Abstract:Husten 53 % Fieber 42 % Schnupfen 23 % Um die Ressourcen des Gesundheitssystems für die Behandlung von COVID-19-Patienten zu bündeln, wurde empfohlen, nicht dringliche Operationen zu verschieben oder zurückzustellen. In manchen Regionen wird die Durchführung planbarer Operationen sogar behördlich untersagt (Bayern bis 15.05.2020). In Berlin hingegen werden die Krankenhäuser Knie Journal
Zusammenfassung · AbstractKnie J. https://doi.
“…The virus was first detected in Germany at the end of January 2020. The measures to contain the spread of the virus have had direct and indirect impacts on all hospitals [ 2 ]. The Ministry of Health announced on March 12 2020, that elective and non-urgent operations in hospitals throughout Germany were to be postponed indefinitely.…”
Purpose
The effects of the first pandemic wave on a German Level I Trauma Center should be evaluated to find ways to redistribute structural, personnel, and financial resources in a targeted manner in preparation for the assumed second pandemic wave.
Methods
We examined the repercussions of the first wave of the pandemic on the trauma surgery clinic of a Level I Trauma Center and compared the data with data from 58 other trauma clinics. The results could aid in orientating the distribution of structural, financial, and human resources (HR) during the second wave. The period between March 16 and April 30, 2020 was compared with the data over the same period during 2019. Information was collected from the HR department, central revenue management, and internal documentation.
Results
The proportion of trauma surgical patients in the emergency room decreased by 22%. The number of polytrauma cases increased by 53%. Hospital days of trauma surgery patients in the intensive and intermediate care wards increased by 90%. The number of operations decreased by 15%, although the operating time outside of normal working hours increased by 44%. Clinics with more than 600 beds recorded a decrease in cases and emergencies by 8 and 9%, respectively, while the Trauma Center showed an increase of 19 and 12%. The results reflect the importance of level I trauma centers in the lockdown phase.
Conclusion
To reduce the risk of an increased burden on the healthcare infrastructure, it suggests the care of trauma and COVID-19 patients should be separated locally, when possible.
“…The virus was first detected in Germany at the end of January 2020. The measures to contain the spread of the virus have had direct and indirect impacts on all hospitals [ 2 ]. The Ministry of Health announced on March 12 2020, that elective and non-urgent operations in hospitals throughout Germany were to be postponed indefinitely.…”
Purpose
The effects of the first pandemic wave on a German Level I Trauma Center should be evaluated to find ways to redistribute structural, personnel, and financial resources in a targeted manner in preparation for the assumed second pandemic wave.
Methods
We examined the repercussions of the first wave of the pandemic on the trauma surgery clinic of a Level I Trauma Center and compared the data with data from 58 other trauma clinics. The results could aid in orientating the distribution of structural, financial, and human resources (HR) during the second wave. The period between March 16 and April 30, 2020 was compared with the data over the same period during 2019. Information was collected from the HR department, central revenue management, and internal documentation.
Results
The proportion of trauma surgical patients in the emergency room decreased by 22%. The number of polytrauma cases increased by 53%. Hospital days of trauma surgery patients in the intensive and intermediate care wards increased by 90%. The number of operations decreased by 15%, although the operating time outside of normal working hours increased by 44%. Clinics with more than 600 beds recorded a decrease in cases and emergencies by 8 and 9%, respectively, while the Trauma Center showed an increase of 19 and 12%. The results reflect the importance of level I trauma centers in the lockdown phase.
Conclusion
To reduce the risk of an increased burden on the healthcare infrastructure, it suggests the care of trauma and COVID-19 patients should be separated locally, when possible.
“…Einleitung Die mittel-und langfristigen Folgen der aktuellen Covid-19 Pandemie sind derzeit noch nicht abzuschätzen. Unterschiedliche Fachgesellschaften weisen bereits auf potenzielle medizinische, aber auch sozioökonomische Folgen hin [1][2][3][4]. Da Covid-19 eine vorrangig respiratorische Erkrankung ist, stehen Untersuchungen zu pulmonalen Langzeitfolgen und deren Nachsorge bisher im Vordergrund [5].…”
“…Daher ist dieses System auch zu ortsübergreifenden Fortbildungszwecken einsetzbar (Webinare, Online-OP-Kurse etc.). Das sind Möglichkeiten, die insbesondere jetzt zur Zeit der SARS-CoV-2-Pandemie in den Vordergrund rücken [ 6 , 25 ]. …”
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