Torben Schmidt
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Torben Schmidt has a total of 7 co-authors. Here are the top co-authors by number of shared publications:
- Jan Zeidler
Center for Health Economics Research Hannover (CHERH), Leibniz University Hannover, Hannover, Germany
1 shared publication - Jona Theodor Stahmeyer
AOK-Die Gesundheitskasse fuer Niedersachsen, 30519 Hannover, Germany
1 shared publication - Martin Lacher
Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany
1 shared publication - Matthias Krause
Department for Neurosurgery, Christian-Doppler-Klinik, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria
1 shared publication - Peter Zimmermann
Department of Pediatric Surgery, Children’s Hospital Wildermeth, Spitalzentrum Biel/Centre Hospitalier Bienne, 2502 Biel/Bienne, Switzerland
1 shared publication - Richard Gnatzy
Department of Pediatric Surgery, Leipzig University, Leipzig, Germany
1 shared publication
Latest Publications
- Open Access
Surgical Management and Hospital Care Structures of Posthemorrhagic Hydrocephalus (PHHC) in Infants—A German Claims Data Analysis
Background: We investigate the management patterns during the study period of pediatric posthemorrhagic hydrocephalus (PHHC) in pediatric (PD) and non-pediatric departments (non-PD). Methods: In this study, data were retrospectively extracted from two large German statutory health insurance funds (~5.2 million clients) between 2010 and 2016. Infants aged ≤12 months were identified using ICD-10-GM codes Q03.-, G91.-, Q04.6, G93.0, Q05.-, and P52.-. The follow-up period was two years. Results: Among 1480 infants with hydrocephalus-related diagnoses, 1043 (71%) had a documented intraventricular hemorrhage. In 395 PHHC cases (36%), treatment was provided by a university/maximum care (UM) hospital. In total, 103 patients (9%) required surgery: performed in PD (n = 84; 82%), non-PD (n = 14; 13%) and unspecified (n = 5; 5%). Primary surgical interventions consisted of external ventricular drainage (38%), cerebrospinal fluid reservoir implantation (39%), ventriculoperitoneal shunt placement (15%), and endoscopic third ventriculostomy (9%). During the first inpatient treatment, complications occurred in 48 patients (47%), with at least one revisional surgery in 98% of cases. After 24 months of follow-up, 77 patients (75%) who required surgical management of PHHC finally received a VPS. No significant differences in complication rates were observed between hospitals with different treating surgical specialties in their departmental structures. UM hospitals treated a higher number of preterms with HC below the 28th gestational week (25% vs. 17%; p < 0.001), and their mortality rate was significantly lower than in non-UM hospitals (4% vs. 7%; p = 0.018). Conclusions: The surgical volume for PHHC in Germany was equally distributed between UM and non-UM hospitals. No statistically significant differences in clinical outcomes were observed between patients treated in hospitals with pediatric versus non-pediatric surgical departmental structures. Non-UM hospitals treated fewer preterm infants below the 28th gestational week and exhibited higher mortality.
Open AccessSurgical Management and Hospital Care Structures of Posthemorrhagic Hydrocephalus (PHHC) in Infants—A German Claims Data Analysis
Background: We investigate the management patterns during the study period of pediatric posthemorrhagic hydrocephalus (PHHC) in pediatric (PD) and non-pediatric departments (non-PD). Methods: In this study, data were retrospectively extracted from two large German statutory health insurance funds (~5.2 million clients) between 2010 and 2016. Infants aged ≤12 months were identified using ICD-10-GM codes Q03.-, G91.-, Q04.6, G93.0, Q05.-, and P52.-. The follow-up period was two years. Results: Among 1480 infants with hydrocephalus-related diagnoses, 1043 (71%) had a documented intraventricular hemorrhage. In 395 PHHC cases (36%), treatment was provided by a university/maximum care (UM) hospital. In total, 103 patients (9%) required surgery: performed in PD (n = 84; 82%), non-PD (n = 14; 13%) and unspecified (n = 5; 5%). Primary surgical interventions consisted of external ventricular drainage (38%), cerebrospinal fluid reservoir implantation (39%), ventriculoperitoneal shunt placement (15%), and endoscopic third ventriculostomy (9%). During the first inpatient treatment, complications occurred in 48 patients (47%), with at least one revisional surgery in 98% of cases. After 24 months of follow-up, 77 patients (75%) who required surgical management of PHHC finally received a VPS. No significant differences in complication rates were observed between hospitals with different treating surgical specialties in their departmental structures. UM hospitals treated a higher number of preterms with HC below the 28th gestational week (25% vs. 17%; p < 0.001), and their mortality rate was significantly lower than in non-UM hospitals (4% vs. 7%; p = 0.018). Conclusions: The surgical volume for PHHC in Germany was equally distributed between UM and non-UM hospitals. No statistically significant differences in clinical outcomes were observed between patients treated in hospitals with pediatric versus non-pediatric surgical departmental structures. Non-UM hospitals treated fewer preterm infants below the 28th gestational week and exhibited higher mortality.