Varnavas V, Rassaf T, Breuckmann F
West German Heart and Vascular Center Essen, Department of Cardiology and Vascular Medicine, University Duisburg-Essen, Essen, Germany.
Department of Cardiology, Arnsberg Medical Center, Stolte Ley 5, 59759, Arnsberg, Germany.
Herz. 2018 Feb;43(1):78-86. doi: 10.1007/s00059-016-4527-0. Epub 2017 Jan 23.
The purpose of this work was to analyze structure, distribution, and bed capacities of certified German chest pain units (CPUs) to unveil potential gaps despite nationwide certification of 230 units till the end of 2015.
Analysis of number and structure of CPUs per state, resident count, and population density by standardized telephone interview, online research, and data collection from the registry of the Federal Statistical Office for all certified German CPUs.
Nationwide, German health facilities provided a mean of 1 CPU bed within a certified unit per 65,000 inhabitants. Bremen, Hamburg, Hesse, and Rhineland-Palatinate provided more than 1 bed per 50,000 inhabitants. Most CPUs (49%) were located in the emergency room. All university hospitals in Germany provided a certified CPU. Most units were found in academic teaching hospitals (146 CPUs). Only 42 CPUs were found in nonacademic providers of primary health care.
The absolute necessary number of CPUs to reach full nationwide coverage is still unknown. The current analysis shows a high number of CPUs and bed capacities within the cities and industrial areas without relevant gaps, but also demonstrates a certain undersupply in more rural areas as well as in some of the former eastern federal states of Germany.
本研究旨在分析德国认证胸痛中心（CPU）的结构、分布及床位容量，以揭示尽管截至2015年底已有230个单位获得全国认证，但仍可能存在的差距。
通过标准化电话访谈、在线研究以及从联邦统计局登记处收集数据，分析每个州的CPU数量和结构、居民数量及人口密度，涵盖所有获得认证的德国CPU。
在全国范围内，德国医疗机构在每个认证单位中平均每65,000名居民提供1个CPU床位。不来梅、汉堡、黑森州和莱茵兰 - 普法尔茨州每50,000名居民提供的床位超过1个。大多数CPU（49%）位于急诊室。德国所有大学医院均设有认证的CPU。大多数单位位于学术教学医院（146个CPU）。在非学术性初级医疗保健机构中仅发现42个CPU。
实现全国全面覆盖所需的CPU绝对必要数量仍未知。当前分析表明，城市和工业区内有大量的CPU和床位容量，不存在相关差距，但也显示出在德国一些农村地区以及前东部联邦州存在一定的供应不足。
