226
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Frenzel E, Aggarwal N, Wrenger S, Welte T, Janciauskiene S. Elastase inhibition is not a requirement for the anti-inflammatory effects of Alpha-1 Antitrypsin: studies in neutrophil models. Pneumologie 2012. [DOI: 10.1055/s-0032-1315496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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227
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Jonigk D, Rische J, Maegel L, Golpon H, Izykowski N, Bockmeyer CL, Welte T, Janciauskiene S, Gottlieb J, Warnecke G, Haverich A, Kreipe H, Laenger F. Remodelling-related molecular profiles in interstitial pulmonary fibrosis. Pneumologie 2012. [DOI: 10.1055/s-0032-1315510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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228
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Wrenger S, Aggarwal N, Frenzel E, Welte T, Janciauskiene S. Novel anti-inflammatory effects of alpha-1-antitrypsin on lung microvascular endothelial cells. Pneumologie 2012. [DOI: 10.1055/s-0032-1315497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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229
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Welte T. Die chronisch-obstruktive Lungenerkrankung. Med Klin Intensivmed Notfmed 2012; 107:170-1. [DOI: 10.1007/s00063-011-0040-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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230
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Tudorache I, Kühn C, Wiesner O, Olsson K, Hadem J, Sommer W, Bara C, Welte T, Gottlieb J, Hoeper M, Haverich A, Warnecke G. 218 Not the Right, but the Left Ventricle Causes the Problem after Lung Transplantation for Pulmonary Artery Hypertension – Awake ECMO for Postoperative LV Remodelling. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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231
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Ius F, Kühn C, Tudorache I, Sommer W, Avsar M, Fuehner T, Welte T, Gottlieb J, Haverich A, Warnecke G. 277 Lung Transplant Surgery on Cardiocirculatory Support: Extracorporeal Membrane Oxygenation Outcompetes Cardiopulmonary Bypass. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.285] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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232
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Ringshausen FC, Pletz MW, de Roux A, Welte T, Rademacher J. Ätiologie und Mikrobiologie von Non-CF-Bronchiektasen: Erfahrungen eines einzelnen Zentrums. Pneumologie 2012. [DOI: 10.1055/s-0032-1302835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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233
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Lepper PM, Ott SR, Nüesch E, Eynatten MV, Schumann C, Pletz MW, Welte T, Bauer TT, Suttorp N, Jüni P, Bals R, Rohde G. Admission Serum Glucose Levels: An Independent Risk Factor predicting Short- and Long-term Mortality in Community Acquired Pneumonia. Pneumologie 2012. [DOI: 10.1055/s-0032-1302728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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234
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Rademacher J, Pletz MW, de Roux A, Welte T, Ringshausen FC. Therapie von Patienten mit Non-CF-Bronchiektasen: eine Bestandsaufnahme. Pneumologie 2012. [DOI: 10.1055/s-0032-1302529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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235
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Suhling H, Rademacher J, Warnecke G, Welte T, Gottlieb J. Langzeitinhalation von Colistin (< vs. >12 Monate) in keimbesiedelten Patienten nach Lungentransplantation bei Cystischer Fibrose. Pneumologie 2012. [DOI: 10.1055/s-0032-1302833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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236
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Krüger S, Welte T, Ewig S. Another view on the prediction of outcomes in patients with community-acquired pneumonia. Eur Respir J 2012; 38:991-2; author reply 992-3. [PMID: 21965507 DOI: 10.1183/09031936.00039411] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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237
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Steinwede K, Maus R, Bohling J, Ueberberg B, Welte T, Maus UA. Local delivery of Granulocyte/Macrophage Colony Stimulating Factor protects mice from lethal pneumococcal pneumonia. Pneumologie 2011. [DOI: 10.1055/s-0031-1296152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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238
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Dinh QT, Quarcoo D, Wu S, Suhling H, Le DD, Schmeck B, Klapp BF, Krug N, Braun A, Welte T, Fischer A. Veränderungen der Atemweginnervation in NGF-transgenen Mäusen in einem Modell für allergische Atemwegentzündung. Pneumologie 2011. [DOI: 10.1055/s-0031-1296104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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239
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Bischof A, Brumshagen C, Maus R, Mack M, Welte T, Maus UA. Role of basophils in immunological memory responses to pneumococcal protein antigens and S. pneumoniae infections in mice. Pneumologie 2011. [DOI: 10.1055/s-0031-1296098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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240
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Le DD, Rochlitzer S, Funck U, Suhling H, Braun A, Welte T, Dinh QT. Vorkommen von Dendritischen Zellen (DC) im Jugulare/Nodose Ganglion im chronischen Hausstaubmilben-Mausmodell für allergische Atemwegsentzündung. Pneumologie 2011. [DOI: 10.1055/s-0031-1296124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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241
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Rademacher J, Pletz MW, de Roux A, Welte T, Ringshausen FC. Ätiologie, Mikrobiologie und Therapie von Non-CF-Bronchiektasen: Erfahrungen eines einzelnen Zentrums. Pneumologie 2011. [DOI: 10.1055/s-0031-1296136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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242
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Ott SR, Hauptmeier BM, Ernen C, Lepper PM, Nüesch E, Pletz MW, Hecht J, Welte T, Bauer TT. Treatment failure in pneumonia: impact of antibiotic treatment and cost analysis. Eur Respir J 2011; 39:611-8. [PMID: 21965229 DOI: 10.1183/09031936.00098411] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The aim of this study was to investigate treatment failure (TF) in hospitalised community-acquired pneumonia (CAP) patients with regard to initial antibiotic treatment and economic impact. CAP patients were included in two open, prospective multicentre studies assessing the direct costs for in-patient treatment. Patients received treatment either with moxifloxacin (MFX) or a nonstandardised antibiotic therapy. Any change in antibiotic therapy after >72 h of treatment to a broadened antibiotic spectrum was considered as TF. Overall, 1,236 patients (mean ± SD age 69.6 ± 16.8 yrs, 691 (55.9%) male) were included. TF occurred in 197 (15.9%) subjects and led to longer hospital stay (15.4 ± 7.3 days versus 9.8 ± 4.2 days; p < 0.001) and increased median treatment costs (€2,206 versus €1,284; p<0.001). 596 (48.2%) patients received MFX and witnessed less TF (10.9% versus 20.6%; p < 0.001). After controlling for confounders in multivariate analysis, adjusted risk of TF was clearly reduced in MFX as compared with β-lactam monotherapy (adjusted OR for MFX 0.43, 95% CI 0.27-0.68) and was more comparable with a β-lactam plus macrolide combination (BLM) (OR 0.68, 95% CI 0.38-1.21). In hospitalised CAP, TF is frequent and leads to prolonged hospital stay and increased treatment costs. Initial treatment with MFX or BLM is a possible strategy to prevent TF, and may thus reduce treatment costs.
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243
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Nickel N, Golpon H, Greer M, Knudsen L, Olsson K, Westerkamp V, Welte T, Hoeper MM. The prognostic impact of follow-up assessments in patients with idiopathic pulmonary arterial hypertension. Eur Respir J 2011; 39:589-96. [PMID: 21885392 DOI: 10.1183/09031936.00092311] [Citation(s) in RCA: 224] [Impact Index Per Article: 17.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Current guidelines for the treatment of patients with idiopathic pulmonary arterial hypertension (IPAH) recommend basing therapeutic decision-making on haemodynamic, functional and biochemical variables. Most of these parameters have been evaluated as risk predictors at the time of diagnosis. The aim of the present study was to assess the prognostic impact of changes in these parameters after initiation of targeted therapy. A cohort of 109 patients with IPAH who had undergone haemodynamic, functional and biochemical assessments at baseline and 3-12 months after initiation of pulmonary arterial hypertension (PAH)-targeted therapy, were followed for a median 38 months in order to determine predictors of mortality at baseline and during the course of their disease. Within the observation period, 53 (48.6%) patients died and four (3.7%) underwent lung transplantation. Kaplan-Meier estimates for transplantation-free survival were 92%, 67%, and 51% at 1, 3, and 5 yrs, respectively. Among baseline variables, 6-min walk distance, right atrial pressure, cardiac index, mixed-venous oxygen saturation (S(v,O(2))) and N-terminal-pro brain natriuretic peptide (NT-proBNP) were independent predictors of survival. During follow-up, changes in World Health Organization functional class, cardiac index, S(v,O(2)) and NT-proBNP proved significant predictors of outcome. When assigned to prognostic groups, improvements as well as deteriorations in these parameters after initiation of PAH-targeted therapy had a strong impact on survival. Measurements obtained at follow-up had a higher predictive value than variables obtained at baseline. Changes in established predictors of outcome during the course of the disease provide important prognostic information in patients with IPAH.
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244
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Pletz M, Rohde G, Schütte H, Bals R, Baum HV, Welte T. Epidemiologie und Erreger bei ambulant erworbener Pneumonie (CAP). Dtsch Med Wochenschr 2011; 136:775-80. [DOI: 10.1055/s-0031-1275806] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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245
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Sommer W, Knoefel AK, Kuehn C, Tudorache I, Fuehner T, Gottlieb J, Strueber M, Welte T, Haverich A, Warnecke G. 555 FoxP3 Positive Treg Correlate with Percent Predicted FEV1 Early after Lung Transplantation. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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246
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Sommer W, Tudorache I, Kuehn C, Murat A, Adelheid G, Gottlieb J, Andre S, Strueber M, Welte T, Haverich A, Warnecke G. 444 Pulmonary Retransplantation: A Single Center Experience. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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247
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Riquelme R, Jiménez P, Videla AJ, Lopez H, Chalmers J, Singanayagam A, Riquelme M, Peyrani P, Wiemken T, Arbo G, Benchetrit G, Rioseco ML, Ayesu K, Klotchko A, Marzoratti L, Raya M, Figueroa S, Saavedra F, Pryluka D, Inzunza C, Torres A, Alvare P, Fernandez P, Barros M, Gomez Y, Contreras C, Rello J, Bordon J, Feldman C, Arnold F, Nakamatsu R, Riquelme J, Blasi F, Aliberti S, Cosentini R, Lopardo G, Gnoni M, Welte T, Saad M, Guardiola J, Ramirez J. Predicting mortality in hospitalized patients with 2009 H1N1 influenza pneumonia. Int J Tuberc Lung Dis 2011; 15:542-6. [PMID: 21396216 DOI: 10.5588/ijtld.10.0539] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Community-acquired pneumonia (CAP) severity scores can identify patients at low risk for mortality who may be suitable for ambulatory care. Here, we follow the clinical course of hospitalized patients with CAP due to 2009 H1N1 influenza. OBJECTIVE To evaluate the role of CAP severity scores as predictors of mortality. METHODS This was a secondary data analysis of patients hospitalized with CAP due to 2009 H1N1 influenza confirmed by reverse transcriptase polymerase chain reaction enrolled in the CAPO (Community-Acquired Pneumonia Organization) international cohort study. CAP severity scores PSI (Pneumonia Severity Index), CURB-65 (confusion, urea, respiratory rate, blood pressure, age ≥ 65 years) and CRB-65 (confusion, respiratory rate, blood pressure, age ≥ 65 years) were calculated. Actual and predicted mortality rates were compared. A total of 37 predictor variables were evaluated to define those associated with mortality. RESULTS Data from 250 patients with CAP due to 2009 H1N1 influenza were analyzed. Patients with low predicted mortality rates (0-1.5%) had actual mortality rates ranging from 2.6% to 17.5%. Obesity and wheezing were the only novel variables associated with mortality. CONCLUSIONS The decision to hospitalize a patient with CAP due to 2009 H1N1 influenza should not be based on current CAP severity scores, as they underestimate mortality rates in a significant number of patients. Patients with obesity or wheezing should be considered at an increased risk for mortality.
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248
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Gottlieb J, Schlischewsky E, Fuehner T, Dierich M, Tudorache I, Warnecke G, Haverich A, Welte T. 169 Clinical Significance of Cytomegalovirus (CMV) Detected by RT-PCR in Bronchoalveolar-Lavage Fluid of Stable Lung Transplant Recipients. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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249
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Pletz MW, Welte T, Klugman KP. The paradox in pneumococcal serotypes: highly invasive does not mean highly lethal. Eur Respir J 2011; 36:712-3. [PMID: 20889457 DOI: 10.1183/09031936.00041210] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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250
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Kögler H, Müller M, Glaab T, Welte T. COPD-Screening in der hausärztlichen Praxis mit dem Lungenfunktions-Schnellmessgerät COPD-6. Pneumologie 2011. [DOI: 10.1055/s-0031-1272031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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