A5102940412- Hip and Femur Fractures
- Bone health and osteoporosis research
- Chronic Disease Management Strategies
- Pelvic and Acetabular Injuries
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare cost, quality, practices
- COVID-19 and Mental Health
- Oral microbiology and periodontitis research
- Dental Health and Care Utilization
- Healthcare professionals’ stress and burnout
- Spinal Fractures and Fixation Techniques
- CAR-T cell therapy research
- Kidney Stones and Urolithiasis Treatments
- Suicide and Self-Harm Studies
- Healthcare Systems and Technology
- Pediatric Urology and Nephrology Studies
- Health disparities and outcomes
- Thermoregulation and physiological responses
- Thermal Regulation in Medicine
- Climate Change and Health Impacts
- Emergency and Acute Care Studies
- Nutrition and Health in Aging
- Patient Satisfaction in Healthcare
- Lymphoma Diagnosis and Treatment
Universität Hamburg
2022-2025
University Medical Center Hamburg-Eppendorf
2022-2025
Climate change affects the frequency and intensity of extreme heat cold events, which can have severe health repercussions. Therefore, we investigated effects ambient temperature on emergency care-associated morbidity, mortality, case severity in Germany. We analyzed all somatic admissions (EA) to German hospitals from 2010 2019. Using weather station data Meteorological Service, estimated immediate 28-day lagged (99th percentile mean temperature) (1st a two-stage time-series analysis using...
Abstract Background Orthogeriatric co-management (OGCM) has been proposed as care model for geriatric patients with fragility fractures. However, its impact on nursing home (NH) admissions following non-hip fractures is unclear. This study aims to assess the association between OGCM and probability of NH within 6 months in older other than hip. Methods retrospective cohort utilized nationwide insurance claims data from Germany (from years 2014–2018), covering individuals aged 80 or humerus,...
Abstract Background Effective care coordination may increase clinical efficiency, but its measurement remains difficult. The established metric “care density” (CD) measures based on patient-sharing among physicians, it be too rigid to generalize across disorders and countries. Therefore, we propose an extension called fragmented density (FCD), which allows varying weights for connections between different types of providers. We compare both metrics in their ability predict hospitalizations...
Zusammenfassung: Theoretischer Hintergrund: Psychische Störungen im Kindes- und Jugendalter sind ähnlich häufig wie Erwachsenenalter. Sie Schrittmacher für psychische Es besteht ein dringender Bedarf an niedrigschwelligen populationsbezogenen Maßnahmen zur Prävention Frühintervention, die alle Kinder Jugendlichen erreichen. Fragestellung: Ziel ist es, Konzept zu entwickeln, das evidenzbasierte Interventionen Implementierungsfaktoren zusammenführt, einer Verbesserung der Bedingungen...
Abstract Background Older people receiving home-based care (HBC) often face barriers to access preventive oral health (OHC) and dental treatments. Leading deterioration of their healthcare. It is further deteriorated by factors such as increasing burden systemic diseases, medicinal side effects, limited mobility, financial constraints lack professional OHC at home. also struggle maintain necessary daily hygiene, leading malnutrition, weight loss, a risk degradation. This cross-sectional...
Abstract Background Fractures are a major health problem in aging societies. Preventive approaches combining bone and fall prevention rare. The osteoporotic fracture program rural areas (OFRA) is care fund-driven for older people randomly selected districts Germany. components of the were falls exercise classes, examination by dual-energy X-ray absorptiometry (DXA) scan, consultation about “safety living environment.” aim this study was to evaluate complex preventive intervention routine...
Abstract Orthogeriatric co-management (OGCM) describes a collaboration of orthopedic surgeons and geriatricians for the treatment fragility fractures in geriatric patients. While its cost-effectiveness hip has been widely investigated, research focusing on upper extremities is lacking. Thus, we conducted health economic evaluation OGCM hospitals forearm humerus fractures. In retrospective cohort study with nationwide insurance claims data, selected first inpatient stay due to or fracture...
Introduction Older people in need of home care are at risk declining oral health as their visits to dentists becoming less frequent due restricted mobility. There is increasing evidence that poor and systemic diseases closely associated, for example, cardiological, metabolic or neurodegenerative conditions. Thus, Interaction Systemic Morbidity Oral Health Ambulatory Patients Need Home Care (InSEMaP) investigating the need, provision utilisation healthcare, morbidity clinical status cavity...
Abstract Purpose Major lockdowns were imposed in Germany from March until May 2020 and December 2021. We studied the influence of these lockdowns, strain on intensive care units strictness COVID-19-related containment strategies utilization mental health among patients with severe disorders. Methods used insurance claims data to identify n = 736,972 disorders shortly before pandemic 735,816 a year earlier. applied entropy balancing adjust for baseline differences by district. For 12-month...
Abstract Purpose Comparisons of ureteroscopy (URS), extracorporeal shockwave lithotripsy (SWL) and percutaneous nephrolithotomy (PCNL) for urolithiasis considering long-term follow-up are rare. We aimed to analyze re-intervention rates, costs sick leave days URS, SWL PCNL patients within 7 years. Methods This retrospective cohort study was based on German health insurance claims data. included 54,609 incidentally treated in 2008–2010. investigated time re-intervention, number healthcare...
In Germany, geriatricians deliver acute geriatric care during an hospital stay and subacute rehabilitation after transfer to a clinic. However, the proportion of patients who receive (AGC) or are transferred (TSR) differs considerably between hospitals. The aim this study was analyse association two treatment systems home admission mortality in following hip fracture.Health insurance claims data were used identify rate AGC per TSR fracture surgery aged ≥ 80 years. Outcomes cumulative within...
In this study, we assess how the first and second waves of COVID-19 pandemic influenced suicide risk patients with severe mental disorders in Germany.
Orthogeriatric co-management (OGCM) may provide benefits for geriatric fragility fracture patients in terms of more frequent osteoporosis treatment and fewer re-fractures. Yet, we did not find higher costs OGCM hospitals re-fractures or antiosteoporotic medication most sites within 12 months, although was often prescribed. Evidence suggests orthogeriatric hip patients. evidence other fractures is rare. The aim our study to conduct an evaluation economic health outcomes after the German This...
Abstract Background In Germany, geriatricians deliver acute geriatric care during hospital stay and post-acute rehabilitation after transfer to a clinic. The rate patients receive (AGC) or are transferred (TPR) differs between hospitals. This study analyses the association two treatment systems (AGC, TPR) second hip fracture in following an index fracture. Methods Nationwide health insurance data used identify of AGC TPR per surgery aged ≥ 80 years. Outcomes discharge within 180 360 days new...
Abstract Background Orthogeriatric co-management (OGCM) addresses the special needs of geriatric fracture patients. Most research on OGCM focused hip fractures while results concerning other severe are rare. We conducted a health-economic evaluation for pelvic and vertebral fractures. Methods In this retrospective cohort study, we used German health long-term care insurance claims data included cases patients aged 80 years or older treated in an (OGCM group) non-OGCM hospital (non-OGCM due...
Geriatricians are increasingly involved in the treatment of fragility fractures. In Germany, hospitals that meet specific standards for orthogeriatric co-management (OGCM) additionally certified as 'geriatric trauma centers.' One responsibility OGCM is appropriate management osteoporosis through medication. We aimed to analyse association between prescription frequencies anti-osteoporotic drugs with OGCM, those non-certified and no at all.
Abstract Background Fragility fractures are one of the leading causes disability in older adults. Yet, evidence for effectiveness and cost-effectiveness preventive approaches combining bone health fall prevention is rare. Objective To conduct a health-economic evaluation German osteoporotic fracture program rural areas (OFRA). Design Secondary cluster–randomized intervention study based on routine data. Participants All districts five federal states Germany were cluster-randomized as or...