Subject(s)
Bisoprolol/administration & dosage , Defibrillators , Electric Countershock , Isolated Noncompaction of the Ventricular Myocardium , Pregnancy Complications, Cardiovascular , Tachycardia, Ventricular , Adrenergic beta-1 Receptor Antagonists/administration & dosage , Adult , Cardiotocography/methods , Cesarean Section/methods , Echocardiography/methods , Electric Countershock/instrumentation , Electric Countershock/methods , Electrocardiography, Ambulatory/methods , Female , Humans , Isolated Noncompaction of the Ventricular Myocardium/complications , Isolated Noncompaction of the Ventricular Myocardium/diagnosis , Isolated Noncompaction of the Ventricular Myocardium/physiopathology , Magnetic Resonance Imaging, Cine/methods , Pregnancy , Pregnancy Complications, Cardiovascular/diagnosis , Pregnancy Complications, Cardiovascular/physiopathology , Pregnancy Outcome , Stroke Volume , Tachycardia, Ventricular/diagnosis , Tachycardia, Ventricular/etiologyABSTRACT
The necessity of limiting resource in healthcare systems is becoming increasingly more evident. The population has requirements especially in the field of healthcare which are principally unlimited. However, there are only limited financial resources which can be used to satisfy the wishes of the population. For this reason rationing models are being discussed increasingly more often. One example of these models is called age rationing which means that defined services are only offered to patients up to a particular age. The aim of this article is to discuss the model of age rationing in the context of an optimized use of resources in the healthcare system.
Subject(s)
Age Factors , Delivery of Health Care/organization & administration , Health Care Rationing/organization & administration , Health Resources , Resource Allocation , Aged , Female , Germany , Humans , Male , Models, Organizational , PopulationABSTRACT
BACKGROUND: An elevated body mass index (BMI) is suggested to be a risk factor for a poor outcome after intracranial aneurysm rupture and is considered to be associated with cerebral infarction in patients with aneurysmal subarachnoid hemorrhage (SAH). The aim of this study was to analyze the association between permorbid BMI and neurological outcome. METHODS: In this retrospective study, the patients' BMI at the time of their admission to hospital was correlated to their neurological outcome as measured by the Glasgow outcome score after two weeks and two months of treatment. RESULTS: In contrast to other studies, there were no significant correlations between premorbid BMI and neurological outcome, shunt requirement, tracheotomy requirement and duration of stay on the intensive care unit (ICU). CONCLUSIONS: Overweight patients have no higher risk of a poor neurological outcome after aneurysmal SAH if premorbid risk factors such as hypertension and hyperglycemia are carefully modified throughout the period of critical care.
