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Zur Vermeidung von Blutungen und Verk\u00fcrzung der Liegedauer gewinnen ven\u00f6se Nahtverschlusssysteme an Bedeutung. Ziel war die quantitative Bewertung des Einflusses von Nahtverschlusssystemen, tagesstation\u00e4rer Abrechnung und fr\u00fcher Entlassung aus dem Aufwachraum (AWR) auf \u00f6konomische Kennzahlen, patientenbezogene Endpunkte und Personalauslastung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Basierend auf Daten der STYLE-AF-Studie wie Verweildauer im AWR, Blutungen in der Leiste und weiteren Outcomeparametern, erg\u00e4nzt durch Experteninterviews und Literatur, wurden mittels Simulationsstudie und realer Implementierung Szenarien analysiert: Einsatz von Nahtverschlusssystemen, tagesstation\u00e4re Abrechnung, fr\u00fche AWR-Entlassung und deren Kombinationen. Prim\u00e4re Endpunkte waren die Zeitersparnis im AWR sowie die Ver\u00e4nderung der Leistenblutungswahrscheinlichkeit, respektive Patientenkomfortgewinne \u00fcber QALYs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Die alleinige Nutzung von Nahtverschlusssystemen f\u00fchrte zu 6,5\u202f% mehr F\u00e4llen und einem Zugewinn von 0,0034 Quality-Adjusted Life Years (QALYs) pro Patient:in. Kombiniert mit tagesstation\u00e4rer Abrechnung stieg der Deckungsbeitrag pro Fall um 415\u202f\u20ac. Ein Wechsel zur tagesstation\u00e4ren Abrechnung ohne Nahtverschlusssysteme ergab 388,80\u00a0\u20ac Mehrertrag, aber keinen QALY-Gewinn oder Personalentlastung. Die gr\u00f6\u00dfte Wirkung zeigte die Kombination aller Ma\u00dfnahmen: 25\u202f% h\u00f6here Fallzahlen, Deckungsbeitragssteigerung von 661,27\u00a0\u20ac pro Patient:in, bis zu 24\u202f% relative Personalentlastung im AWR und einen QALY-Zuwachs von 0,0034.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Nahtverschlusssysteme bringen, insbesondere in Kombination mit Prozessanpassungen und tagesstation\u00e4rer Abrechnung, erhebliche multidimensionale Vorteile f\u00fcr Wirtschaftlichkeit (Deckungsbeitrag), Ressourceneffizienz (Zeit im AWR) und Patientenoutcomes (QALYs \u00fcber reduzierte Leistenblutungen)\u00a0\u2013 abh\u00e4ngig von klinikindividuellen Rahmenbedingungen und konsequenter Umsetzung.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00399-025-01095-5","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T05:19:16Z","timestamp":1753161556000},"page":"69-78","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Einsatz von Nahtverschlusssystemen in der interventionellen Rhythmologie","Use of suture closure systems in interventional electrophysiology"],"prefix":"10.1007","volume":"37","author":[{"given":"Sorin \u0218tefan","family":"Popescu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Elsner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noemi","family":"Kucharz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie Zu","family":"Rhein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarissa","family":"Engewald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Pardey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland Richard","family":"Tilz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,22]]},"reference":[{"key":"1095_CR1","volume-title":"Herzstiftungs-Ratgeber: Informationen zu Herzkrankheiten, Diagnostik und Therapie","author":"Deutsche Herzstiftung","year":"2024","unstructured":"Deutsche Herzstiftung (2024) Herzstiftungs-Ratgeber: Informationen zu Herzkrankheiten, Diagnostik und Therapie. 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Die Autoren C.\u00a0Elsner, N.\u00a0Kucharz und V.Z.\u00a0Rhein haben den gesundheits\u00f6konomischen Teil der Studie im Rahmen eines kommerziellen Auftrags der Firma Abbott an PwC Deutschland begleitet. C.\u00a0Engewald und K.\u00a0Pardey geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Die Studie Style AF inkl. der Erhebung der \u00f6konomischen Parameter wurde von der Ethik Kommission der Uni zu L\u00fcbeck am 13.09.2022 unter dem Aktenzeichen 21-510 freigegeben. Dies inkludierte auch das Vorgehen zur Patientenaufkl\u00e4rung und der freiwilligen Teilnahme von Patienten.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}