Aufnahmediagnose Prellung: Ätiologie, Epidemiologie und Kostenfaktoren

Woschek, Mathias; Schindler, Cora Rebecca; Sterz, Jasmina; Störmann, Philipp; Willems, Laurent M.; Marzi, Ingo; Verboket, René D.

doi:10.1007/s00391-020-01828-w

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…Thigh contusion and soft tissue injuries caused by blunt, nonpenetrating objects account for a large portion of injuries in sport 1,2 and activities of daily living. 27 These soft tissue injuries lead to an inflammation and lowered healing response as the damage occurs to the muscles' soft tissue and vascular components surrounding the area of trauma. The healing response may lead to unnecessary fibrotic scar formation, limiting muscle force production, and may cause incomplete recovery of muscle strength.…”

Section: Discussionmentioning

confidence: 99%

Pulsed Red and Blue Photobiomodulation for the Treatment of Thigh Contusions and Soft Tissue Injury: A Randomized Controlled Trial

Wells,

Rigby,

Castel

et al. 2024

Journal of Sport Rehabilitation

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Context: Contusion and soft tissue injuries are common in sports. Photobiomodultion, light and laser therapy, is an effective aid to increase healing rates and improve function after various injury mechanisms. However, it is unclear how well photobiomodulation improves function after a contusion soft tissue injury. This study aimed to determine the effects of a pulsed red and blue photobiomodulation light patch on muscle function following a human thigh contusion injury. Design: Single-blinded randomized control trial design. Methods: We enrolled 46 healthy participants. Participants completed 5 visits on consecutive days. On the first visit, participants completed a baseline isokinetic quadriceps strength testing protocol at 60°/s and 180°/s. On the second visit, participants were struck in the rectus femoris of the anterior thigh with a tennis ball from a serving machine. Immediately following, participants were treated for 30 minutes with an active or placebo photobiomodulation patch (CareWear light patch system, CareWear Corp). Following the treatment, participants completed the same isokinetic quadriceps strength testing protocol. Participants completed the treatment and isokinetic quadriceps strength test during the following daily visits. We normalized the data by calculating the percent change from baseline. We used a mixed model analysis of covariance, with sex as a covariate, to determine the difference between treatment groups throughout the acute recovery process. Results: We found the active photobiomodulation treatment significantly increased over the placebo group, quadriceps peak torque during the 180°/s test (P = .030), and average power during both the 60°/s (P = .041) and 180°/s (P ≤ .001) assessments. The mean peak torque and average power of 180°/s, at day 4, exceeded the baseline levels by 8.9% and 16.8%, respectively. Conclusions: The red and blue photobiomodulation light patch improved muscle strength and power during the acute healing phase of a human thigh contusion injury model.

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Section: Discussionmentioning

confidence: 99%

Pulsed Red and Blue Photobiomodulation for the Treatment of Thigh Contusions and Soft Tissue Injury: A Randomized Controlled Trial

Wells,

Rigby,

Castel

et al. 2024

Journal of Sport Rehabilitation

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“…The difficulties and consequences of the economization of the health care sector with relevant cost and proceeds deficits have already been addressed in publications as well as in the public discourse. Demographics are now posing additional challenges [ 14 , 15 ]. In this comparative analysis, it was shown for the first time that the treatment of geriatric trauma patients (≥65 years, G65, n = 57) with mild TBI (DRG B80Z [ 12 ]) leads to relevantly higher costs by higher diagnostic expense and resource consumption.…”

Section: Discussionmentioning

confidence: 99%

Health Economic Challenge: Geriatric Trauma—An Age-Based Observational Analysis of Treatment Costs and Reimbursement Issues

Schindler

Woschek

Mühlenfeld

et al. 2022

IJERPH

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Demographic change is having a major impact on the economic and structural development of the healthcare system. People stay active longer and the number of mild traumatic brain injury [mTBI] in patients ≥ 65 years of age consequently increases. The aim of this comparative analysis is to illustrate the impact of demographic change and the increasing treatment of geriatric trauma patients on the cost structure of the health care system using mTBI as an example diagnosis. Patients and Methods: The 12-month retrospective analysis included 220 in-patients treated with mTBI and remunerated under the German Diagnosis Related Group [G-DRG] B80Z. For comparative analysis, the patient population was divided into two study groups according to age [U65 18–64 years, G65 ≥ 65 years]. For the cost and proceeds calculation, itemized cost reports (personnel, supply, material, and equipment costs, etc.) were created. Results: 163 patients U65 and 57 patients G65 were included. In the G65 group, the most frequent accident mechanism was a fall from a short distance (84.1 vs. U65 36.7%; p= 0.007). For the inpatient admission of G65, the use of anticoagulants (p < 0.001) and comorbidity (p = 0.002) played a primary role, while for younger patients it was more neurological symptoms (p < 0.001) and alcohol (p < 0.001) that led to inpatient monitoring. The mean length of hospitalization of G65 patients was significantly longer than that of younger patients (G65 2.4 ± 1.9 days > U65 1.7 ± 0.8 days; p = 0.007) and radiological examinations (G65 94.7% > U65 23.3%; p = 0.013) were performed more frequently. Comparing analysis of the cost and proceeds of U65 vs. G65 results in a proceeds difference of €51,753.91 per year for the G-DRG B80Z compared to U65. Conclusions: It has been shown that there is a difference in costs and proceeds when comparing younger and older patients, resulting in a reimbursement deficit. In view of the demographic development in Europe, flat-rate remuneration will lead to a considerable discrepancy between DRG reimbursement and the coverage of hospitals’ running costs. Providing health care to an increasingly aging society represents one of the major personnel and financial challenges for the public health system in the coming decades. Further adaptation of the DRG system to the growing costs caused by older patients is imperative.

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Seizure related injuries – Frequent injury patterns, hospitalization and therapeutic aspects

Mühlenfeld

Störmann

Marzi

et al. 2022

Chinese Journal of Traumatology

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Aufnahmediagnose Prellung: Ätiologie, Epidemiologie und Kostenfaktoren

Cited by 4 publications

References 37 publications

Pulsed Red and Blue Photobiomodulation for the Treatment of Thigh Contusions and Soft Tissue Injury: A Randomized Controlled Trial

Pulsed Red and Blue Photobiomodulation for the Treatment of Thigh Contusions and Soft Tissue Injury: A Randomized Controlled Trial

Health Economic Challenge: Geriatric Trauma—An Age-Based Observational Analysis of Treatment Costs and Reimbursement Issues

Seizure related injuries – Frequent injury patterns, hospitalization and therapeutic aspects

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