{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:50:57Z","timestamp":1761767457400,"version":"build-2065373602"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Klin Intensivmed Notfmed"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die chronisch-habituelle Fremdk\u00f6rperingestion (chFI) bei Erwachsenen stellt eine seltene, aber klinisch relevante Herausforderung in der Notfallmedizin dar. Wiederholte Vorstellungen, hoher Ressourcenverbrauch und ein interdisziplin\u00e4rer Behandlungsbedarf erschweren die Versorgung. Systematische Daten zur aktuellen Versorgungsrealit\u00e4t in deutschen Notaufnahmen fehlen bislang.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Erfassung von H\u00e4ufigkeit, Ressourceneinsatz und Versorgungsdefiziten im Umgang mit der chFI aus Sicht \u00e4rztlicher Notaufnahmeleitungen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Bundesweite anonyme Online-Befragung \u00e4rztlicher Leitungen deutscher Notaufnahmen mit standardisiertem Fragebogen. Erfasst wurden strukturelle, klinische und organisatorische Aspekte der Versorgung. Die Auswertung erfolgte deskriptiv. Freitextantworten wurden mittels induktiver Kategorienbildung analysiert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Von 1081 versendeten E\u2011Mail-Einladungen konnten 831 (77\u202f%) zugestellt werden; 167 Einrichtungen nahmen an der Befragung teil (R\u00fccklaufquote 20\u202f%). 45\u202f% berichteten von \u2265\u202f15 Vorstellungen von Patienten mit chFI pro Jahr. Eine Endoskopie erfolgte in 88\u202f% der F\u00e4lle als Notfallma\u00dfnahme, zumeist au\u00dferhalb der Regelarbeitszeit. Neben Notaufnahme und Endoskopie waren h\u00e4ufig auch Intensivmedizin (47\u202f%) und Psychiatrie (34\u202f%) eingebunden. In 66\u202f% der F\u00e4lle erfolgte eine Weiterversorgung in einer psychiatrischen Klinik oder Station. Als zentrale Verbesserungsans\u00e4tze wurden eine fr\u00fchzeitige psychiatrische Anbindung, klare Indikationskriterien f\u00fcr die Endoskopie und eine strukturierte interdisziplin\u00e4re Zusammenarbeit benannt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die chFI stellt eine relevante notfallmedizinische Herausforderung dar. Wiederholte Vorstellungen und fehlende interdisziplin\u00e4re Behandlungsstandards verdeutlichen den Bedarf an standardisierten Versorgungspfaden mit verbindlicher psychiatrischer Integration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00063-025-01339-9","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T15:04:30Z","timestamp":1761145470000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Chronisch-habituelle Fremdk\u00f6rperingestion in deutschen Notaufnahmen\u00a0\u2013 Ergebnisse einer bundesweiten Befragung \u00e4rztlicher Notaufnahmeleitungen","Chronic habitual foreign body ingestion in German emergency departments\u2014Results of a\u00a0nationwide survey of medical emergency department heads"],"prefix":"10.1007","author":[{"given":"Anna-Lena","family":"Weber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyleen","family":"Besser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meike","family":"Kempf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Mausbach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bodo","family":"Warrings","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Ziegenbein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Weismann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5088-9931","authenticated-orcid":false,"given":"Torben","family":"Brod","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"issue":"50","key":"1339_CR1","doi-asserted-by":"publisher","first-page":"869","DOI":"10.3238\/arztebl.2012.0869","volume":"109","author":"P Ambe","year":"2012","unstructured":"Ambe\u00a0P, Weber\u00a0SA, Schauer\u00a0M, Knoefel\u00a0WT (2012) Swallowed foreign bodies in adults. dtsch Arztebl Int 109(50):869\u2013875. https:\/\/doi.org\/10.3238\/arztebl.2012.0869","journal-title":"dtsch Arztebl Int"},{"issue":"5","key":"1339_CR2","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1055\/s-0042-100456","volume":"48","author":"M Birk","year":"2016","unstructured":"Birk\u00a0M, Bauerfeind\u00a0P, Deprez\u00a0PH et\u00a0al (2016) Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. 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Mit Ausnahme der Postleitregion sowie der Versorgungsstufe der Notaufnahme wurden keine pers\u00f6nlichen oder demografischen Daten erhoben, die einen R\u00fcckschluss auf die teilnehmende Person oder Institution erm\u00f6glichen w\u00fcrden.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}