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Titel: Reduced Rate of Inpatient Hospital Admissions in 18 German University Hospitals During the COVID-19 Lockdown
VerfasserIn: Kapsner, Lorenz A
Kampf, Marvin O
Seuchter, Susanne A
Gruendner, Julian
Gulden, Christian
Mate, Sebastian
Mang, Jonathan M
Schüttler, Christina
Deppenwiese, Noemi
Krause, Linda
Zöller, Daniela
Balig, Julien
Fuchs, Timo
Fischer, Patrick
Haverkamp, Christian
Holderried, Martin
Mayer, Gerhard
Stenzhorn, Holger
Stolnicu, Ana
Storck, Michael
Storf, Holger
Zohner, Jochen
Kohlbacher, Oliver
Strzelczyk, Adam
Schüttler, Jürgen
Acker, Till
Boeker, Martin
Kaisers, Udo X
Kestler, Hans A
Prokosch, Hans-Ulrich
Sprache: Englisch
Titel: Frontiers in public health
Bandnummer: 8
Verlag/Plattform: Frontiers
Erscheinungsjahr: 2021
Freie Schlagwörter: COVID-19
pandemic
healthcare systems
inpatient hospital admissions
Germany
medical informatics initiative
lockdown
university hospitals
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: The COVID-19 pandemic has caused strains on health systems worldwide disrupting routine hospital services for all non-COVID patients. Within this retrospective study, we analyzed inpatient hospital admissions across 18 German university hospitals during the 2020 lockdown period compared to 2018. Patients admitted to hospital between January 1 and May 31, 2020 and the corresponding periods in 2018 and 2019 were included in this study. Data derived from electronic health records were collected and analyzed using the data integration center infrastructure implemented in the university hospitals that are part of the four consortia funded by the German Medical Informatics Initiative. Admissions were grouped and counted by ICD 10 chapters and specific reasons for treatment at each site. Pooled aggregated data were centrally analyzed with descriptive statistics to compare absolute and relative differences between time periods of different years. The results illustrate how care process adoptions depended on the COVID-19 epidemiological situation and the criticality of the disease. Overall inpatient hospital admissions decreased by 35% in weeks 1 to 4 and by 30.3% in weeks 5 to 8 after the lockdown announcement compared to 2018. Even hospital admissions for critical care conditions such as malignant cancer treatments were reduced. We also noted a high reduction of emergency admissions such as myocardial infarction (38.7%), whereas the reduction in stroke admissions was smaller (19.6%). In contrast, we observed a considerable reduction in admissions for non-critical clinical situations, such as hysterectomies for benign tumors (78.8%) and hip replacements due to arthrosis (82.4%). In summary, our study shows that the university hospital admission rates in Germany were substantially reduced following the national COVID-19 lockdown. These included critical care or emergency conditions in which deferral is expected to impair clinical outcomes. Future studies are needed to delineate how appropriate medical care of critically ill patients can be maintained during a pandemic.
DOI der Erstveröffentlichung: 10.3389/fpubh.2020.594117
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-397875
hdl:20.500.11880/35849
http://dx.doi.org/10.22028/D291-39787
ISSN: 2296-2565
Datum des Eintrags: 16-Mai-2023
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Medizinische Biometrie, Epidemiologie und medizinische Informatik
Professur: M - Prof. Dr. Stefan Wagenpfeil
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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