Krankheitsschwere der ersten COVID-19-Welle in Deutschland basierend auf den Meldungen gemäß Infektionsschutzgesetz

Schilling, Julia; Lehfeld, Ann-Sophie; Schumacher, Dirk; Diercke, Michaela; Buda, Silke; Haas, Walter

doi:10.25646/7169

Cited by 18 publications

(11 citation statements)

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“…Comparison of our cohort to other studies or the general age distribution of patients with COVID-19 is hindered by the rapid changes in the epidemiological distribution of COVID-19 during the course of the pandemic. During the first wave of COVID-19 in Germany (until October 2020), the median age of patients diagnosed with COVID-19 in the general population was 50 years and therefore slightly younger than our cohort 28 .…”

Section: Discussionmentioning

confidence: 56%

High Mortality of COVID-19 Early after Allogeneic Stem Cell Transplantation: A Retrospective Multicenter Analysis on Behalf of the German Cooperative Transplant Study Group

Schaffrath

Brummer

Wolff

et al. 2022

Transplantation and Cellular Therapy

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Section: Discussionmentioning

confidence: 56%

High Mortality of COVID-19 Early after Allogeneic Stem Cell Transplantation: A Retrospective Multicenter Analysis on Behalf of the German Cooperative Transplant Study Group

Schaffrath

Brummer

Wolff

et al. 2022

Transplantation and Cellular Therapy

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“…The clinical course of SARS-CoV-2 infection varies distinctly, ranging from asymptomatic courses [1] to various degrees of severity of coronavirus disease 2019 (COVID-19). In addition to mild and moderate diseases that can mostly be treated on an outpatient basis, severe or critical COVID-19 courses [2] require hospital treatment, admission to an intensive care unit and even ventilation. Particularly after severe or critical courses, i.e., after hospitalization, clinical manifestations often (up to 76% [3][4][5][6]) do not regress after the acute phase of the disease, so many patients still suffer both physically and psychologically from persistent impairments [3][4][5]7].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Three-Week Inpatient Pulmonary Rehabilitation Program for Patients after COVID-19: A Prospective Observational Study

Hayden

Limbach

Schüler

et al. 2021

IJERPH

129

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For COVID-19 patients who remain symptomatic after the acute phase, pulmonary rehabilitation (PR) is recommended. However, only a few studies have investigated the effectiveness of PR, especially considering the duration between the acute phase of COVID-19 and the onset of rehabilitation, as well as the initial severity. This prospective observational study evaluated the efficacy of PR in patients after COVID-19. A total of 120 still-symptomatic patients referred for PR after overcoming acute COVID-19 were asked to participate, of whom 108 (mean age 55.6 ± 10.1 years, 45.4% female) consented. The patients were assigned to three groups according to the time of referral and initial disease severity (severe acute; severe after interval; mild after interval). The primary outcome was dyspnea. Secondary outcomes included other respiratory disease symptoms, physical capacity, lung function, fatigue, quality of life (QoL), depression, and anxiety. Furthermore, patients rated the overall effectiveness of PR and their subjective change in health status. At the end of PR, we detected improvements with large effect sizes in exertional dyspnea, physical capacity, QoL, fatigue, and depression in the overall group. Other parameters changed with small to medium effect sizes. PR was effective after acute COVID-19 in all three groups analyzed.

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“…In doing so, we hereby distinguish between primary and secondary ambulance missions. Primary missions are emergency rescue missions including the patient transfer from the emergency scene to the next suitable hospital, where an initial stabilization and first FIGURE 1 | COVID-19 waves reported in Belgium, Germany, and the Netherlands (further detail on hospital surge capacity planning can be found in the Supplementary Figure 1) (19)(20)(21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

Impacts and Lessons Learned of the First Three COVID-19 Waves on Cross-Border Collaboration in the Field of Emergency Medical Services and Interhospital Transports in the Euregio-Meuse-Rhine: A Qualitative Review of Expert Opinions

Sommer

Rehbock

Vos

et al. 2022

Front. Public Health

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BackgroundIn the Euregio-Meuse-Rhine (EMR), cross-border collaboration is essential for resource-saving and needs-based patient care within the emergency medical service (EMS) systems and interhospital transport (IHT). However, at the onset of the novel coronavirus SARS-COV-2 (COVID-19) pandemic, differing national measures highlighted the fragmentation within the European Union (EU) in its various approaches to combating the pandemic. To assess the consequences of the pandemic in the EMR border area, the aim of this study was to analyze the effects and “lessons learned” regarding cross-border collaboration in EMS and IHT.MethodA qualitative study with 22 semi-structured interviews was carried out. Experts from across the EMR area, including the City of Aachen, the City region of Aachen, the District of Heinsberg (Germany), South Limburg (The Netherlands), and the Province of Limburg, as well as Liège (Belgium), took part. The interviews were coded and analyzed according to changes in cross-border collaboration before and during the pandemic, as well as lessons learned and recommendations.ResultsEach EU member country within the EMR area, addressed the pandemic individually with national measures. Cross-border collaboration between regional actors was hardly or not at all addressed at the national level during political decision- or policymaking. Previous direct communication at the personal level was replaced by national procedures, which made regular cross-border collaboration significantly more difficult. The cross-border transfer regulations of patients with COVID-19 proved to be complex and led, among other things, to patients being transported to hospitals far outside the border region. Collaboration continues to be seen as valuable and Euregional emergency services including hospitals work well together, albeit to different degrees. The information and data exchange should, however, be more transparent to use resources more efficiently.ConclusionEffective Euregional collaboration of emergency services is imperative for public safety in a multi-border region with strong economic, cultural, and social cross-border links. Our findings indicate that existing (pre-pandemic) structures which included regular meetings of senior managerial staff in the region and a number of thematic working groups were helpful to deal with and to compensate for the disruptions during the crisis. Regional cross-border agreements that are currently based on mutual but more or less informal arrangements need to be formalized and better promoted and recognized also at the national and EU level to increase resilience. The continuous determination of synergies and good and best practices are further approaches to support cross-border collaboration especially in preparation for future crises.

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Krankheitsschwere der ersten COVID-19-Welle in Deutschland basierend auf den Meldungen gemäß Infektionsschutzgesetz

Cited by 18 publications

References 0 publications

High Mortality of COVID-19 Early after Allogeneic Stem Cell Transplantation: A Retrospective Multicenter Analysis on Behalf of the German Cooperative Transplant Study Group

High Mortality of COVID-19 Early after Allogeneic Stem Cell Transplantation: A Retrospective Multicenter Analysis on Behalf of the German Cooperative Transplant Study Group

Effectiveness of a Three-Week Inpatient Pulmonary Rehabilitation Program for Patients after COVID-19: A Prospective Observational Study

Impacts and Lessons Learned of the First Three COVID-19 Waves on Cross-Border Collaboration in the Field of Emergency Medical Services and Interhospital Transports in the Euregio-Meuse-Rhine: A Qualitative Review of Expert Opinions

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