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2021 ; 24
(6
): 943-952
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Patientenzahlen im Rahmen der COVID-19-Pandemie in einer zentralen Notaufnahme
#MMPMID32837303
Tschaikowsky T
; Becker von Rose A
; Consalvo S
; Pflüger P
; Barthel P
; Spinner CD
; Knier B
; Kanz KG
; Dommasch M
Notf Rett Med
2021[]; 24
(6
): 943-952
PMID32837303
show ga
BACKGROUND: Since end of March, the health care system in Germany has been placed
into a state of emergency in order to gain resources for the spreading
coronavirus disease 2019 (COVID-19) pandemic. The overall goal of this study is
to evaluate the number of emergency room patients at the time of the pandemic in
order to draw conclusions about the influence of the COVID 19 pandemic on the
number of patients in an emergency department. MATERIALS AND METHODS: With this
descriptive epidemiologic study we collected and analyzed anonymized
patient-related data of 19,357 cases presenting to the emergency department of
the Klinikum rechts der Isar (Munich) from 01 February 2019 to 30 April 2019 and
from 01 February 2020 to 30 April 2020. RESULTS: Despite an increase in the
number of patients from 2019 to 2020, there was a significant drop in the number
of emergencies from February to March 2020 and proceeding in April to a level
below that of 2019. This was particularly observed in the field of trauma
surgery, with a 40% decrease in the number of patients. With regard to the
individual complaint patterns in March 2020, it was found that an increased
incidence of malaise (+47%) and breathing problems (+36%) was recorded, whereas
back pain (-41%), wounds (-29%), thoracic (-24%) and abdominal pain (-23%) were
significantly less common than in the previous year. In terms of the severity of
the complaints, the decline was mainly due to complaints with a low degree of
urgency. CONCLUSION: In the course of the COVID-19 pandemic we observed
a significant decline in the number of patients in one of the largest emergency
rooms in Munich. This has to be avoided with existing hospital capacities, in
order to prevent potential damage to health caused by postponed or missing
emergency presentations.