Department of Orthopedic and Emergency Surgery, Alfried Krupp Hospital Steele, Essen, Germany.
Center for Orthopedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Z Orthop Unfall. 2021 Apr;159(2):209-215. doi: 10.1055/a-1333-4099. Epub 2021 Feb 1.
The COVID 19 pandemic is a major challenge to all social systems, particularly the healthcare system. Within an international study, German Trauma Centres DGU and Geriatric Trauma Centres DGU have been questioned about their situation.
The questionnaire was translated from English into German and sent to all contacts. The evaluation was performed descriptively.
71 of 692 centres participated in this study. Government instructions to avoid elective treatments have been adhered to by 68% of the hospitals, and the remaining performed only urgent elective treatments. There was also a decline in the number of traumatological patients. In more than 90% of the hospitals, only 0 - 4% of all patients treated for proximal femur fracture were tested positive for COVID-19. It appears that 84% of these hospitals have or will have financial deficits. Almost all hospitals were organised and ready to fight the pandemic with their personal and/or infrastructural resources they possess.
Our questionnaire shows that the pandemic had an enormous effect on Trauma Centres DGU and Geriatric Trauma Centres DGU. The hospitals expect financial losses. Almost all the hospitals have provided personal and infrastructural resources to be used in the fight against the pandemic with a better outcome in Germany in comparison with international standards.
COVID-19 大流行是对所有社会系统的重大挑战，尤其是医疗保健系统。在一项国际研究中，德国创伤中心 DGU 和老年创伤中心 DGU 被问及他们的情况。
调查问卷从英文翻译成德文，并发送给所有联系人。评估是描述性的。
在 692 个中心中，有 71 个参与了这项研究。68%的医院遵守了政府避免选择性治疗的指示，其余医院仅进行紧急选择性治疗。创伤患者的数量也有所下降。在超过 90%的医院中，只有 0-4%接受近端股骨骨折治疗的所有患者的 COVID-19 检测呈阳性。这些医院中 84%似乎出现或将要出现财务赤字。几乎所有医院都组织起来，准备利用他们拥有的个人和/或基础设施资源来对抗这一流行病。
我们的问卷表明，大流行对创伤中心 DGU 和老年创伤中心 DGU 产生了巨大影响。医院预计会出现财务损失。几乎所有的医院都提供了个人和基础设施资源，以用于对抗大流行，与国际标准相比，德国的情况更好。
