دورية أكاديمية
Changes in emergency department utilisation in Germany before and during different phases of the COVID-19 pandemic, using data from a national surveillance system up to June 2021.
| العنوان: | Changes in emergency department utilisation in Germany before and during different phases of the COVID-19 pandemic, using data from a national surveillance system up to June 2021. |
|---|---|
| المؤلفون: | Schranz M; Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany. schranzm@rki.de.; Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt, Universität zu Berlin, Institute of Public Health, Berlin, Germany. schranzm@rki.de., Boender TS; Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany., Greiner T; Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany., Kocher T; Department for Methods Development, Research Infrastructure and Information Technology, Robert Koch Institute, Berlin, Germany., Wagner B; Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany., Greiner F; Department of Trauma Surgery, Otto von Guericke University Magdeburg, Magdeburg, Germany.; Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany., Bienzeisler J; Institute of Medical Informatics, Medical Faculty, RWTH Aachen University, Aachen, Germany., Diercke M; Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany., Grabenhenrich L; Department for Methods Development, Research Infrastructure and Information Technology, Robert Koch Institute, Berlin, Germany., Aigner A; Charité - Universitätsmedizin Berlin, Institute of Biometry and Clinical Epidemiology, Berlin, Germany., Ullrich A; Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany. |
| مؤلفون مشاركون: | AKTIN-Research Group |
| المصدر: | BMC public health [BMC Public Health] 2023 May 02; Vol. 23 (1), pp. 799. Date of Electronic Publication: 2023 May 02. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | COVID-19*/epidemiology , Emergency Medical Services*, Humans ; Aged ; Infant, Newborn ; Infant ; Child, Preschool ; Child ; Adolescent ; Young Adult ; Adult ; Pandemics ; Emergency Service, Hospital ; Germany/epidemiology |
| مستخلص: | Background: During the COVID-19 pandemic and associated public health and social measures, decreasing patient numbers have been described in various healthcare settings in Germany, including emergency care. This could be explained by changes in disease burden, e.g. due to contact restrictions, but could also be a result of changes in utilisation behaviour of the population. To better understand those dynamics, we analysed routine data from emergency departments to quantify changes in consultation numbers, age distribution, disease acuity and day and hour of the day during different phases of the COVID-19 pandemic. Methods: We used interrupted time series analyses to estimate relative changes for consultation numbers of 20 emergency departments spread throughout Germany. For the pandemic period (16-03-2020 - 13-06-2021) four different phases of the COVID-19 pandemic were defined as interruption points, the pre-pandemic period (06-03-2017 - 09-03-2020) was used as the reference. Results: The most pronounced decreases were visible in the first and second wave of the pandemic, with changes of - 30.0% (95%CI: - 32.2%; - 27.7%) and - 25.7% (95%CI: - 27.4%; - 23.9%) for overall consultations, respectively. The decrease was even stronger for the age group of 0-19 years, with - 39.4% in the first and - 35.0% in the second wave. Regarding acuity levels, consultations assessed as urgent, standard, and non-urgent showed the largest decrease, while the most severe cases showed the smallest decrease. Conclusions: The number of emergency department consultations decreased rapidly during the COVID-19 pandemic, without extensive variation in the distribution of patient characteristics. Smallest changes were observed for the most severe consultations and older age groups, which is especially reassuring regarding concerns of possible long-term complications due to patients avoiding urgent emergency care during the pandemic. (© 2023. The Author(s).) |
| References: | Med Klin Intensivmed Notfmed. 2022 Nov 4;:. (PMID: 36331564) MMWR Morb Mortal Wkly Rep. 2020 Jun 26;69(25):795-800. (PMID: 32584802) Arch Dis Child. 2020 Jul;105(7):704. (PMID: 32376695) Med Klin Intensivmed Notfmed. 2020 Jun;115(5):380-387. (PMID: 32322988) Med Klin Intensivmed Notfmed. 2022 Feb;117(1):24-33. (PMID: 33346852) Epidemiol Infect. 2020 Jun 18;148:e122. (PMID: 32614283) Emerg Med J. 2020 Oct;37(10):600-604. (PMID: 32948621) Lancet Reg Health Eur. 2021 Mar;2:100034. (PMID: 34173630) Eur Heart J Qual Care Clin Outcomes. 2020 Jul 1;6(3):221-222. (PMID: 32502261) MMWR Morb Mortal Wkly Rep. 2020 Sep 11;69(36):1250-1257. (PMID: 32915166) Dtsch Arztebl Int. 2020 Aug 17;117(33-34):545-552. (PMID: 32865489) MMWR Morb Mortal Wkly Rep. 2020 Jun 12;69(23):699-704. (PMID: 32525856) BMC Public Health. 2021 Nov 5;21(1):2019. (PMID: 34740346) BMJ Open. 2021 Mar 16;11(3):e045343. (PMID: 33727273) PLoS Med. 2021 Nov 23;18(11):e1003854. (PMID: 34813591) BMC Pediatr. 2020 Dec 23;20(1):562. (PMID: 33353540) Stroke. 2020 Jul;51(7):2224-2227. (PMID: 32516064) |
| فهرسة مساهمة: | Investigator: J Brokmann; C Mach; M Wehler; S Blaschke; K Esslinger; D Schunk; S Wolfrum; T Hofmann; B Lucas; M Klein; T Peschel; C Grupp; H Wenderoth; O Horn; C Wrede; H Hoeger-Schmidt; H Dormann; G Ullrich; K Habbinga; T Henke; T Schilling; B Erdmann; E Wetzel; M Baacke; R Grashey; R Röhrig; R Majeed; A Kombeiz; L Triefenbach; F Walcher; W Schirrmeister; R Otto; S Drynda Keywords: COVID-19 pandemic; Emergency department; Interrupted time series analyses; Public health and social measures; Routine data; Syndromic surveillance |
| تواريخ الأحداث: | Date Created: 20230502 Date Completed: 20230504 Latest Revision: 20230508 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10152015 |
| DOI: | 10.1186/s12889-023-15375-7 |
| PMID: | 37131165 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2458 |
|---|---|
| DOI: | 10.1186/s12889-023-15375-7 |