COVID-19 大流行对德国大学医院矫形和创伤外科的影响：一项全国性调查的结果。
Impact of the COVID-19 Pandemic on Orthopaedic and Trauma Surgery in University Hospitals in Germany: Results of a Nationwide Survey.
机构信息
Center for Musculoskeletal Surgery, Charité University Medicine Berlin, Berlin, Germany.
Department of Orthopaedics and Orthopaedic Surgery, University Hospital Gießen, Gießen, Germany.
出版信息
J Bone Joint Surg Am. 2020 Jul 15;102(14):e78. doi: 10.2106/JBJS.20.00756.
BACKGROUND
The purpose of the present study was to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on orthopaedic and trauma surgery departments in university hospitals in Germany in order to clarify current challenges.
METHODS
In this cross-sectional study, an online-based anonymous survey was conducted within the Convention of University Professors of Orthopaedic and Trauma Surgery in Germany from April 3 to April 11, 2020. A bipolar 5-point Likert scale (with possible responses of "totally disagree," "rather disagree," "neutral," "rather agree," and "totally agree") was applied. Fifty-two (69.3%) of 75 clinic directors participated.
RESULTS
Communication and cooperation with the government, hospital administration, and other departments during the COVID-19 pandemic were mainly perceived as appropriate. However, only 7 respondents (13.7%) totally agreed or rather agreed with the statement that the authorities are supporters of orthopaedic and trauma surgery departments. Substantial financial and personnel changes in orthopaedic and trauma surgery departments of university hospitals were reported, resulting in an average reduction of 49.4% in operating room capacity and an expected 29.3% loss of revenue. In addition, 14.7% of physicians were reallocated from orthopaedic and trauma surgery to other care-delivery environments.
CONCLUSIONS
Our study demonstrated that the COVID-19 pandemic has had a substantial impact on orthopaedic and trauma surgery departments in German university hospitals. Distinct structural and financial effects were noted. Nevertheless, the present study demonstrates the commitment of our specialty to overcome the pandemic by providing competent personnel as well as close cooperation with the hospital administration and other departments.
CLINICAL RELEVANCE
To our knowledge, this is the first Germany-wide survey among the heads of orthopaedic and trauma surgery departments in university hospitals on the impact of the COVID-19 pandemic. The survey results may help to inform system-wide decision-making in Germany, in Europe, and beyond.
背景
本研究旨在评估 2019 年冠状病毒病（COVID-19）大流行对德国大学医院矫形和创伤外科部门的影响，以阐明当前面临的挑战。
方法
本横断面研究于 2020 年 4 月 3 日至 4 月 11 日在德国大学矫形和创伤外科学教授联合会内通过在线匿名调查进行。采用双极 5 点 Likert 量表（可能的回答为“完全不同意”“相当不同意”“中立”“相当同意”和“完全同意”）。75 位临床主任中有 52 位（69.3%）参与了调查。
结果
在 COVID-19 大流行期间，与政府、医院管理部门和其他部门的沟通与合作主要被认为是恰当的。然而，只有 7 位受访者（13.7%）完全或相当同意当局是矫形和创伤外科部门的支持者这一说法。大学医院矫形和创伤外科部门发生了大量的财务和人员变动，导致手术室容量平均减少 49.4%，预计收入损失 29.3%。此外，14.7%的医生被重新分配到矫形和创伤外科以外的其他护理环境。
结论
我们的研究表明，COVID-19 大流行对德国大学医院的矫形和创伤外科部门产生了重大影响。观察到明显的结构性和财务影响。尽管如此，本研究表明，我们的专业致力于通过提供有能力的人员以及与医院管理部门和其他部门密切合作来克服大流行。
临床相关性
据我们所知，这是德国大学医院矫形和创伤外科主任首次对 COVID-19 大流行的影响进行的全德范围调查。调查结果可能有助于为德国、欧洲乃至其他地区的系统范围决策提供信息。
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