],["dc.contributor.author","Neitzke, G."],["dc.date.accessioned","2018-11-07T09:28:33Z"],["dc.date.available","2018-11-07T09:28:33Z"],["dc.date.issued","2013"],["dc.description.abstract","The task of physicians is to maintain life, to protect and re-establish health as well as to alleviate suffering and to accompany the dying until death, under consideration of the self-determination rights of patients. Increasingly more and differentiated options for this are becoming available in intensive care medicine. Within the framework of professional responsibility physicians must decide which of the available treatment options are indicated. This process of decision-making is determined by answering the following question: when and under which circumstances is induction or continuation of intensive care treatment justified? In addition to the indications, the advance directive of the patient is the deciding factor. Medical indications represent a scientifically based estimation that a therapeutic measure is suitable in order to achieve a defined therapy target with a given probability. The ascertainment of the patient directive is achieved in a graded process depending on the state of consciousness of the patient. The present article offers orientation assistance to physicians for these decisions which are an individual responsibility."],["dc.identifier.doi","10.1007/s00063-012-0190-2"],["dc.identifier.isi","000314778200010"],["dc.identifier.pmid","23400382"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/30804"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","2193-6218"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Change in therapy target and therapy limitations in intensive care medicine. Position paper of the Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["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.firstpage","1194"],["dc.bibliographiccitation.issue","16-17"],["dc.bibliographiccitation.journal","Clinical Biochemistry"],["dc.bibliographiccitation.lastpage","1200"],["dc.bibliographiccitation.volume","40"],["dc.contributor.author","Dresing, Klaus"],["dc.contributor.author","Armstrong, Victor William"],["dc.contributor.author","Leip, Casper-Lennart"],["dc.contributor.author","Streit, Frank"],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Stuermer, Klaus-Michael"],["dc.contributor.author","Oellerich, Michael"],["dc.date.accessioned","2018-11-07T10:55:48Z"],["dc.date.available","2018-11-07T10:55:48Z"],["dc.date.issued","2007"],["dc.description.abstract","Objectives: The aim was to investigate the outcome MODS/MOF in critically ill patients with regard to early hepatic dysfunction. Methods: Thirty adult polytrauma patients admitted to the ICU, with ISS >= 16 were prospectively investigated. Real-time liver function was assessed using the MEGX test and arterial ketone body ratio (AKBR) 12-24 h after admittance to ICU, and on days 3, 5, 8, 12. Results: Six patients (19%) died between days 4 and 29. Non-survivors were older (64.2 vs. 31.5 years), had a significantly higher ISS (40.5 vs. 30; p=0.002) and MODS score (9.5 vs. 5; p=0.001) on admittance to the ICU than survivors. On day 3 MEGX values (31 vs. 71.3 mu g/L; p=0.001) and the AKBRs (0.6 vs. 1.3; p=0.001) were significantly lower in non-survivors than in survivors whereas IL-6 levels were significantly higher in the former group (519 vs. 61 mu g/L; p = 0.05). Conclusions: The MEGX test and AKBR are sensitive early indicators of hepatic dysfunction in severely injured polytrauma patients at risk for developing MODS/MOF. (C) 2007 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved."],["dc.identifier.doi","10.1016/j.clinbiochem.2007.06.013"],["dc.identifier.isi","000250605200004"],["dc.identifier.pmid","17707362"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/49869"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Pergamon-elsevier Science Ltd"],["dc.relation.issn","0009-9120"],["dc.title","Real-time assessment of hepatic function is related to clinical outcome in critically ill patients after polytrauma"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","314"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","CHEST Journal"],["dc.bibliographiccitation.lastpage","322"],["dc.bibliographiccitation.volume","124"],["dc.contributor.author","Hinz, Jose Maria"],["dc.contributor.author","Neumann, P."],["dc.contributor.author","Dudykevych, T."],["dc.contributor.author","Andersson, L. G."],["dc.contributor.author","Wrigge, Hermann"],["dc.contributor.author","Burchardi, Hilmar"],["dc.contributor.author","Hedenstierna, G."],["dc.date.accessioned","2018-11-07T10:37:54Z"],["dc.date.available","2018-11-07T10:37:54Z"],["dc.date.issued","2003"],["dc.description.abstract","Study objective: The validation of electrical impedance tomography (EIT) for measuring regional ventilation distribution by comparing it with single photon emission CT (SPECT) scanning. Design: Randomized, prospective animal study. Settings: Animal laboratories and nuclear medicine laboratories at a university hospital. Participants: Twelve anesthetized and mechanically ventilated pigs. Interventions: Lung injury was induced by central venous injection of oleic acid. Then pigs were randomized to pressure-controlled mechanical ventilation, airway pressure-release ventilation, or spontaneous breathing. Measurements and results: Ventilation distribution was assessed by EIT using cross-sectional electrotomographic measurements of the thorax, and simultaneously by single SPECT scanning with the inhalation of Tc-99m-labeled carbon particles. For both methods, the evaluation of ventilation distribution was performed in the same transverse slice that was approximately 4 cm in thickness. The transverse slice then was divided into 20 coronal segments (going from the sternum to the spine). We compared the percentage of ventilation in each segment, normalized to the entire ventilation in the observed slice. Our data showed an excellent linear correlation between the ventilation distribution measured by SPECT scanning and EIT according to the following equation: y = 0.82x + 0.7,(R-2 = 0.92; range, 0.86 to 0.97). Conclusion: Based on these data, EIT seems to allow, at least in comparable states of lung injury, real-time monitoring of regional ventilation distribution at the bedside."],["dc.identifier.doi","10.1378/chest.124.1.314"],["dc.identifier.isi","000184167000049"],["dc.identifier.pmid","12853539"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/45678"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Amer Coll Chest Physicians"],["dc.relation.issn","0012-3692"],["dc.title","Regional ventilation by electrical impedance tomography - A comparison with ventilation scintigraphy in pigs"],["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","27"],["dc.contributor.author","Moeter, O."],["dc.contributor.author","Burchardi, Hilmar"],["dc.date.accessioned","2018-11-07T08:42:22Z"],["dc.date.available","2018-11-07T08:42:22Z"],["dc.date.issued","2001"],["dc.format.extent","S208"],["dc.identifier.isi","000171249400286"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/19681"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","New york"],["dc.relation.issn","0342-4642"],["dc.title","Cost profiles of direct variable costs in ICU patients"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]