Abstracts by keywords: prevention
Gemäß den Daten des European Observatory on Health Systems and Policies sind kardiovaskuläre Erkrankungen die häufigste Todesursache in Deutschland. Ein erheblicher Anteil dieser Todesfälle gilt als durch Prävention vermeidbar (1). Große multinationale Studien haben arterielle Hypertonie, Dyslipidämie, Diabetes, Body-Mass-Index und aktuelles Rauchen als die wichtigsten Risikofaktoren für kardiovaskuläre Erkrankungen und Mortalität identifiziert (2). In jüngerer […]
05.10.2026
The statements of the thesis paper author group between April 2020 and June 2022 covered three levels: the infection epidemiological situation as a basis, the modern, multimodal prevention concepts as an option for action and the societal level as a context that must be taken into account. Numerous other groups and individuals have set comparable priorities, but overall the reversal of central professional standards in health care with regard to infection management could not be prevented, nor could the use of inadequate prevention concepts and the narrowing of social discourse, the incitement of critical opinions and the revival of “governance” .
05.06.2023
Geriatric limitations are a frequent and major burden for affected patients and their relatives. In this study, the health-economic effects of the telemedical primary prevention program "proGERO" for people with geriatric limitations are to be examined.
03.04.2023
Von den weltweit circa 11 Millionen sepsis-assoziierten Todesfällen hält die WHO die Mehrzahl für vermeidbar. Hierfür gibt es zwei wesentliche Ansatzpunkte: erstens die Prävention von Infektionen und zweitens die frühzeitige Erkennung von Sepsis-Symptomen, denn eine Sepsis ist ein medizinischer Notfall, bei dem jede zeitliche Verzögerung die Prognose verschlechtert. Da seit langem bekannt ist, dass in Deutschland das Sepsis-Wissen älterer Menschen, die per se einer Risikogruppe angehören, gering ist (Eitze et al. 2018), fördert das Bundesgesundheitsministerium seit Juli 2021 den Aufbau der Kampagne „Deutschland erkennt Sepsis“ (1), die vom Aktionsbündnis Patientensicherheit, dem Sepsis-Dialog der Universitätsmedizin Greifswald, der Deutschen Sepsis-Hilfe sowie der Deutschen Sepsis-Stiftung gemeinsam umgesetzt wird.
02.08.2022
The 7th ad hoc statement from the theses paper author group deals with the topic of the changed STIKO recommendation of May 25th on vaccination in children. Surprisingly, on May 24th, the Standing Vaccination Commission (STIKO) spoke out in favor of the (single) vaccination of healthy children aged 5 to 11 years with an mRNA vaccine, preferably with “Comirnaty”. However, the studies on which the changed recommendation is based only refer to adults; the scientific justification does not provide any evidence for this age group. Consequently, the STIKO also states that the recommendation is being made as a precautionary measure because a renewed increase in SARS-CoV-2 infections is to be expected next autumn. It remains unclear whether a new variant will emerge at all (probable) and whether the vaccine based on the wild type will help against it (questionable). As of: June 23, 2022, 6:00 p.m
22.07.2022
Covid-19: What is the current infectious situation? Like the rest of Europe and the rest of the world, Germany is currently transitioning into the endemic-epidemic phase of the SARS-CoV-2 pandemic. The currently dominant virus variants (Omicron BA4 and BA5) are characterized by a very high level of contagiousness and, at the same time, a very low disease burden. Even among the very elderly residents of nursing homes, who are considered particularly vulnerable, the severity of the disease and the hospitalization rate decreased significantly under the Omicron variant and after the vaccination campaign; mortality compared to 2020 even increased by more than 90%. The currently dominant variants have led to a significant increase in infections among those vaccinated and those who have recovered, with some clinical signs of a flu-like infection, without this being associated with a noticeable overload on the healthcare system and critical infrastructure. The few cases of overload reported were not a result of increased use of intensive care resources, but rather the consequence of isolation measures for staff that were ordered regardless of any symptoms.
24.06.2022
Screening for atrial fibrillation (AF) is recommended in the guidelines of the European Society of Cardiology (ESC) (Hindricks et al. 2020), but is currently not implemented in the form of systematic health programs in Germany. Given demographic changes and the age-dependent occurrence of AF, it is predicted that by 2060 the number of patients aged over 65 years with AF in Europe will increase to over 14 million (Krijthe et al. 2013). Since AF is a relevant risk factor for stroke, screening for AF will become increasingly important. In order to be able to assess the possible effects of introducing guideline-based screening for AF in the German health care context - in particular to avoid long-term health and health economic consequences - a systematic literature search was carried out in 2019. No evidence could be identified from completed, prospective studies in the German health care context that report long-term clinically relevant events after screening for AF. Against this background, a Markov model was developed with which the effects of a screening for AF can be simulated. This model is intended to contribute to the professional public discussion on the detection of AF and the prevention of thromboembolic events and to enable the derivation of adequate measures for better care. For this work, on the one hand, the long-term effects of consistent implementation of the screening measures provided for in the ESC guidelines with regard to the prevention of AF-associated strokes and systemic embolism were examined. On the other hand, the direct health economic implications were considered from the perspective of statutory health insurance (SHI).
29.01.2022
Nationally and internationally, mathematical models of the infection process in the corona pandemic have had an enormous political impact. However, the model-heavy nature of the political decision-making processes has also been widely criticized. From both a technical and a sociological perspective, criticism of maneuvers appears to be necessary due to numerous indications. The extent to which the performance of government-related epidemic modeling in particular has met the challenges should be critically questioned and evaluated in wider circles. Model uncertainties and the complexity of the problem of the spread of infectious diseases should be given greater attention. There needs to be a deeper awareness that mathematical models cannot replace practical medical experience and classical concepts for controlling complex systems.
29.11.2021
The thesis paper author group presents its 4th ad hoc statement with twelve concrete demands that should be initiated on the new health minister's first working day. The group of authors is speaking out at a time when the new appointment at the top of the Federal Ministry of Health makes a new beginning seem possible. As of November 28, 2021, 6:00 p.m
29.11.2021
Bei diesem Text handelt es sich um die Kurzfassung, des Thesenpapiers 8.0, das die Autorengruppe (siehe MVF Online First) erarbeitet hat (Datum 29.8.2021), das zu folgenden Aspekten Stellung nimmt:1. Es wird ein Konzept für das Verständnis der Epidemie entwickelt (Kap. 2 „Pandemie als Komplexes System“), mit dem das schwer zu entschlüsselnde Verhalten der Epidemie zu erklären ist, und das es erlaubt, Empfehlungen für die Steuerung (Messparameter) und die Präventionsstrategie abzuleiten;2. Es wird ein Indikatoren-Set entwickelt (Kap. 3), das die Melderate („Inzidenz“) ablösen kann und über eine erheblich bessere Aussagekraft verfügt;3. Es werden in einem umfangreichen, kritischen Ansatz das Wissen zur SARS-CoV2-Epidemie im Kindes- und Jugendalter dargestellt (Kap. 4) und weitgehende Erleichterungen für diese bisher am stärksten psychosozial belastete Bevölkerungsgruppe gefordert;4. Es wird eine Politische Theorie der Pandemie vorgestellt, die die „Massivreaktion“ der gesellschaftlichen und politischen Ebenen erklärt und für die Diskussion der Handlungsoptionen öffnet.Die Autorengruppe beschäftigt sich seit März 2020 ehrenamtlich mit der Corona-Thematik und greift kontinuierlich mit Thesenpapieren und Ad-hoc-Stellungnahmen in die politische Diskussion ein.