{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T10:12:44Z","timestamp":1774779164026,"version":"3.50.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100005713","name":"Technische Universit\u00e4t M\u00fcnchen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005713","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":[[2025,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>\n                    Insgesamt 1391 Patienten stellten sich in den Jahren 2019\u20132022 in der Notaufnahme des Klinikums rechts der Isar der Technischen Universit\u00e4t M\u00fcnchen mit der Hauptdiagnose Synkope vor. In dieser Studie wurden diejenigen Patienten analysiert, die sich in einer interdisziplin\u00e4ren Notaufnahme vorgestellt haben. Patienten, die \u00fcber den Schockraum oder \u00fcber die Chest Pain Unit aufgenommen wurden, sind in diesem Kollektiv nicht enthalten. Ziel dieser monozentrischen retrospektiven Studie ist die Charakterisierung im Hinblick auf Nebendiagnosen und Laborparametern. Besonderer Fokus lag hierbei auf der Differenzierung zwischen station\u00e4ren (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u2009190; 13,7\u202f%) und ambulanten (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u20091201; 86,3\u202f%) Patienten. Die h\u00e4ufigsten Nebendiagnosen waren Kopfverletzung (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u2009188; 13,5\u202f%), Infektion (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u2009126; 9,1\u202f%), sonstige Verletzung des K\u00f6rpers (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u2009124; 8,9\u202f%), neurologische Erkrankung (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u200985; 6,1\u202f%), rhythmogene Herzinsuffizienz (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u200976; 5,5\u202f%), kardiovaskul\u00e4re Risikofaktoren (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u200975; 5,4\u202f%), metabolische\/nephrologische Erkrankung (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u200969; 5,0\u202f%) und strukturelle Herzerkrankungen (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u200968; 4,9\u202f%). Operative Interventionen erfolgten mittels Herzkatheter (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u200916; 1,2\u202f%), perkutaner Koronarintervention (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u200915; 1,1\u202f%) und Schrittmacher\/Defibrillator\/Ereignisrekorder (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u200912; 0,9\u202f%). Patienten, die station\u00e4r versorgt wurden, wiesen im Vergleich zu ambulanten Patienten im Durchschnitt deutlich mehr Nebendiagnosen (3,5 vs. 0,3) und h\u00f6here Inzidenzen pathologischer Laborparameter auf. H\u00e4ufigere Nebendiagnosen bei station\u00e4ren Patienten waren kardiovaskul\u00e4re Risikofaktoren (37,9\u202f% vs. 0,2\u202f%), rhythmogene Herzinsuffizienz (35,3\u202f% vs. 0,7\u202f%), Infektion (57,9\u202f% vs. 1,3\u202f%) und Lungenerkrankung (6,3\u202f% vs. 0,2\u202f%). Bei station\u00e4ren Patienten zeigten sich h\u00e4ufig abnormale Blutwerte wie erh\u00f6hte Laborparameter f\u00fcr \u201ehigh sensitive\u201c (hs) Troponin T (58,8\u202f% vs. 25,7\u202f%), Kreatinin (36,2\u202f% vs. 14,8\u202f%) und Leukozyten (43,4\u202f% vs. 36,3\u202f%) sowie erniedrigte Werte f\u00fcr H\u00e4moglobin (33,3\u202f% vs. 16,0\u202f%), Kalium (5,3\u202f% vs. 1,2\u202f%) und Natrium (2,1\u202f% vs. 0,6\u202f%).\n                  <\/jats:p>","DOI":"10.1007\/s00063-024-01241-w","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T12:36:30Z","timestamp":1738931790000},"page":"661-668","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Charakterisierung der Patienten mit Synkope in der Notaufnahme\u00a0\u2013 Nebendiagnosen und Laborparameter bei station\u00e4rer und ambulanter Versorgung","Characterization of patients with syncope in the emergency department\u2014secondary diagnoses and laboratory parameters of inpatients versus outpatients"],"prefix":"10.1007","volume":"120","author":[{"given":"Aaron","family":"Becker von Rose","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Patenge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Haller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niel","family":"Mehraein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Schmid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Pf\u00f6rringer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2152-1344","authenticated-orcid":false,"given":"Michael","family":"Dommasch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"1241_CR1","volume-title":"Synkopen, S1-Leitlinie, 2020","author":"RR Diehl","year":"2020","unstructured":"Diehl\u00a0RR, Hilz\u00a0MJ, Steinhoff\u00a0B (2020) Synkopen, S1-Leitlinie, 2020"},{"issue":"21","key":"1241_CR2","doi-asserted-by":"publisher","first-page":"1883","DOI":"10.1093\/eurheartj\/ehy037","volume":"39","author":"M Brignole","year":"2018","unstructured":"Brignole\u00a0M et\u00a0al (2018) 2018 ESC Guidelines for the diagnosis and management of syncope. 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Da es sich um eine retrospektive Studie handelt und alle Daten anonymisiert verarbeitet wurden, war keine Einverst\u00e4ndniserkl\u00e4rung der Studienteilnehmer erforderlich.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}