Auswirkungen der SARS-CoV-2-Pandemie auf die universitäre Hals-Nasen-Ohrenheilkunde im Bereich der Krankenversorgung

Stöver T, Dazert S, Hoffmann TK, Plontke SK, Ambrosch P, Arens C, Betz C, Beutner D, Bohr C, Bruchhage KL, Canis M, Dietz A, Guntinas-Lichius O, Hagen R, Hosemann W, Iro H, Klussmann JP, Knopf A, Kramer S, Lang S, Leinung M, Lenarz T, Löwenheim H, Matthias C, Mlynski R, Olze H, Park J, Plinkert P, Radeloff A, Rotter N, Rudack C, Bozzato A, Schipper J, Schrader M, Strieth S, Stuck BA, Volkenstein S, Westhofen M, Wolf G, Wollenberg B, Zahnert T, Zenk J (2020)

Publication Type: Journal article, Review article

Publication year: 2020

Journal

DOI: 10.1055/a-1232-4911

Abstract

Introduction Since December 2019, the SARS-CoV-2 virus has been rapidly spreading worldwide. In Germany, an exponential increase in the number of infections was registered at the beginning of March 2020 and led to a call of the Ministry of Health to create more capacity for intensive medical treatment in hospitals. The aim of the present study was to determine the effects of the SARS-CoV-2 pandemic on Oto-Rhino-Laryngology (ORL) university hospitals regarding patient care. Materials and methods An online survey was sent out to all chairmen of the 39 ORL university hospitals in Germany. The answers to the questions referred to the defined period from March 15 ^thto April 15 ^th2020 and were carried out using the online survey tool SurveyMonkey. 87 questions focused on general information, health care, and structural effects in the respective institution. Results All chairmen of the 39 university hospitals in Germany participated in the survey. The collected data prove the considerable impact on organizational, structural and medical aspects of patient care. For example, the surveyed clinics reported a decrease in outpatient cases by 73.8% to 26.2±14.2% and in surgical treatments by 65.9% to 34.1±13.9%. In contrast, emergency treatment remained unchanged or even increased in 80% of the facilities and surgical treatment of emergency patients remained unchanged or even increased in more than 90%. Emergency outpatient and surgical treatment of patients was provided throughout the pandemic in all facilities. In total, about 35000 outpatients and about 12000 surgical cases were postponed. As a result of the acute structural changes, the potential danger of falling below current treatment standards was seen in individual areas of patient care. Discussion The assessment of the impact of the SARS-CoV-2 pandemic is heterogeneous. The majority of the chairmen are critically aware of the risk of falling below current medical treatment standards or guidelines. In the phase of an exponential increase in the number of infections, significant changes in treatment processes had to be accepted for understandable reasons. However, with the currently significantly reduced number of infections, falling below treatment standards and guidelines should not be allowed to remain constant and tolerated. Summary This study shows a differentiated picture with regard to the effects of the SARS-CoV-2 pandemic on outpatient, inpatient and operative patient care at the ORL university hospitals in Germany and illustrates the importance of these institutions for ensuring patient care during this critical phase.

Authors with CRIS profile

Involved external institutions

Klinikum der Universität München Germany (DE) Universitätsklinikum Carl Gustav Carus Dresden Germany (DE) Universitätsklinikum Hamburg-Eppendorf (UKE) Germany (DE) Universitätsklinikum Halle (Saale) Germany (DE) Universitätsklinikum Frankfurt am Main (KGU) Germany (DE) Universitätsklinikum Bonn Germany (DE) Katholisches Klinikum Bochum (St. Josef- und St. Elisabeth-Hospital gGmbH) Germany (DE) Universitätsklinikum Tübingen Germany (DE) Universitätsklinikum Würzburg Germany (DE) Universitätsklinikum Göttingen Germany (DE) Universitätsklinikum Jena Germany (DE) Universitätsmedizin Greifswald / Universitätsklinikum Greifswald Germany (DE) Universitätsklinikum Essen Germany (DE) Universitätsklinikum Magdeburg A.ö.R. Germany (DE) Universitätsklinikum Münster Germany (DE) Universitätsklinikum Schleswig-Holstein (UKSH) Germany (DE) Universitätsklinikum Aachen (UKA) Germany (DE) Universitätsklinikum Gießen und Marburg (UKGM) Germany (DE) Universitätsklinikum Köln Germany (DE) Universitätsmedizin Rostock Germany (DE) Charité - Universitätsmedizin Berlin Germany (DE) Universitätsmedizin der Johannes Gutenberg-Universität Mainz Germany (DE) Universitätsklinikum Heidelberg Germany (DE) Mühlenkreiskliniken Germany (DE) Medizinische Hochschule Hannover (MHH) / Hannover Medical School Germany (DE) Klinikum Oldenburg Germany (DE) Klinikum rechts der Isar Germany (DE) Universitätsklinikum Leipzig Germany (DE) Universitätsklinikum Düsseldorf Germany (DE) Universitätsklinikum Augsburg Germany (DE) Universitätsklinikum des Saarlandes (UKS) Germany (DE) Universitätsklinikum Mannheim Germany (DE) Universität Witten/Herdecke Germany (DE) Philipps-Universität Marburg Germany (DE) Universitätsklinikum Freiburg Germany (DE) Universitätsklinikum Regensburg Germany (DE) Universitätsklinikum Ulm Germany (DE)

How to cite

APA:

Stöver, T., Dazert, S., Hoffmann, T.K., Plontke, S.K., Ambrosch, P., Arens, C.,... Zenk, J. (2020). Auswirkungen der SARS-CoV-2-Pandemie auf die universitäre Hals-Nasen-Ohrenheilkunde im Bereich der Krankenversorgung. Laryngo-Rhino-Otologie. https://doi.org/10.1055/a-1232-4911

MLA:

Stöver, T., et al. "Auswirkungen der SARS-CoV-2-Pandemie auf die universitäre Hals-Nasen-Ohrenheilkunde im Bereich der Krankenversorgung." Laryngo-Rhino-Otologie (2020).

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