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Luxenburger H, Sturm L, Biever P, Rieg S, Duerschmied D, Schultheiss M, Neumann-Haefelin C, Thimme R, Bettinger D. Treatment with proton pump inhibitors increases the risk of secondary infections and ARDS in hospitalized patients with COVID-19: coincidence or underestimated risk factor? J Intern Med 2021; 289:121-124. [PMID: 32608546 PMCID: PMC7361636 DOI: 10.1111/joim.13121] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 05/29/2020] [Indexed: 12/20/2022]
Affiliation(s)
- H Luxenburger
- From the, Department of Medicine II, Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany.,IMM-PACT, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - L Sturm
- From the, Department of Medicine II, Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany
| | - P Biever
- Department of Medicine III (Interdisciplinary Medical Intensive Care), Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany.,Department of Cardiology and Angiology I, Heart Center, University of Freiburg, Freiburg, Germany
| | - S Rieg
- From the, Department of Medicine II, Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany
| | - D Duerschmied
- Department of Medicine III (Interdisciplinary Medical Intensive Care), Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany.,Department of Cardiology and Angiology I, Heart Center, University of Freiburg, Freiburg, Germany
| | - M Schultheiss
- From the, Department of Medicine II, Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany
| | - C Neumann-Haefelin
- From the, Department of Medicine II, Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany
| | - R Thimme
- From the, Department of Medicine II, Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany
| | - D Bettinger
- From the, Department of Medicine II, Faculty of Medicine, University Medical Center - University of Freiburg, Freiburg, Germany.,Berta-Ottenstein-Programme, Faculty of Medicine, University of Freiburg, Freiburg, Germany
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Busch HJ, Schmid B, Kron J, Fink K, Busche C, Danner T, Veits O, Gottlieb D, Benk C, Trummer G, Meyer-Först S, Kopp S, Schwab W, Wengenmayer T, Biever P. [Freiburg Cardiac Arrest Receiving Team (CART) : Interdisciplinary solution for the acute management of non-traumatic out-of-hospital cardiac arrest]. Med Klin Intensivmed Notfmed 2019; 115:292-299. [PMID: 31363800 DOI: 10.1007/s00063-019-0598-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 04/18/2019] [Accepted: 05/13/2019] [Indexed: 10/26/2022]
Abstract
Standard procedures and guidelines provide specific instructions for basic and advanced cardiac life support. Recommendations for the admission of patients from preclinical into clinical structures after successful cardiopulmonary resuscitation (CPR) are available, but only a few are detailed. In the presence of ST-elevation myocardial infarction after return of spontaneous circulation (ROSC), coronary angiography must be performed as soon as possible. However, acute management and consecutive diagnostic procedures after hospital admission are up to the doctor on duty, who can rely on standard internal hospital procedures at best. Despite the enormous progress and new findings in intensive care and emergency medicine, intra-hospital mortality, as well as long-term survival, after CPR remains low and depends on a wide variety of influencing factors. To optimize in-hospital acute care of successfully resuscitated patients, an interdisciplinary admission team, a so-called cardiac arrest receiving team (CART), has been implemented at the University Hospital of Freiburg, Germany. The aim of the CART is to provide primary care to resuscitated patients as quickly and in as standardized a manner as possible with predefined diagnostic and therapeutic pathways by a team with special expertise in the field of CPR and post-resuscitation management. Accordingly, clear criteria for procedures and the location of primary care (e.g. emergency room vs. cardiac catheter laboratory), the composition of the CART and concrete treatment measures were defined.
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Affiliation(s)
- H-J Busch
- Universitäts-Notfallzentrum (UNZ), Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Str., 79106, Freiburg im Breisgau, Deutschland.
| | - B Schmid
- Universitäts-Notfallzentrum (UNZ), Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Str., 79106, Freiburg im Breisgau, Deutschland
| | - J Kron
- Universitäts-Notfallzentrum (UNZ), Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Str., 79106, Freiburg im Breisgau, Deutschland
| | - K Fink
- Universitäts-Notfallzentrum (UNZ), Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Str., 79106, Freiburg im Breisgau, Deutschland
| | - C Busche
- Universitäts-Notfallzentrum (UNZ), Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Str., 79106, Freiburg im Breisgau, Deutschland
| | - T Danner
- Universitäts-Notfallzentrum (UNZ), Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Str., 79106, Freiburg im Breisgau, Deutschland
| | - O Veits
- Universitäts-Notfallzentrum (UNZ), Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Str., 79106, Freiburg im Breisgau, Deutschland
| | - D Gottlieb
- Universitäts-Notfallzentrum (UNZ), Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Str., 79106, Freiburg im Breisgau, Deutschland
| | - C Benk
- Universitäts-Herzzentrum Freiburg Bad Krozingen GmbH, Bad Krozingen, Deutschland
| | - G Trummer
- Universitäts-Herzzentrum Freiburg Bad Krozingen GmbH, Bad Krozingen, Deutschland
| | - S Meyer-Först
- Universitäts-Herzzentrum Freiburg Bad Krozingen GmbH, Bad Krozingen, Deutschland
| | - S Kopp
- Universitäts-Herzzentrum Freiburg Bad Krozingen GmbH, Bad Krozingen, Deutschland
| | - W Schwab
- Universitäts-Herzzentrum Freiburg Bad Krozingen GmbH, Bad Krozingen, Deutschland
| | - T Wengenmayer
- Universitäts-Herzzentrum Freiburg Bad Krozingen GmbH, Bad Krozingen, Deutschland
| | - P Biever
- Universitäts-Herzzentrum Freiburg Bad Krozingen GmbH, Bad Krozingen, Deutschland
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Staudacher D, Duerschmied D, Biever P, Benk C, Bode C, Wengenmayer T. P5293Predicting survival in patients on venoarterial extracorporeal membrane oxygenation therapy using point of care biomarkers. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Biever P, Schwab T, Roos P, Willnauer O, Denz U, Fink K, Bode C, Busch HJ. Microvascular dysfunction in patients after successful resuscitation. Crit Care 2011. [PMCID: PMC3066983 DOI: 10.1186/cc9729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Costello RM, Baillargeon JG, Biever P, Bennett R. Therapeutic community treatment for alcohol abusers: a one-year multivariate outcome evaluation. Int J Addict 1980; 15:215-32. [PMID: 7399754 DOI: 10.3109/10826088009040010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
This article describes the development of an alcohol treatment unit in a Veterans Hospital. The focus is on therapeutic philosophy, staffing patterns, and a critical evaluation and examination of issues related to program evaluation. About March of 1975 the administrative staff of the Audie Murphy Veterans Administration Hospital began tooling up for a new psychiatric unit to deal exclusively with the problem of alcohol abuse. The unit was officially opened in June of 1975. This article provides a short descriptive overview of the development of the program, with a focus on its staffing pattern and the operationalization of its treatment philosophy. It presents an evaluation of the program, describing the methodology of evaluation preferred for this type of operation as developed from previous experience of the senior author.
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Costello RM, Baillargeon JG, Biever P, Bennett R. Second-year alcoholism treatment outcome evaluation with a focus on Mexican-American patients. Am J Drug Alcohol Abuse 1979; 6:97-108. [PMID: 507025 DOI: 10.3109/00952997909007036] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
This is an evaluation of an Alcohol Treatment Unit with a focus on a comparison of Mexican-American and Anglo-American outcomes. Social adjustment on a target cohort of 75 was measured on a standard rating instrument (SAI) 2 years after discharge from the hospital. The overall successfulness of the program was 39%; the validity of the Treatment Difficulty Scale (a composite index of anticipated treatment difficulty) was demonstrated for both ethnic groups and both first and second year outcome results; and the average stability of first year findings of SAI components as compared to second year results was shown to be 79%. Use of a standardized index of pretreatment patient characteristics was recommended to facilitate comparative program evaluation research.
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