{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:13:52Z","timestamp":1767140032835,"version":"build-2238731810"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T00:00:00Z","timestamp":1606521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T00:00:00Z","timestamp":1606521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Orthop\u00e4de"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die Patientenzahlen station\u00e4rer Versorgung von R\u00fcckenschmerzen steigen zunehmend, da die aktuellen Strukturen der ambulanten Versorgung den Bedarf nicht ad\u00e4quat decken k\u00f6nnen. Die Infrastruktur des Maximalversorgers sichert zwar einerseits eventuelle Notfallversorgungen und bildgebende Verfahren ab, ist aber andererseits nicht auf die Ersatzleistung f\u00fcr die ambulante Versorgung ausgerichtet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Analyse der Wiederaufnahmeraten station\u00e4r prim\u00e4r konservativ versorgter R\u00fcckenschmerzpatienten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methode<\/jats:title>\n                    <jats:p>In der retrospektiven Studie wurde an einer universit\u00e4ren orthop\u00e4dischen Klinik die Wiederaufnahmerate von R\u00fcckenschmerzpatienten innerhalb von 6\u00a0Monaten untersucht, die notfallm\u00e4\u00dfig station\u00e4r eingewiesen und dort prim\u00e4r konservativ behandelt wurden. Der Untersuchungszeitraum betrug 2\u00a0Jahre mit einer Nachbeobachtung von 6\u00a0Monaten. Es erfolgte die Auswertung von 413 Patienten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Nach prim\u00e4r konservativer station\u00e4rer Therapie wurden 17,9\u202f% der Patienten erneut station\u00e4r aufgenommen. Bis zur ersten Wiederaufnahme dauerte es 25 (\u00b133,25) Tage und bis zur zweiten weitere 25,9 (\u00b131,99) Tage. Rentner werden signifikant h\u00e4ufiger station\u00e4r aufgenommen, und in der Regel konservativ behandelt. 66,8\u202f% der Vorstellungen erfolgten notfallm\u00e4\u00dfig ohne Einweisungsschein.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die Wiederaufnahmen nach prim\u00e4rer konservativer station\u00e4rer Therapie sind relativ hoch. Bei straffem Management mit z\u00fcgigem diagnostischem Vorgehen und zielgerichteten Nachbehandlungsstrategien kann die R\u00fcckf\u00fchrung des Patienten in die ambulante Versorgung in den meisten F\u00e4llen realisiert werden. Wiederaufnahmen erfolgen zur operativen Versorgung, oder aber ungeplant bei gescheiterter konservativer, ambulanter Therapie.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00132-020-04043-y","type":"journal-article","created":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T08:02:43Z","timestamp":1606550563000},"page":"402-409","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Wiederaufnahmeraten von R\u00fcckenschmerzpatienten an einer Universit\u00e4tsklinik nach prim\u00e4r konservativer station\u00e4rer Therapie","Readmission rates of back pain patients after primarily conservative inpatient treatment at a university hospital"],"prefix":"10.1007","volume":"50","author":[{"given":"Florian","family":"Ihde","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Lenz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfram","family":"Mittelmeier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin","family":"Osmanski-Zenk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,11,28]]},"reference":[{"key":"4043_CR1","doi-asserted-by":"publisher","unstructured":"Bundes\u00e4rztekammer (B\u00c4K), Kassen\u00e4rztliche Bundesvereinigung (KBV), A. der W. M. F. (AWMF). Nationale VersorgungsLeitlinie Nicht-spezifischer Kreuzschmerz \u2013 Langfassung, 2.\u00a0Auflage. Version 1. (2017). https:\/\/doi.org\/10.6101\/AZQ\/000353","DOI":"10.6101\/AZQ\/000353"},{"key":"4043_CR2","unstructured":"Bundesministerium f\u00fcr Gesundheit (2016) GKV-Versorgungsst\u00e4rkungsgesetz. http:\/\/www.bundesgesundheitsministerium.de\/themen\/krankenversicherung\/gkv-versorgungsstaerkungsgesetz.html. Zugegriffen: 8. M\u00e4rz 2017"},{"key":"4043_CR3","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1055\/s-0042-120316","volume":"05","author":"J Finklenburg","year":"2016","unstructured":"Finklenburg\u00a0J, Sch\u00e4fer\u00a0W (2016) Kostendeckung Notfallambulanzen Welche Probleme und L\u00f6sungsans\u00e4tze gibt es? Orthop Unfallchir Mitt Nachr 05:620\u2013621","journal-title":"Orthop Unfallchir Mitt Nachr"},{"key":"4043_CR4","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1007\/s00103-002-0516-y","volume":"46","author":"T Kohlmann","year":"2003","unstructured":"Kohlmann\u00a0T (2003) Die Chronifizierung von R\u00fcckenschmerzen. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 46:327\u2013335","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"key":"4043_CR5","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1097\/00007632-200001150-00015","volume":"25","author":"C Leboeuf-Yde","year":"2000","unstructured":"Leboeuf-Yde\u00a0C (2000) Body weight and low back pain. A systematic literature review of 56 journal articles reporting on 65 epidemiologic studies. Spine 25:226\u2013237","journal-title":"Spine"},{"key":"4043_CR6","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1055\/s-2005-858701","volume":"67","author":"H Neuhauser","year":"2005","unstructured":"Neuhauser\u00a0H, Ellert\u00a0U, Ziese\u00a0T (2005) Chronische R\u00fcckenschmerzen in der Allgemeinbev\u00f6lkerung in Deutschland 2002\/2003: Pr\u00e4valenz und besonders betroffene Bev\u00f6lkerungsgruppen. Gesundheitswesen 67:685\u2013693","journal-title":"Gesundheitswesen"},{"issue":"14","key":"4043_CR7","first-page":"927","volume":"103","author":"NC N\u00fcssler","year":"2006","unstructured":"N\u00fcssler\u00a0NC, Schmidt-Sch\u00f6nthal\u00a0C, N\u00fcssler\u00a0AK, Langrehr\u00a0JM, Kaiser\u00a0U, Neuhaus\u00a0P, Lohmann\u00a0R (2006) Mehr Wiederaufnahmen nach Krankenhausentlassung am Freitag. Dtsch Arztebl 103(14):A 927\u2013A 932","journal-title":"Dtsch Arztebl"},{"key":"4043_CR8","first-page":"772","volume":"9","author":"SP R\u00fcbenach","year":"2008","unstructured":"R\u00fcbenach\u00a0SP, Weinmann\u00a0J (2008) Haushalte und Lebensformen der Bev\u00f6lkerung. Wirtsch Stat 9:772\u2013783","journal-title":"Wirtsch Stat"},{"key":"4043_CR9","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1055\/s-0042-100729","volume":"79","author":"M Schmiedhofer","year":"2017","unstructured":"Schmiedhofer\u00a0M, Searle\u00a0J, Slagman\u00a0A, M\u00f6ckel\u00a0M (2017) Inanspruchnahme zentraler Notaufnahmen: Qualitative Erhebung der Motivation von Patientinnen und Patienten mit nichtdringlichem Behandlungsbedarf. Gesundheitswesen 79:835\u2013844","journal-title":"Gesundheitswesen"},{"key":"4043_CR10","doi-asserted-by":"publisher","first-page":"2005","DOI":"10.1097\/BRS.0b013e318133fad8","volume":"32","author":"CO Schmidt","year":"2007","unstructured":"Schmidt\u00a0CO et\u00a0al (2007) Back pain in the German adult population. Spine 32:2005\u20132011","journal-title":"Spine"},{"key":"4043_CR11","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1055\/s-2005-857880","volume":"67","author":"E Swart","year":"2005","unstructured":"Swart\u00a0E (2005) Was sagen uns Wiedereinweisungen \u00fcber die Qualit\u00e4t der station\u00e4ren Versorgung? Gesundheitswesen 67:101\u2013106","journal-title":"Gesundheitswesen"},{"key":"4043_CR12","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.zefq.2017.07.012","volume":"126","author":"F Tille","year":"2017","unstructured":"Tille\u00a0F, Gibis\u00a0B, Balke\u00a0K, Kuhlmey\u00a0A, Schnitzer\u00a0S (2017) Soziodemografische und gesundheitsbezogene Merkmale der Inanspruchnahme und des Zugangs zu haus- und fach\u00e4rztlicher Versorgung \u2013 Ergebnisse einer deutschlandweiten Bev\u00f6lkerungsbefragung von 2006 bis 2016. Z\u00a0Evid Fortbild Qual Gesundhwes 126:52\u201365","journal-title":"Z Evid Fortbild Qual Gesundhwes"}],"updated-by":[{"DOI":"10.1007\/s00132-021-04170-0","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000}}],"container-title":["Der Orthop\u00e4de"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00132-020-04043-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00132-020-04043-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00132-020-04043-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T02:04:29Z","timestamp":1633053869000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00132-020-04043-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,28]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["4043"],"URL":"https:\/\/doi.org\/10.1007\/s00132-020-04043-y","relation":{},"ISSN":["0085-4530","1433-0431"],"issn-type":[{"value":"0085-4530","type":"print"},{"value":"1433-0431","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,28]]},"assertion":[{"value":"28 November 2020","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 September 2021","order":2,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Erratum","order":3,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Zu diesem Beitrag wurde ein Erratum ver\u00f6ffentlicht:","order":4,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00132-021-04170-0","URL":"https:\/\/doi.org\/10.1007\/s00132-021-04170-0","order":5,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"F.\u00a0Ihde, R.\u00a0Lenz, W.\u00a0Mittelmeier und K.\u00a0Osmanski-Zenk geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}