TY  - JOUR
PY  - 2019//
TI  - Evaluation and assessment of the health care process in patients with carbon monoxide poisoning in Germany
JO  - Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
A1  - Jüttner, Marieke
A1  - Körner-Göbel, Hella
A1  - Starke, Henning
A1  - Enax, Sascha
A1  - Eismann, Hendrik
A1  - Göbel, Volker
A1  - Eichhorn, Lars
A1  - Jüttner, Björn
SP  - 1
EP  - 13
VL  - 140
IS  - 
N2  - BACKGROUND: Carbon monoxide poisoning (COP) is the most common cause for poisoning by inhalation in Germany. In the past 8 years, a marked increase in the number of COP-related deaths has been registered nationwide. A national German guideline is missing. <br><br>METHODS: The national and international literature was screened systematically. Existing international guidelines and expert recommendations for the diagnosis and treatment of COP were compared and evaluated. Furthermore, quality of health care was analyzed by a prospective preclinical dataset of emergency rescue services and retrospective analysis of routine data from 2014 to 2016 in Germany. <br><br>RESULTS: There is not a single evidence-based guideline worldwide. We determined 8 key performance indicators based on the five recommendations available for treatment of COP. These indices were subdivided into prehospital terms, hospital facilities, and diagnostic and therapeutic measures performed; they act as indicators for quality of care. In particular, the key figure "start oxygen" revealed that up to 41 % of the patients had not been treated with inhaled oxygen. In summary, data capture showed considerable incompleteness that is mainly due to missing time stamps. <br><br>CONCLUSION: In order to achieve a consistent treatment of patients with COP which meets the standard of recommended care, there is an urgent need for a consented national guideline. Another objective is to establish a nationwide prospective registry evaluating the treatment of carbon monoxide poisoning.<br><br>Copyright © 2018. Published by Elsevier GmbH.<p />  <p>Language: de</p>
LA  - de
SN  - 1865-9217
UR  - http://dx.doi.org/10.1016/j.zefq.2018.12.002
ID  - ref1
ER  -