SARS-CoV-2 outbreaks in hospitals and long-term care facilities in Germany: a national observational study

Suwono, Beneditta; Steffen, Annika; Schweickert, Birgitta; Schönfeld, Viktoria; Brandl, Michael; Sandfort, Mirco; Willrich, Niklas; Eckmanns, Tim; Haller, Sebastian

doi:10.1016/j.lanepe.2021.100303

Cited by 24 publications

(25 citation statements)

References 13 publications

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“…Health-related factors, e.g. proportion of care-need or nursing home population, as well as outbreak situations in hospitals and care facilities, 48 may further affect the dynamic of infection, which were not included in our analysis, but would be important to examine in future research. Also, reliable daily/weekly data on positive testing rates or comprehensive data on comorbidities are not publicly available on district level in Germany.…”

Section: Discussionmentioning

confidence: 99%

Area-level socioeconomic deprivation, non-national residency, and Covid-19 incidence: A longitudinal spatiotemporal analysis in Germany

2022

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Section: Discussionmentioning

confidence: 99%

Area-level socioeconomic deprivation, non-national residency, and Covid-19 incidence: A longitudinal spatiotemporal analysis in Germany

2022

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“…While the partial lockdown at the beginning of November did not curb the growth in COVID-19 incidences among people aged > 60 years [ 36 , 39 ], only with the total lockdown in mid-December incidence rates decreased across all age groups [ 39 ]. Long-term care facility outbreaks were more frequent per week during the second wave [ 36 ], larger, showed more cases in the elderly and females and were less effectively affected by non-pharmaceutical interventions (NPIs) such as lockdowns [ 37 ]. Outbreak characteristics might thus have been mirrored by PD study population characteristics, i.e., not significantly and significantly increased proportions of females and long-term care-dependent individuals, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…As a possible consequence, a trend towards better outcomes has been observed in both the hospital setting [ 34 ] and the general population [ 35 ]. Despite this trend, the second wave has been described as ‘substantially stronger’ in epidemiological terms regarding absolute numbers of COVID-19 cases, deaths, ICU occupancy rates, and outbreak events (especially in nursing home facilities)[ 36 , 37 ].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 outcomes in hospitalized Parkinson’s disease patients in two pandemic waves in 2020: a nationwide cross-sectional study from Germany

Scherbaum

Bartig

Richter

et al. 2022

Neurol. Res. Pract.

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Background The individualized clinical and public health management of the COVID-19 pandemic have changed over time, including care of people with PD. The objective was to investigate whether in-hospital COVID-19 outcomes and hospital care utilization of people with PD differed between the first two pandemic waves (W) 2020 in Germany. Methods We conducted a nationwide cross-sectional study of inpatients with confirmed COVID-19 and PD between March 1 and May 31 (W1), and October 1 and December 31 (W2), 2020 and 2019, using an administrative database. Outcomes were in-hospital mortality, ICU admission rate, change in hospital care utilization, demographical data, PD clinical characteristics, and selected comorbidities. Differences were assessed between waves, PD/non-PD groups, and years. Results We identified 2600 PD COVID-19 inpatients in W2 who in total showed higher in-hospital mortality rates and lower ICU admission rates, compared to both W1 (n = 775) and W1/W2 non-PD COVID-19 inpatients (n = 144,355). Compared to W1, W2 inpatients were more long-term care-dependent, older, more of female sex, and had less advanced disease. During both waves, PD inpatients were older, more frequently male and long-term care-dependent, and showed more risk comorbidities than non-PD COVID-19 inpatients. Decreases in hospital care utilization were stronger than average for PD inpatients but relatively weaker during W2. Non-COVID-19 PD inpatients showed poorer in-hospital outcomes in 2020 than in 2019 with better outcomes during W2. Conclusions In-hospital COVID-19 outcomes and hospital care utilization of PD patients in Germany differed between the two pandemic waves in 2020 with increased in-hospital mortality for PD COVID-19. Overall hospital care utilization for PD was increased during W2. Trial registration No trial registration or ethical approval was required because data were publicly available, anonymized, and complied with the German data protection regulations.

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“…It has left its mark on many aspects of human life, including mental health [ 1 ]. In Poland, as well as in many other European countries, four waves of infections have been distinguished so far, together with the fifth one which was caused by the Omicron variant (VOC- variant of concern) [ 2 , 3 , 4 ]. The fourth wave, associated with VOC delta, which was the cause of 99% of infections in Poland at the time, was characterised by accelerated transmission compared to the previous three waves [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Depression, Anxiety and Quality of Life among Online Responders in Poland: A Cross-Sectional Study Covering Four Waves of the COVID-19 Pandemic

Babicki

Bogudzińska

Kowalski

et al. 2022

IJERPH

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Introduction: The COVID-19 pandemic has affected the mental health of the population. This study aims to assess the prevalence of subjective depressive and anxiety symptoms as well as assess the quality of life in different waves of the COVID-19 pandemic based on an online survey. Methods: The study was conducted based on an original and anonymous questionnaire, consisting of a section assessing sociodemographic status and psychometric tools: Beck Depression Inventory (BDI), Generalised Anxiety Disorder Assessment (GAD-7) and Manchester Short Assessment of Quality of Life (MANSA). A total of 6739 people participated in the survey, with the largest number from the first wave of the pandemic (2467—36.6%), followed by 1627 (24.1%) for the second wave, 1696 (25.2%) for wave three and 949 (14.1%) for wave four. The mean age of the study group was 28.19 ± 9.94. Results: There was an initial, gradual increase in depressive and anxiety symptoms over the three waves. There were no significant differences in the quality-of-life scores, except for the second and third waves (−0.0846; p = 0.013. It was found that women, residents of big cities and people with psychiatric history showed higher BDI and GAD-7 scores. Conclusions: The impact of the pandemic on mental health was not homogeneous, with the first three waves of the COVID-19 pandemic having more of an impact compared to the fourth wave. Female respondents’ sex, history of mental disease and reduced earning capacity exacerbated psychiatric symptoms.

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SARS-CoV-2 outbreaks in hospitals and long-term care facilities in Germany: a national observational study

Cited by 24 publications

References 13 publications

Area-level socioeconomic deprivation, non-national residency, and Covid-19 incidence: A longitudinal spatiotemporal analysis in Germany

Area-level socioeconomic deprivation, non-national residency, and Covid-19 incidence: A longitudinal spatiotemporal analysis in Germany

COVID-19 outcomes in hospitalized Parkinson’s disease patients in two pandemic waves in 2020: a nationwide cross-sectional study from Germany

Depression, Anxiety and Quality of Life among Online Responders in Poland: A Cross-Sectional Study Covering Four Waves of the COVID-19 Pandemic

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