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Geriatrische Patienten in Notaufnahme und Intensivmedizin

Geriatric patients in emergency and intensive care medicine

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Zusammenfassung

Der demographische Wandel ist mit neuen Herausforderungen an die Notfall- und Intensivmedizin verbunden. Hierbei müssen die speziellen Bedürfnisse älterer Patienten berücksichtigt werden. Aufgrund der Heterogenität dieser Patientengruppe muss in alle Entscheidungen das biologische vor das kalendarische Alter gestellt werden. Zwar steigt die Sterblichkeit mit dem Alter, allerdings ist das Outcome in hohem Maße von der Funktionalität und den Komorbiditäten des Patienten abhängig. Der ältere Patient zeigt strukturelle und funktionelle Organveränderungen, deren Kenntnisse für die Behandlung des geriatrischen Patienten in Notaufnahme und Intensivstation von Bedeutung sind. Kenntnisse der Altersphysiologie und geriatrische Grundkenntnisse sollten daher in das zukünftige Ausbildungskurrikulum für Intensiv- und Notfallmediziner integriert werden.

Abstract

The democratic shift poses new challenges in emergency medicine and intensive care. Old patients call for special needs that have to be taken into consideration during treatment. Due to the heterogeneity in this patient group biological age plays an important role. Mortality among old patients is high, but functionality and comorbidity have a great effect on patient outcome. Structural and functional organ changes have an additional impact on the treatment of geriatric patients in emergency medicine and intensive care. Therefore, basic geriatric knowledge should be part of the curricula of both, intensive care and emergency medicine.

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Interessenkonflikt

Die korrespondierende Autorin gibt an, dass kein Interessenkonflikt besteht.

Der Autor H.J.H. ist Stipendiat des Forschungskolleg Geriatrie der Robert-Bosch-Stiftung.

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Authors and Affiliations

  1. Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Deutschland

    K. Singler, C. Sieber & H.J. Heppner

  2. Klinik für Notfall- und Intensivmedizin, Klinikum Nürnberg, Nürnberg, Deutschland

    M. Christ & H.J. Heppner

  3. Medizinische Klinik 2 – Geriatrie, Klinikum Nürnberg, Prof.-E.-Nathan-Straße 1, 90419, Nürnberg, Deutschland

    K. Singler & C. Sieber

  4. Klinik für Geriatrie und Innere Medizin, Landeskrankenhaus Hochzirl, Tirol, Österreich

    M. Gosch

Authors
  1. K. Singler
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  2. M. Christ
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  3. C. Sieber
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  4. M. Gosch
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  5. H.J. Heppner
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Correspondence to K. Singler.

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Singler, K., Christ, M., Sieber, C. et al. Geriatrische Patienten in Notaufnahme und Intensivmedizin. Internist 52, 934–938 (2011). https://doi.org/10.1007/s00108-011-2804-9

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  • DOI: https://doi.org/10.1007/s00108-011-2804-9

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