Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Jul 2011
Randomized Controlled Trial Multicenter StudyQuality of diabetes care in Austrian diabetic patients willing to participate in a DMP - at baseline.
Diabetes mellitus type 2 plays an important role in population health worldwide, and diabetes care has been shown to be insufficient. Disease management programmes (DMPs) have been designed to overcome these deficiencies, but data on their effectiveness are inconclusive. One reason for the inconsistent extent of effects may be selection bias. Voluntary programmes might recruit preferably highly motivated patients who are already quite successful in managing diabetes. Other programmes enrol primarily patients with poor metabolic control which may lead to the demonstration of fairly large effects due to regression to the mean. We therefore investigated the baseline characteristics of patients willing to enrol in the Austrian DMP for diabetes mellitus type 2 ("Therapie aktiv"), and their quality of care. ⋯ Our results indicate that the majority of the patients receive treatment in adherence to current guidelines. Nevertheless there are deficits in care and hence room for improvement by implementation of the DMP.
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Wien. Klin. Wochenschr. · Oct 2010
Multicenter StudyLower prevalence of common filaggrin mutations in a community sample of atopic eczema: is disease severity important?
Recent studies have shown an association of loss-of-function mutations in the filaggrin gene (FLG) with ichthyosis vulgaris and atopic eczema (AE). Case selection may have distorted the hitherto reported prevalence of FLG mutations and their relation to atopic disease. The aim of the study was to determine the true population prevalence of FLG mutations in unselected children with and without reported physician diagnoses of asthma, allergic rhinitis and AE and their relationship with family history of atopic disease. ⋯ Case selection may be responsible for overestimating the prevalence of FLG mutations in atopic disease.
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Wien. Klin. Wochenschr. · Oct 2010
Multicenter StudyVariability of structures in German intensive care units--a representative, nationwide analysis.
Structures in intensive care medicine comprise human as well as material resources, organization, and management and may be related to processes thereby affecting patients' outcomes. Utilizing a unique data base we evaluated structures of German intensive care units (ICUs). ⋯ In a representative, nationwide sample of German ICUs key elements of structures varied considerably with respect to hospital size. This has to be considered when proposing standards, reimbursement strategies, or quality assessment.
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Wien. Klin. Wochenschr. · Jul 2010
Randomized Controlled Trial Multicenter StudyThe impact of oral health and 0.2% chlorhexidine oral gel on the prevalence of nosocomial infections in surgical intensive-care patients: a randomized placebo-controlled study.
To evaluate the impact of oral health on the evolution of nosocomial infections and to document the effects of oral antiseptic decontamination on oral health and on the rate of nosocomial infections in patients in a surgical intensive-care unit (ICU). ⋯ Among surgical ICU patients, poor oral health had a significant positive correlation with bacterial colonization and the evolution of nosocomial infections. Oral decontamination with chlorhexidine significantly decreased oropharyngeal colonization, the incidence of nosocomial infections, length of ICU stay, and mortality in these patients.
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Wien. Klin. Wochenschr. · Feb 2007
Multicenter StudySevere traumatic brain injury in Austria III: prehospital status and treatment.
The goal of this paper is to describe prehospital status and treatment of patients with severe TBI in Austria. ⋯ Age, ISS, and initial neuro status are the factors most closely associated with outcome. Hypotension must be avoided. Fluids should be given to restore and/or maintain SBP > 110 mm Hg. Helicopter transport should be arranged for more seriously injured patients.