Langfristige Prognose der Einnahmeentwicklung für den Landeshaushalt des Freistaates Sachsen bis zum Jahr 2025: Gutachten im Auftrag des Sächsischen Staatsministeriums der Finanzen

This project presents a continuation of the revenue forecast of the Free State of Saxony until 2025. For sustainable regional politics, more transparency in political decision-making, and especially in the current financial and economic crisis, a continuously updated revenue forecast is of great importance. The population in the East German states is declining and consequently also the transfers from the federal fiscal equalization scheme. Moreover, the transfer payments for East Germany since the German reunification will end 2019. All of these three facts lead to decreasing state revenues. The aim of the project is thus to estimate the extent of the decline and to formulate recommendations for the fiscal policy in the Free State of Saxony This project presents a continuation of the revenue forecast of the Free State of Saxony until 2025. For sustainable regional politics, more transparency in political decision-making, and especially in the current financial and economic crisis, a continuously updated revenue forecast is of great importance. The population in the East German states is declining and consequently also the transfers from the federal fiscal equalization scheme. Moreover, the transfer payments for East Germany since the German reunification will end 2019. All of these three facts lead to decreasing state revenues. The aim of the project is thus to estimate the extent of the decline and to formulate recommendations for the fiscal policy in the Free State of Saxony

Risk of venous thromboembolism during rehabilitation of patients with spinal cord injury.

Patients with spinal cord injury (SCI) are at risk of thrombosis and bleeding. Data on the risks during rehabilitation are inconsistent, and thromboprophylactic strategies are heterogeneous. We aimed to evaluate the thrombotic risk and bleeding events of SCI patients during rehabilitation.We retrospectively collected hospital record data of 263 consecutive SCI patients admitted at a rehabilitation clinic. 78 patients with acute venous thromboembolism (VTE) at the primary center, without acute trauma or lower extremity paresis, less than one month rehabilitation, or reasons for long-term therapeutic anticoagulation, were excluded. All patients received pharmacologic thromboprophylaxis throughout rehabilitation. Primary endpoint was objectively diagnosed VTE; secondary endpoint was bleeding.Of 185 patients, 162 (88%) were men; mean age was 47.8 years. 94 patients were tetraplegic, 91 paraplegic. During a mean (±SD) time of 5.1±2.1 months, VTE was diagnosed in 8 patients. After excluding five patients with VTE detected within 2 days after admission, the probability of developing VTE after 6 months of rehabilitation was 2% (95% CI 0-4.4%). Only high D-Dimer upon admission was associated with risk of VTE (adjusted HR 2.3, 95% CI 1.4-4.1). Of 24 bleedings, 14 (64%) occurred at the heparin injection site. Two patients had major bleeding and five had clinically relevant non major bleeding.SCI patients are at risk of VTE and bleeding during rehabilitation. Strategies need to be developed to identify these patients in order to initiate adequate anticoagulation. Direct oral anticoagulants, which have a favourable risk-benefit profile and are convenient, should be explored

Risk of venous thromboembolism during rehabilitation of patients with spinal cord injury

Background: Patients with spinal cord injury (SCI) are at risk of thrombosis and bleeding. Data on the risks during rehabilitation are inconsistent, and thromboprophylactic strategies are heterogeneous. We aimed to evaluate the thrombotic risk and bleeding events of SCI patients during rehabilitation. Methods: We retrospectively collected hospital record data of 263 consecutive SCI patients admitted at a rehabilitation clinic. 78 patients with acute venous thromboembolism (VTE) at the primary center, without acute trauma or lower extremity paresis, less than one month rehabilitation, or reasons for long-term therapeutic anticoagulation, were excluded. All patients received pharmacologic thromboprophylaxis throughout rehabilitation. Primary endpoint was objectively diagnosed VTEsecondary endpoint was bleeding. Results: Of 185 patients, 162 (88%) were menmean age was 47.8 years. 94 patients were tetraplegic, 91 paraplegic. During a mean (±SD) time of 5.1±2.1 months, VTE was diagnosed in 8 patients. After excluding five patients with VTE detected within 2 days after admission, the probability of developing VTE after 6 months of rehabilitation was 2% (95% CI 0–4.4%). Only high D-Dimer upon admission was associated with risk of VTE (adjusted HR 2.3, 95% CI 1.4–4.1). Of 24 bleedings, 14 (64%) occurred at the heparin injection site. Two patients had major bleeding and five had clinically relevant non major bleeding. Conclusion: SCI patients are at risk of VTE and bleeding during rehabilitation. Strategies need to be developed to identify these patients in order to initiate adequate anticoagulation. Direct oral anticoagulants, which have a favourable risk-benefit profile and are convenient, should be explored

Characteristics of eight patients with spinal cord injury (SCI) and venous thromboembolism (VTE).

<p>Characteristics of eight patients with spinal cord injury (SCI) and venous thromboembolism (VTE).</p

Characteristics of seven patients with spinal cord injury and bleedings other than at the low molecular weight heparin injection site.

<p>Characteristics of seven patients with spinal cord injury and bleedings other than at the low molecular weight heparin injection site.</p