{"id":"https://openalex.org/W1488933005","doi":null,"title":"Entwicklung und Optimierung eines CT-Scores zur objektiven Diagnosestellung einer Darmisch\u00e4mie bei intensivmedizinisch versorgten Patienten nach einer Herzoperation","display_name":"Entwicklung und Optimierung eines CT-Scores zur objektiven Diagnosestellung einer Darmisch\u00e4mie bei intensivmedizinisch versorgten Patienten nach einer Herzoperation","publication_year":2012,"publication_date":"2012-11-22","ids":{"openalex":"https://openalex.org/W1488933005","mag":"1488933005"},"language":"de","primary_location":{"id":"pmh:oai:qucosa:de:qucosa:11131","doi":null,"is_oa":true,"landing_page_url":"https://ul.qucosa.de/id/qucosa%3A11131","pdf_url":"https://ul.qucosa.de/id/qucosa%3A11131","source":{"id":"https://openalex.org/S4377196435","display_name":"Qucosa (Saxon State and University Library Dresden)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I3132420320","host_organization_name":"SLUB Dresden","host_organization_lineage":["https://openalex.org/I3132420320"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://ul.qucosa.de/id/qucosa%3A11131","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057036574","display_name":"Christian G\u00f6ller","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Christian G\u00f6ller","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5057036574"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.9887999892234802,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.9887999892234802,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intestinal-ischemia","display_name":"intestinal ischemia","score":0.7329999804496765},{"id":"https://openalex.org/keywords/ct-score","display_name":"CT score","score":0.6570000052452087},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.6840000152587891},{"id":"https://openalex.org/keywords/cardiac-surgery","display_name":"cardiac surgery","score":0.7850000262260437},{"id":"https://openalex.org/keywords/critical-care","display_name":"intensive care","score":0.6330000162124634},{"id":"https://openalex.org/keywords/non-occlusive-mesenteric-ischemia","display_name":"nonocclusive mesenteric ischemia","score":0.796999990940094},{"id":"https://openalex.org/keywords/low-cardiac-output-syndrome","display_name":"low cardiac output syndrome","score":0.7820000052452087},{"id":"https://openalex.org/keywords/acute-abdomen","display_name":"acute abdomen","score":0.6949999928474426},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.5709999799728394},{"id":"https://openalex.org/keywords/alkaline-phosphatase","display_name":"alkaline phosphatase","score":0.8109999895095825},{"id":"https://openalex.org/keywords/oxygenation-index","display_name":"oxygenation index","score":0.9789999723434448},{"id":"https://openalex.org/keywords/prognostic-factors","display_name":"prognostic factors","score":0.4390000104904175},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.3190000057220459},{"id":"https://openalex.org/keywords/myocardial-infarction","display_name":"myocardial infarction","score":0.6480000019073486},{"id":"https://openalex.org/keywords/mechanical-circulatory-support","display_name":"mechanical circulatory support","score":0.6370000243186951},{"id":"https://openalex.org/keywords/cardiogenic-shock","display_name":"cardiogenic shock","score":0.4300000071525574},{"id":"https://openalex.org/keywords/norepinephrine","display_name":"norepinephrine","score":0.5400000214576721},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.31200000643730164}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7133544087409973},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.39678308367729187}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:qucosa:de:qucosa:11131","doi":null,"is_oa":true,"landing_page_url":"https://ul.qucosa.de/id/qucosa%3A11131","pdf_url":"https://ul.qucosa.de/id/qucosa%3A11131","source":{"id":"https://openalex.org/S4377196435","display_name":"Qucosa (Saxon State and University Library Dresden)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I3132420320","host_organization_name":"SLUB Dresden","host_organization_lineage":["https://openalex.org/I3132420320"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},{"id":"mag:1488933005","doi":null,"is_oa":false,"landing_page_url":"https://www.qucosa.de/recherche/frontdoor/cache.off?tx_slubopus4frontend%5Bid%5D=urn%3Anbn%3Ade%3Absz%3A15-qucosa-124560","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:qucosa:de:qucosa:11131","doi":null,"is_oa":true,"landing_page_url":"https://ul.qucosa.de/id/qucosa%3A11131","pdf_url":"https://ul.qucosa.de/id/qucosa%3A11131","source":{"id":"https://openalex.org/S4377196435","display_name":"Qucosa (Saxon State and University Library Dresden)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I3132420320","host_organization_name":"SLUB Dresden","host_organization_lineage":["https://openalex.org/I3132420320"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1488933005.pdf","grobid_xml":"https://content.openalex.org/works/W1488933005.grobid-xml"},"referenced_works_count":68,"referenced_works":["https://openalex.org/W23932310","https://openalex.org/W52393172","https://openalex.org/W99066806","https://openalex.org/W105148848","https://openalex.org/W150521969","https://openalex.org/W180485975","https://openalex.org/W1513123914","https://openalex.org/W1594794537","https://openalex.org/W1825428369","https://openalex.org/W1963866704","https://openalex.org/W1971262200","https://openalex.org/W1976016996","https://openalex.org/W1977966825","https://openalex.org/W1978283201","https://openalex.org/W1978287431","https://openalex.org/W1979142116","https://openalex.org/W1983120454","https://openalex.org/W1986171266","https://openalex.org/W1998209552","https://openalex.org/W1999867179","https://openalex.org/W2003142328","https://openalex.org/W2008588984","https://openalex.org/W2010929577","https://openalex.org/W2013764208","https://openalex.org/W2013959135","https://openalex.org/W2016871321","https://openalex.org/W2023353969","https://openalex.org/W2024216568","https://openalex.org/W2025446097","https://openalex.org/W2030511026","https://openalex.org/W2049599978","https://openalex.org/W2051014301","https://openalex.org/W2051667962","https://openalex.org/W2055472916","https://openalex.org/W2063862638","https://openalex.org/W2071939396","https://openalex.org/W2072841444","https://openalex.org/W2089948132","https://openalex.org/W2093294663","https://openalex.org/W2094983964","https://openalex.org/W2101371911","https://openalex.org/W2104339638","https://openalex.org/W2108709447","https://openalex.org/W2113916481","https://openalex.org/W2116127425","https://openalex.org/W2117652995","https://openalex.org/W2117734414","https://openalex.org/W2129882004","https://openalex.org/W2135667526","https://openalex.org/W2140210938","https://openalex.org/W2140835948","https://openalex.org/W2143595341","https://openalex.org/W2146296468","https://openalex.org/W2152783089","https://openalex.org/W2153261341","https://openalex.org/W2159668226","https://openalex.org/W2159690693","https://openalex.org/W2161039315","https://openalex.org/W2161967331","https://openalex.org/W2167634694","https://openalex.org/W2168329195","https://openalex.org/W2170204873","https://openalex.org/W2314787815","https://openalex.org/W2395768579","https://openalex.org/W2411054133","https://openalex.org/W2413832485","https://openalex.org/W2418706626","https://openalex.org/W2497352591"],"related_works":["https://openalex.org/W2033740533","https://openalex.org/W2227445945","https://openalex.org/W2033127188","https://openalex.org/W1468512556","https://openalex.org/W2995839031","https://openalex.org/W2413328406","https://openalex.org/W1940824971","https://openalex.org/W2316083146","https://openalex.org/W2227339062","https://openalex.org/W2020271764"],"abstract_inverted_index":{"In":[0,48,335],"dieser":[1],"retrospektiven":[2],"Untersuchung":[3,50,337,579],"wurden":[4,121,408],"letztlich":[5],"133":[6,33],"Patienten":[7,34,53,213,320,411,419],"der":[8,32,146,175,246,273,292,301,303,313,377,445,451,514,562,641,658,664,673,691],"Intensivstation":[9],"des":[10,26],"Herzzentrum":[11],"Leipzig":[12],"erfasst,":[13],"bei":[14,211,393,399],"denen":[15],"vom":[16],"24.05.08":[17],"bis":[18],"zum":[19],"28.05.09":[20],"nach":[21,72,543],"erfolgter":[22],"Herzoperation":[23,544],"eine":[24,38,59,81,90,233,362,380,454,484,490],"CT-Untersuchung":[25],"Abdomen":[27,111],"durchgef\u00fchrt":[28],"wurde.":[29],"Bei":[30,402],"20":[31],"(15,04":[35],"%)":[36],"wurde":[37,254,305,317,461],"Darmisch\u00e4mie":[39,55,215,235,251,353,363,381,392,413,455,472,483,503,527,540,542,650,680],"mittels":[40],"einer":[41,144,150,158,186,250,391,471,482,502,649,679],"Koloskopie,":[42],"Laparotomie":[43],"oder":[44,239],"Obduktion":[45],"eindeutig":[46],"best\u00e4tigt.":[47],"unserer":[49,192,336],"wiesen":[51],"die":[52,156,168,184,195,200,226,328,387,397,480,498,688],"mit":[54,125,214,344,357,412,462],"statistisch":[56,216,368],"signifikant":[57,123,217],"h\u00e4ufiger":[58,124],"Herzinsuffizienz":[60],"NYHA":[61],"IV":[62],"(p":[63,74,84,92,101,112,127,171,177,197,202,208],"=":[64,68,75,79,85,93,97,106,117,128,132,172,198,203],"0,02":[65,86,94],"und":[66,77,87,95,104,108,115,120,130,153,174,205,287,311,331,354,396,437,466,489,508,523,573,582,605,629],"RR":[67,78,88,96,105,116,131],"2,42),":[69,80],"einen":[70,439],"Zustand":[71],"Myokardinfarkt":[73],"0,04":[76],"implantierte":[82],"IABP":[83],"2,5),":[89],"PAVK":[91],"2,83),":[98],"ein":[99,109,296,307,321,467],"Low-Cardiac-Output-Syndrom":[100],">":[102,288],"0,001":[103,114],"4,12)":[107],"akutes":[110,434],"<":[113,178,209],"20,48)":[118],"auf":[119,300,379,453],"zudem":[122],"Noradrenalin":[126],"0,008":[129],"5,08)":[133],"behandelt.":[134],"Die":[135],"kardiovaskul\u00e4ren":[136],"Risikofaktoren":[137,433,447,655],"f\u00fchren":[138],"\u00fcber":[139,687],"verschiedene":[140],"pathophysiologische":[141],"Mechanismen":[142],"zu":[143,149,229,237],"Reduktion":[145],"Herzauswurfleistung":[147],"bzw.":[148,270,282],"generellen":[151],"Minderperfusion":[152],"beg\u00fcnstigen":[154],"damit":[155],"Ausbildung":[157],"nichtokklusiven":[159],"Darmisch\u00e4mie.":[160,188],"Unter":[161],"den":[162,212,244,257,429],"laborchemischen":[163],"Parametern":[164],"erwiesen":[165],"sich":[166,339],"lediglich":[167],"alkalische":[169],"Phosphatase":[170],"0,03)":[173],"Oxygenierungsindex":[176],"0,001)":[179,204,210],"als":[180],"signifikante":[181],"Parameter":[182],"f\u00fcr":[183,194,318,479],"Diagnosestellung":[185,249,390,470,481,501,648,678],"akuten":[187],"Au\u00dferdem":[189],"konnte":[190,497],"in":[191,223],"Arbeit":[193,692],"GOT":[196],"0,02),":[199],"AP":[201],"das":[206],"CRP":[207],"h\u00f6herer":[218],"Mittelwerte":[219],"ermittelt":[220],"werden.":[221,334],"Alles":[222],"allem":[224],"waren":[225,416],"Laborparameter":[227,548,632,659],"jedoch":[228,415],"wenig":[230],"spezifisch,":[231],"um":[232],"akute":[234],"sicher":[236,351,361],"best\u00e4tigen":[238],"auszuschlie\u00dfen.":[240],"Daraufhin":[241],"haben":[242,366,425],"wir":[243,367,426,478],"Stellenwert":[245,657,663],"MDCT":[247,563,665,674],"zur":[248,389,469,500,647,677],"untersucht.":[252],"Dazu":[253],"aus":[255,256,312,428,587],"bildmorpholgischen":[258],"CT-Parametern":[259],"mesenteriales":[260],"\u00d6dem":[261],"(1":[262,265,268],"Punkt),":[263,266],"Darmwandverdickung":[264],"Minderkontrastierung":[267],"Punkt)":[269],"fehlende":[271],"Kontrastierung":[272],"Darmwand":[274],"(2":[275,279,285,294],"Punkte),":[276,280],"Pneumatosis":[277],"intestinalis":[278],"mesenterialven\u00f6se":[281],"portalven\u00f6se":[283],"Gaseinschl\u00fcsse":[284],"Punkte)":[286,295],"50":[289],"%-ige":[290],"Abgangsstenose":[291],"AMS":[293],"CT-Score":[297,322,346,373,424,460,644,669],"gebildet.":[298,442],"Basierend":[299],"Spezifit\u00e4t":[302,398,491,499],"CT-Parameter":[304,590],"jeweils":[306],"bestimmter":[308],"Punktwert":[309],"vergeben":[310],"Summe":[314],"aller":[315],"Punkte":[316],"jeden":[319],"errechnet.":[323],"Mithilfe":[324,474],"dieses":[325,475],"CT-Scoresystems":[326],"kann":[327],"Diagnose":[329],"objektiv":[330],"fr\u00fchzeitig":[332],"gestellt":[333,456],"hat":[338],"gezeigt,":[340],"dass":[341,370],"jeder":[342,355],"Patient":[343,356],"einem":[345,372,403],"von":[347,374,405,486,492],"\u2264":[348],"2":[349,510],"Punkten":[350,360,376,407],"keine":[352],"\u2265":[358],"4":[359,598],"hatte.":[364],"Zudem":[365],"ermittelt,":[369],"ab":[371],"3":[375,406,571],"Verdacht":[378,452],"ge\u00e4u\u00dfert":[382],"werden":[383,457],"muss.":[384],"Hier":[385],"lag":[386],"Sensitivit\u00e4t":[388,485],"100":[394,487],"%":[395,488,494],"92,04":[400],"%.":[401],"Cut-off":[404],"zwar":[409],"alle":[410],"erkannt,":[414],"auch":[417],"9":[418,693],"falsch":[420],"positiv.":[421],"Neben":[422],"dem":[423,463],"zus\u00e4tzlich":[427],"stark":[430],"signifikanten":[431],"klinischen":[432],"Abdomen,":[435],"LCO-Syndrom":[436],"Noradrenalinpflichtigkeit":[438],"sogenannte":[440],"Risikofaktor-Score":[441,464,634,661],"Falls":[443],"zwei":[444],"drei":[446],"vorliegen,":[448],"sollte":[449],"klinisch":[450],"kann.":[458],"Unser":[459],"kombiniert":[465],"Algorithmus":[468,476,646,676],"entwickelt.":[473],"konnten":[477],"97,35":[493],"ermitteln.":[495],"Somit":[496],"noch":[504],"verbessert":[505],"werden.:1":[506],"Einleitung":[507],"Zielsetzung":[509],"Grundlagen":[511],"2.1":[512],"Anatomie":[513],"Mesenterialgef\u00e4\u00dfe":[515],"2.2":[516],"Pathophysiologie":[517],"2.3":[518],"Klinisches":[519],"Krankheitsbild":[520],"2.4":[521],"\u00c4tiologie":[522],"Pathogenese":[524],"2.4.1":[525],"Okklusive":[526],"2.4.1.1":[528],"Akuter":[529],"embolischer":[530],"Mesenterialarterienverschluss":[531,534],"2.4.1.2":[532],"Thrombotischer":[533,536],"2.4.1.3":[535],"Mesenterialvenenverschluss":[537],"2.4.2":[538],"Nichtokklusive":[539],"2.5":[541],"2.6":[545],"Diagnostik":[546],"2.6.1":[547],"2.6.2":[549],"Konventionelles":[550],"R\u00f6ntgen":[551],"2.6.3":[552],"Doppler-Sonographie":[553],"2.6.4":[554],"Mehrschicht-Spiral-Computertomographie":[555],"2.6.4.1":[556],"Kontrastmittelapplikation":[557],"2.6.4.2":[558],"Darmisch\u00e4miezeichen":[559,667],"2.6.4.3":[560],"Wertigkeit":[561],"2.6.5":[564],"Angiographie":[565],"2.6.6":[566],"Andere":[567],"Untersuchungen":[568],"2.7":[569],"Therapie":[570,614],"Material":[572],"Methoden":[574],"3.1":[575],"Patientenerfassung":[576],"3.2":[577],"Apparative":[578],"3.3":[580],"Einteilung":[581],"Kriterien":[583],"3.3.1":[584],"Klinische":[585,654],"Daten":[586,617],"Krankenakten":[588],"3.3.2":[589],"3.3.3":[591],"Patientengruppen":[592,601],"3.3.4":[593],"CT-Darmisch\u00e4mie-Score":[594],"3.4":[595],"Statistische":[596],"Auswertung":[597],"Ergebnisse":[599],"4.1":[600],"4.2":[602],"Geschlecht,":[603],"Alter":[604],"Body-Mass-Index":[606],"4.3":[607],"Hauptdiagnosen":[608],"4.4":[609],"Nebendiagnosen":[610],"4.5":[611],"Verlaufsdiagnosen":[612],"4.6":[613],"4.7":[615],"Pr\u00e4operative":[616],"4.7.1":[618],"Medikation":[619],"4.7.2":[620],"Kardiale":[621],"Ejektionsfraktion":[622],"4.7.3":[623],"Herzrhythmus":[624],"4.8":[625],"Katecholaminbedarf":[626],"4.9":[627],"Entlassungsart":[628],"Mortalit\u00e4t":[630],"4.10":[631],"4.11":[633],"4.12":[635],"Originale":[636],"CT-Befundtexte":[637],"4.13":[638],"Retrospektive":[639],"Analyse":[640],"CT-Bildparameter":[642],"4.14":[643],"4.15":[645],"5":[651],"Diskussion":[652],"5.1":[653],"5.2":[656],"5.3":[660],"5.4":[662],"5.4.1":[666],"5.4.2":[668],"5.4.3":[670],"Diagnostische":[671],"Genauigkeit":[672],"5.5":[675],"6":[681],"Zusammenfassung":[682],"7":[683],"Literaturverzeichnis":[684],"8":[685],"Erkl\u00e4rung":[686],"eigenst\u00e4ndige":[689],"Abfassung":[690],"Lebenslauf":[694],"10":[695],"Danksagung":[696]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2016-06-24T00:00:00"}