A5115604397- Emergency and Acute Care Studies
- Cardiac electrophysiology and arrhythmias
- Acute Myocardial Infarction Research
- Trauma and Emergency Care Studies
- Epilepsy research and treatment
- Heart Failure Treatment and Management
- Atrial Fibrillation Management and Outcomes
- Cardiac Arrest and Resuscitation
- Cardiac, Anesthesia and Surgical Outcomes
- Criminal Law and Policy
- Sleep and Work-Related Fatigue
- Medical Practices and Rehabilitation
- Chronic Disease Management Strategies
- Psychedelics and Drug Studies
- Allergic Rhinitis and Sensitization
- Traumatic Brain Injury and Neurovascular Disturbances
- Medical and Health Sciences Research
- Frailty in Older Adults
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- COVID-19 and Mental Health
- Forensic Toxicology and Drug Analysis
- Hypertrophic osteoarthropathy and related conditions
- Food Allergy and Anaphylaxis Research
- Vestibular and auditory disorders
- Workplace Health and Well-being
University Hospital of Basel
2007-2025
University of Basel
2000-2025
Hospital Base
2012-2023
Foederatio Medicorum Helveticorum
2007
To investigate the predictive value of both mental status, assessed with AVPUC (Alert, responds to Voice, Pain, Unresponsive, and new Confusion) scale, mobility assessments, their interrater reliability (IRR) between triage clinicians a research team. Prospective study consecutive patients who presented an ED. Mental status were by dedicated 4,191 included. After adjustment for age sex, altered have odds ratio 6.55 [4.09-10.24] be admitted in ICU 21.16 [12.06-37.01] die within 30 days;...
Abstract Background Time to treatment is a significant predictor of mortality in emergency department (ED) patients with bacterial sepsis. Strategies for the early detection infection and sepsis are lacking. Clinical gestalt tool assessing synthesizing entire clinical picture, focusing on first impression at presentation. Objective This study aimed assess ED physicians’ prediction presenting signs symptoms infection. Design Prospective, observational 30-day follow-up. Participants Patients...
Summary Sleep problems are a well‐known risk factor for work injuries, but less is known about which vulnerable populations most at risk. The aims of this study were to investigate the association between sleep quality and injury identify factors that may modify association. A case–control including 180 cases 551 controls was conducted University Hospital in Basel, Switzerland, from 1 December 2009 30 June 2011. Data on injuries collected. Adjusted odds ratios 95% confidence intervals...
Waiting for triage in overburdened emergency departments (ED) has become an increasing problem, which endangers patients. A fast system to rapidly identify low-acuity patients should divert care and resources more urgent cases.The objective of this study was compare the performance Kitovu Hospital (KFT) score with Emergency Severity Index (ESI), using mortality hospital admission as proxies patients' acuity.This is a prospective observational consecutive presenting Swiss academic ED.Patients...
Abstract Purpose The Clinical Frailty Scale (CFS) allows health care providers to quickly stratify older patients, support clinical decision-making. However, few studies have evaluated the CFS interrater reliability (IRR) in Emergency Departments (EDs), and freely available smartphone application for assessment was never tested reliability. This study aimed evaluate of ratings between experienced unexperienced staff (ED clinicians a team (ST) medical students supported by assess CFS),...
The utility of clinical risk scores regarding the prediction major adverse cardiac events (MACE) is uncertain. We aimed to directly compare prognostic performance five established as well an unstructured integrated judgement (ICJ) treating emergency department (ED) physician.Thirty-day MACE including all-cause death, life-threatening arrhythmia, cardiogenic shock, acute myocardial infarction (including index event), and unstable angina requiring urgent coronary revascularization were...
To quantify the quality of physicians' emergency first response to status epilepticus (SE) and identify risk factors for nonadherence treatment guidelines in a standardized simulated scenario.In this prospective trial, 58 physicians (of different background) University Hospital Basel, Swiss academic medical care center, were confronted with SE. Primary outcomes time (1) airway protection, (2) supplementary oxygen, (3) administration antiseizure drugs (ASDs).All recognized ongoing seizures....
Abstract Background Emergency department (ED) presentations after a ground‐level fall (GLF) are common. Falls were suggested to be another possible presenting feature of myocardial infarction (MI), as unrecognized MIs common in older adults. Elevated high‐sensitivity cardiac troponin (hs‐cTn) concentrations could help determine the etiology GLF ED. We investigated prevalence both MI and elevated T (hs‐cTnT) I (hs‐cTnI), well diagnostic accuracy hs‐cTnT hs‐cTnI regarding MI, their prognostic...
Respiratory infections following status epilepticus (SE) are frequent, and associated with higher mortality, prolonged ICU stay, rates of refractory SE. Lack airway protection may contribute to respiratory infectious complications. This study investigates the order frequency physicians treating a simulated SE systematic Airways-Breathing-Circulation-Disability-Exposure (ABCDE) approach, identifies risk factors for non-adherence, analyzes compliance an ABCDE guided approach current...
In contrast to ST-elevation myocardial infarction (STEMI), in non-STEMI (NSTEMI) patients the need for continuous rhythm monitoring a coronary care unit, respective incidence and timing of serious arrhythmias are poorly defined. We used derivation–validation design data from two independent prospective cohorts consecutive haemodynamically stable NSTEMI evaluate after successful early percutaneous revascularization. Serious arrhythmia was prospectively defined as any that requires immediate...
Abstract Purpose Examining the impact of scoring aids on accuracy assessing Glasgow Coma Score (GCS) in a standardized trauma scenario (primary outcome). Evaluating physicians’ understanding GCS assessment and clinical application (secondary Materials methods This randomized trial was performed at simulator center Swiss tertiary academic medical hospital. Participants included intensivists, emergency physicians, internists, neurologists. The setting involved patient portraying 8 (eyes 1,...
Spiegel, Rainer; Haefelfinger, Romina; Sutter, Raoul; Bingisser, Roland Author Information