Verkenning van gezondheidssituatie en gezondheidsverschillen in de Euregio Maas-Rijn (EMR)

Curvers, Nicole; Willems, Laura; Konings, Kevin; Stijnen, Mandy M. N.; Jansen, Maria

doi:10.1007/s12508-019-00245-8

Cited by 3 publications

(5 citation statements)

References 4 publications

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“…The Euregio Meuse-Rhine has many similarities. In addition to similar international guidelines, healthcare standards, access to literature, and vocational training of ICU healthcare professionals ( 31 ), the general population’s presumed genetic and socioeconomic background is comparable ( 13 ). We found similarities among patients (e.g., age over 60 yr, the predominance of male patients, the majority of comorbidities, and the use of antibiotics).…”

Section: Discussionmentioning

confidence: 99%

“…The Euregio Meuse-Rhine, a region covering parts of Belgium, The Netherlands, and Germany, is characterized by a high population density (3,900,000 inhabitants at 11,000 km 2 ) and intense cross-border passage ( 13 ). Over 10% of inhabitants were positively tested for COVID-19 infection during the first pandemic wave ( www.sanquin.nl-sanquin/nieuws/2020/11/antistoffen-bij-donors-meting-november ).…”

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confidence: 99%

“…Over 10% of inhabitants were positively tested for COVID-19 infection during the first pandemic wave ( www.sanquin.nl-sanquin/nieuws/2020/11/antistoffen-bij-donors-meting-november ). When comparing healthcare systems’ variation, the Euregio has the advantage that the population at risk is assumed to be somewhat homogeneous as they share a genetic background and have a comparable socioeconomic status ( 13 ). Furthermore, heterogeneity due to different ICU admission diagnoses was absent since the majority of patients were admitted for COVID-19 pneumonia.…”

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confidence: 99%

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Differences and Similarities Among COVID-19 Patients Treated in Seven ICUs in Three Countries Within One Region: An Observational Cohort Study*

Mesotten

Meijs

Bussel

et al. 2021

Critical Care Medicine

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OBJECTIVES: To investigate healthcare system–driven variation in general characteristics, interventions, and outcomes in coronavirus disease 2019 (COVID-19) patients admitted to the ICU within one Western European region across three countries. DESIGN: Multicenter observational cohort study. SETTING: Seven ICUs in the Euregio Meuse-Rhine, one region across Belgium, The Netherlands, and Germany. PATIENTS: Consecutive COVID-19 patients supported in the ICU during the first pandemic wave. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Baseline demographic and clinical characteristics, laboratory values, and outcome data were retrieved after ethical approval and data-sharing agreements. Descriptive statistics were performed to investigate country-related practice variation. From March 2, 2020, to August 12, 2020, 551 patients were admitted. Mean age was 65.4 ± 11.2 years, and 29% were female. At admission, Acute Physiology and Chronic Health Evaluation II scores were 15.0 ± 5.5, 16.8 ± 5.5, and 15.8 ± 5.3 ( p = 0.002), and Sequential Organ Failure Assessment scores were 4.4 ± 2.7, 7.4 ± 2.2, and 7.7 ± 3.2 ( p < 0.001) in the Belgian, Dutch, and German parts of Euregio, respectively. The ICU mortality rate was 22%, 42%, and 44%, respectively ( p < 0.001). Large differences were observed in the frequency of organ support, antimicrobial/inflammatory therapy application, and ICU capacity. Mixed-multivariable logistic regression analyses showed that differences in ICU mortality were independent of age, sex, disease severity, comorbidities, support strategies, therapies, and complications. CONCLUSIONS: COVID-19 patients admitted to ICUs within one region, the Euregio Meuse-Rhine, differed significantly in general characteristics, applied interventions, and outcomes despite presumed genetic and socioeconomic background, admission diagnosis, access to international literature, and data collection are similar. Variances in healthcare systems’ organization, particularly ICU capacity and admission criteria, combined with a rapidly spreading pandemic might be important drivers for the observed differences. Heterogeneity between patient groups but also healthcare systems should be presumed to interfere with outcomes in coronavirus disease 2019.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Differences and Similarities Among COVID-19 Patients Treated in Seven ICUs in Three Countries Within One Region: An Observational Cohort Study*

Mesotten

Meijs

Bussel

et al. 2021

Critical Care Medicine

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“…As a result, the ageing of populations has gained importance and urgency in policies. There are differences in the EMR such as the life expectancy at birth (range 79.9-82.5 years) and also commonalities such as an overall low social-economic status, and barriers posed by the borders (Curvers et al, 2020). In this area, the interregional Senior Friendly Communities (SFC) approach was implemented, which has been described in an earlier paper (Schichel et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Towards age‐friendly municipalities: What are municipalities doing to support their ageing population with mental health problems?

Schichel

Veenstra

Kempen

et al. 2022

World Med & Health Policy

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Municipalities in Western Europe have increasingly gained a responsibility to support their populations' healthy ageing, but are they ready to do so? In this case study, we are looking into the awareness, attitudes, capacities and mandates of 33 neighboring Belgian, Dutch, and German municipalities to support ageing people, and especially people with dementia, people with late‐life depression and informal caregivers. As part of the Senior Friendly Communities Interreg project, we conducted semi‐structured interviews with municipal policymakers and relevant stakeholders from May 2017 to January 2018. The results show that dementia was a more salient theme in municipality policies than depression; that informal caregivers were considered important but difficult for municipalities to identify; that there was a difference between how embedded these health themes were in policies versus in practice; and lastly, that conducting this assessment turned out to act as an intervention itself. We discuss the similarities and differences between the regions, and the context that needs to be taken into account for municipalities when becoming more age‐friendly. These results do not only provide an insight into the status quo of the participating municipalities with regard to becoming more age‐friendly but can provide a starting point for further development of policies in this area.

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“…As a result, the ageing of populations has gained importance and urgency in policies. There are differences in the EMR such as the life expectancy at birth (range 79,9 -82,5 years) and also commonalities such as an overall low social-economic status, and barriers posed by the borders (Curvers, Willems, Konings, Stijnen, & Jansen, 2020). In this area, the interregional Senior Friendly Communities (SFC) approach was implemented, which has been described in an earlier paper .…”

Section: Introductionmentioning

confidence: 99%

Age-friendly municipalities in a cross-border context

Schichel

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Verkenning van gezondheidssituatie en gezondheidsverschillen in de Euregio Maas-Rijn (EMR)

Cited by 3 publications

References 4 publications

Differences and Similarities Among COVID-19 Patients Treated in Seven ICUs in Three Countries Within One Region: An Observational Cohort Study*

Differences and Similarities Among COVID-19 Patients Treated in Seven ICUs in Three Countries Within One Region: An Observational Cohort Study*

Towards age‐friendly municipalities: What are municipalities doing to support their ageing population with mental health problems?

Age-friendly municipalities in a cross-border context

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