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[Structure of hospital care for COVID-19 patients up to July 2020 in Germany]. / Stationäre und intensivmedizinische Versorgungsstrukturen von COVID-19-Patienten bis Juli 2020.
Hentschker, C; Mostert, C; Klauber, J; Malzahn, J; Scheller-Kreinsen, D; Schillinger, G; Karagiannidis, C; Busse, R.
  • Hentschker C; Wissenschaftliches Institut der AOK (WIdO), Berlin, Deutschland.
  • Mostert C; Wissenschaftliches Institut der AOK (WIdO), Berlin, Deutschland.
  • Klauber J; Wissenschaftliches Institut der AOK (WIdO), Berlin, Deutschland.
  • Malzahn J; AOK-Bundesverband, Berlin, Deutschland.
  • Scheller-Kreinsen D; AOK-Bundesverband, Berlin, Deutschland.
  • Schillinger G; AOK-Bundesverband, Berlin, Deutschland.
  • Karagiannidis C; ARDS/ECMO-Zentrum Köln-Merheim, Kliniken der Stadt Köln, Universität Witten/Herdecke, Witten, Deutschland.
  • Busse R; Fachgebiet Management im Gesundheitswesen, Technische Universität Berlin, Str. des 17. Juni 135, 10623, Berlin, Deutschland. rbusse@tu-berlin.de.
Med Klin Intensivmed Notfmed ; 116(5): 431-439, 2021 Jun.
Article in German | MEDLINE | ID: covidwho-1064439
ABSTRACT

BACKGROUND:

Hospitalized coronavirus disease 2019 (COVID-19) patients have a high morbidity and mortality and are often dependent on intensive care, especially mechanical ventilation. Little is as yet known about COVID-19 patient allocation.

OBJECTIVES:

Analysis of the structures of German hospital care for COVID-19 patients up to July 2020 in terms of number of beds and previous ventilation experience. DATA AND

METHODS:

For the analysis of the care structures, only completed COVID-19 cases in which the virus was detected by a PCR test were evaluated. Claims data from the German Local Health Care Funds (Allgemeine Ortskrankenkassen, AOK) were analysed. The sample includes 17,094 COVID-19 cases that were treated in 1082 hospitals.

RESULTS:

A total of 77% of all hospitals participated in the treatment COVID-19 patients and 48% of all hospitals provided intensive care for these patients. One half of the hospitals that treated COVID-19 cases cared for 88% of all cases. Although this suggests a centralization effect of COVID-19 cases in specific hospitals, the remaining 12% of the cases were distributed among many hospitals with often very small numbers of cases. Furthermore, 23% of the ventilated COVID-19 cases were treated in hospitals with below-average ventilation experience.

CONCLUSIONS:

In the context of increasing numbers of infections, it is both necessary to improve the allocation of hospitalized, and therefore potentially ventilated, COVID-19 cases by means of clearly defined and centrally controlled pyramid-type concepts and to continue to care for patients without COVID-19. For Germany, a comprehensive pyramid-type concept with a greater concentration in the best-qualified hospitals seems reasonable for the care of these patients with complex diseases.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies Limits: Humans Country/Region as subject: Europa Language: German Journal: Med Klin Intensivmed Notfmed Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies Limits: Humans Country/Region as subject: Europa Language: German Journal: Med Klin Intensivmed Notfmed Year: 2021 Document Type: Article