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In der Summe stellt sie sowohl die Operateure als auch das deutsche Gesundheitssystem als Ganzes vor Herausforderungen. Zudem f\u00fchrt ein stetiges Ansteigen des BMI in der Bev\u00f6lkerung zu immer mehr adip\u00f6sen Patienten mit proximaler Femurfraktur, was dann durch komplexere Operationen, l\u00e4ngere Liegezeiten und eine wachsende Zahl postoperativer Komplikationen wiederum zu Herausforderungen f\u00fchrt.<\/jats:p><jats:p>Ziel der vorliegenden Arbeit ist es, den monet\u00e4ren Aspekt dieser Entwicklung zu beleuchten. Hierzu wurden retrospektiv 950 Patientenf\u00e4lle mit proximaler Femurfraktur analysiert. Hierbei konnte gezeigt werden, dass mit steigendem BMI h\u00f6here Kosten pro Fall entstanden (10.452\u202f\u20ac, 11.505\u202f\u20ac, 12.085\u202f\u20ac bzw. 13.681\u202f\u20ac f\u00fcr BMI &lt;\u202f18,5\u202fkg\/m<jats:sup>2<\/jats:sup>, BMI\u202f=\u200918,5\u201324,9\u202fkg\/m<jats:sup>2<\/jats:sup>, BMI\u202f=\u200925,0\u201329,9\u202fkg\/m<jats:sup>2<\/jats:sup> bzw. BMI \u2265\u202f30,0\u202fkg\/m<jats:sup>2<\/jats:sup>), da sowohl die Operationszeit als auch die Zeit des station\u00e4ren Aufenthalts relevant verl\u00e4ngert waren.<\/jats:p>","DOI":"10.1007\/s00113-022-01187-8","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T16:04:44Z","timestamp":1653321884000},"page":"449-455","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Analyse steigender Behandlungskosten bei erh\u00f6htem BMI von Patienten mit proximaler Femurfraktur","Analysis of rising treatment cost of elevated BMI in patients with proximal femoral fracture"],"prefix":"10.1007","volume":"126","author":[{"given":"Alexander","family":"Gutwerk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Cr\u00f6nlein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chlodwig","family":"Kirchhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Biberthaler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Pf\u00f6rringer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Braun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,23]]},"reference":[{"key":"1187_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-016-0291-2","author":"R Aigner","year":"2016","unstructured":"Aigner\u00a0R, Meier Fedeler\u00a0T, Eschbach\u00a0D, Hack\u00a0J, Bliemel\u00a0C, Ruchholtz\u00a0S, B\u00fccking\u00a0B (2016) Patient factors associated with increased acute care costs of hip fractures: a\u00a0detailed analysis of 402\u00a0patients. 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