{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:10:37Z","timestamp":1790935837384,"version":"4.1.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T00:00:00Z","timestamp":1649635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T00:00:00Z","timestamp":1649635200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012681","name":"Universit\u00e4tsklinikum K\u00f6ln","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012681","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Klin Intensivmed Notfmed"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Bisher fehlen Versorgungsdaten f\u00fcr Patienten mit Liegetrauma (LT).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methode<\/jats:title>\n                <jats:p>Deskriptive retrospektive Analyse aller rettungsdienstlich mit einem LT der Notaufnahme des Universit\u00e4tsklinikums K\u00f6ln von 07.2018 bis 12.2020 zugef\u00fchrten Patienten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnis<\/jats:title>\n                <jats:p>Insgesamt konnten 50\u00a0Patienten mit LT (Altersmedian 76\u00a0Jahre, Liegedauer im Median 13,5\u202fh) im Untersuchungszeitraum identifiziert werden. Die zugrunde liegende Ursache f\u00fcr das LT war in 40\u202f% prim\u00e4r neurologisch (isch\u00e4mischer Schlaganfall: 20\u202f%, intrakranielle Blutung: 16\u202f%, Epilepsie: 4\u202f%), in 12\u202f% eine Intoxikation und in 10\u202f% ein h\u00e4usliches Trauma. H\u00e4ufige assoziierte Diagnosen waren Infektionen (52\u202f%), Traumafolgen (22\u202f%), Exsikkose (66\u202f%), akute Nierenfunktionsst\u00f6rung (20\u202f%), schwere Rhabdomyolyse (Kreatininkinase \u2265\u202f5000\u202fU\/l, 21\u202f%) und schwere Hypothermie &lt;\u202f32\u202f\u00b0C (20\u202f%). Insgesamt wurden 69\u202f% der Patienten auf einer Intensivstation aufgenommen und die Krankenhausletalit\u00e4t betrug 50\u202f%.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Das LT beschreibt einen Patientenzustand, bei dem infolge vielf\u00e4ltiger Ursachen pl\u00f6tzlich die eigenst\u00e4ndige Mobilisierung und ein selbstst\u00e4ndiges Hilfeholen verhindert werden und dadurch weitere Gesundheitssch\u00e4den entstehen. Bei diesem Syndrom sind Gewebssch\u00e4den als Folge des Liegens keine notwendige Voraussetzung f\u00fcr das Vorliegen eines LT. Aufgrund der hohen Morbidit\u00e4t und Letalit\u00e4t sollten diese Patienten in einem nichttraumatologischen Schockraum aufgenommen werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00063-022-00912-w","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T07:04:02Z","timestamp":1649660642000},"page":"220-227","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Liegetrauma: retrospektive Analyse einer Patientenkohorte aus einer universit\u00e4ren Notaufnahme","\u201cLong lie trauma\u201d patients: retrospective analysis of a\u00a0patient cohort presenting to a university hospital emergency department"],"prefix":"10.1007","volume":"118","author":[{"given":"Christoph","family":"H\u00fcser","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Hackl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Su\u00e1rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Gr\u00e4ff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bernhard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Burst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2879-3837","authenticated-orcid":false,"given":"Christoph","family":"Adler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,4,11]]},"reference":[{"issue":"2","key":"912_CR1","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1007\/s00101-013-2258-7","volume":"63","author":"M Bernhard","year":"2014","unstructured":"Bernhard\u00a0M, Ramshorn-Zimmer\u00a0A, Hartwig\u00a0T et al (2014) Schockraummanagement kritisch erkrankter Patienten. 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