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Im Vergleich zur Alterstraumatologie existieren hierbei in Deutschland jedoch noch keine etablierten orthogeriatrischen Versorgungsmodelle und daher kaum wissenschaftliche Daten. Ziel dieser Studie war die Darstellung des Risiko- und Komplikationsprofils bei \u00e4lteren Patienten mit elektivem H\u00fcft- und Kniegelenkersatz.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodik<\/jats:title>\n                    <jats:p>Im Rahmen einer prospektiven Studie wurden Daten orthogeriatrischer Patienten mit Indikation zur elektiven H\u00fcft- und Knietotalendoprothese  nach Erf\u00fcllung definierter Ein- und Ausschlusskriterien im Zeitraum zwischen Januar 2021 und August 2023 in der Orthop\u00e4die eines deutschen Universit\u00e4tsklinikums zur deskriptiven Analyse eines Risiko- und Komplikationsprofils erhoben. Neben einer pr\u00e4- und perioperativen Datenanalyse erfolgten Nachbeobachtungen 4 bis 6\u00a0Wochen und 3\u00a0Monate postoperativ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Das operative Risikoprofil des untersuchten Patientenguts zeichnete sich durch hohes Alter (78,4\u202f\u00b1\u20094,8\u00a0Jahre), Pr\u00e4\u2011\/Adipositas (76\u202f%), Multimorbidit\u00e4t (7,4\u202f\u00b1\u20093,1\u00a0Komorbidit\u00e4ten), Polypharmazie (7,5\u202f\u00b1\u20093,8\u00a0Pr\u00e4parate), Immobilit\u00e4t (Short Physical Performance Battery 7,1\u202f\u00b1\u20092,6), Pre\u2011\/Frailty (87\u202f%), h\u00e4ufige Antikoagulation (22\u202f%) und hohe Anzahl an potenziell inad\u00e4quater Medikation (64\u202f%) aus. Komplikationsereignisse traten v.\u202fa. innerhalb der ersten 7\u00a0Tage postoperativ auf. Etwa 90\u202f% der Ereignisse innerhalb dieses Erfassungszeitraumes beliefen sich auf \u201eMinor\u201c-Komplikationen. Im weiteren Verlauf sank die Gesamtkomplikationsrate deutlich.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Aufgrund des hohen Risiko- und Komplikationsprofils sollte zuk\u00fcnftig der routinem\u00e4\u00dfige Einsatz orthogeriatrischer Co-Management-Modelle bei elektiven orthop\u00e4dischen Eingriffen gepr\u00fcft werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphic abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s00391-024-02295-3","type":"journal-article","created":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T07:03:40Z","timestamp":1713510220000},"page":"115-122","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Risiko- und Komplikationsprofil orthogeriatrischer Patienten bei elektivem H\u00fcft- und Kniegelenkersatz","Risk and complication profiles of orthogeriatric patients in elective hip and knee joint replacement"],"prefix":"10.1007","volume":"58","author":[{"given":"Tobias","family":"Kappenschneider","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcnther","family":"Maderbacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Pagano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Reinhard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Michalk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Grifka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik Emanuel","family":"Holzapfel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,19]]},"reference":[{"issue":"5","key":"2295_CR1","doi-asserted-by":"publisher","first-page":"366","DOI":"10.2471\/BLT.17.204891","volume":"96","author":"AM Briggs","year":"2018","unstructured":"Briggs\u00a0AM, Woolf\u00a0AD, Dreinh\u00f6fer\u00a0K et\u00a0al (2018) Reducing the global burden of musculoskeletal conditions. 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Von allen beteiligten Patient\/-innen liegt eine Einverst\u00e4ndniserkl\u00e4rung vor. Datengrundlage der Studie ist das Modellprojekt \u201eSpezielle Orthop\u00e4dische Geriatrie (SOG)\u201c, welches im Deutschen Register Klinischer Studien (DRKS) des Bundesinstituts f\u00fcr Arzneimittel und Medizinprodukte (BfArM) sowie auf der Registerplattform f\u00fcr internationale klinische Studien der Weltgesundheitsorganisation (WHO) unter der ID DRKS00024102 registriert wurde.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}