Theiß Karsten, Simon Arne, Graf Norbert, Rohrer Tilman
Kinder- und Jugendarztpraxis Theiß, Oststraße 68, 66386 St. Ingbert, Deutschland.
Klinik für Pädiatrische Onkologie und Hämatologie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland.
Monatsschr Kinderheilkd. 2021;169(4):335-345. doi: 10.1007/s00112-021-01125-9. Epub 2021 Feb 10.
In the first COVID-19 pandemic wave Saarland was one of the most affected federal states. Pediatric practices are the primary point of contact regarding questions about risk factors, symptoms and suspicion of illness. The lockdown could have a severe impact on overall number of consultancies, preventive medical check-ups and vaccinations.
The impact of COVID-19-related lockdowns in Saarland regarding patient care in the ambulatory pediatric setting and general consultation, early preventive consultancy as well as specialized medical care.
All 53 pediatric practices in Saarland were asked to report their case numbers for calendar weeks 2-26 in 2019 and 2020. These data were analyzed via descriptive statistics.
Data from 34 (64%) of Saarland's pediatric practices were evaluated. There was a decline of -37% regarding overall cases during lockdown, -9.4% of early diagnosis cases and -35% regarding specialized medical consultancy (4 specialized practices). After lockdown the overall case numbers were significantly reduced with -17.1% in comparison to 2019, the early diagnosis cases caught up nearly completely with +9.4% and also the specialized care showed catch-up effects with +7%.
Lockdown-related collateral damage regarding preventive performances/activities could be avoided in the ambulatory pediatric setting in Saarland. Cancelled/postponed activities caught up during the observation period.During the observation period, the overall case numbers remained lower than 2019. The reason could be the contribution of SARS-CoV‑2 prevention measures to significantly reduce other respiratory infections.
在第一波新冠疫情期间，萨尔州是受影响最严重的联邦州之一。儿科诊所是人们咨询风险因素、症状及疾病疑似情况的主要联络点。封锁可能会对咨询总量、预防性医学检查及疫苗接种的总体数量产生严重影响。
研究萨尔州与新冠疫情相关的封锁措施对门诊儿科患者护理、一般咨询、早期预防性咨询以及专科医疗护理的影响。
要求萨尔州所有53家儿科诊所上报其2019年和2020年第2至26日历周的病例数。通过描述性统计分析这些数据。
对萨尔州34家（64%）儿科诊所的数据进行了评估。封锁期间总体病例数下降了37%，早期诊断病例下降了9.4%，专科医疗咨询（4家专科诊所）下降了35%。封锁解除后，总体病例数显著减少，与2019年相比下降了17.1%，早期诊断病例几乎完全恢复，增长了9.4%，专科护理也有恢复效果，增长了7%。
在萨尔州的门诊儿科环境中，可以避免与封锁相关的预防措施/活动的附带损害。在观察期内，取消/推迟的活动得以恢复。在观察期内，总体病例数仍低于2019年。原因可能是新冠病毒预防措施对显著减少其他呼吸道感染起到了作用。
