Örgel Marcus, Gogol Manfred, Graulich Tilman, Omar Mohamed, Ranker Alexander, Böttcher Christian, Liodakis Emmanouil, Krettek Christian, Macke Christian
Trauma Department, Hannover Medical School, Hanover, Germany.
Department of Rehabilitation Medicine, Hannover Medical School, Hanover, Germany.
Open Access Emerg Med. 2021 Mar 5;13:97-105. doi: 10.2147/OAEM.S289070. eCollection 2021.
This retrospective cohort analysis examines the impact of the COVID-19 pandemic in the prehospital setting in Germany. The data of two emergency physician response units of a northern German region with 1.2 million citizens was analyzed retrospectively.
We analyzed the period March 16 to April 16 for the year 2020 when the lockdown took place in Germany and compare the results for the same period for the year 2019 and 2018. 1004 patients were included. Demographic data, the type of rescue missions, the number of missions per day, the National Advisory Committee for Aeronautics Score (NACA-score), the frequency of respiratory emergencies (COVID-19 and non-COVID-19 associated), as well as the number of deaths were documented.
Mean age was 62.3±24.8 years and 576 (56.5%) were male. Number of missions were 397, 403 and 333 in 2018, 2019 and 2020 respectively. The control room registered a 22% reduction of rescue missions for the year 2020. Even the amount of emergency calls via the emergency number 112 was reduced by 17.4% between 2018 and 2020. 150 (14.9%) missions were due to respiratory emergencies. In 2020 10 missions (28.6% of respiratory emergencies) were COVID-19 related. In 2020 the NACA score increased significantly.
We found a decreasing effect of the COVID-19 pandemic in Germany on the number of emergency calls as well as missions, and an increase of the severity of cases in preclinical care for a northern German region with 1.2 million citizens. The effect of these findings caused by COVID-19 on the health care system remains to be seen.
本回顾性队列分析研究了新冠疫情对德国院前急救环境的影响。对德国北部一个拥有120万居民地区的两个急救医师响应单元的数据进行了回顾性分析。
我们分析了2020年德国实施封锁措施期间3月16日至4月16日这一时间段，并将其结果与2019年和2018年同期进行比较。共纳入1004例患者。记录了人口统计学数据、救援任务类型、每日任务数量、美国国家航空咨询委员会评分（NACA评分）、呼吸道紧急情况（与新冠病毒和非新冠病毒相关）的发生频率以及死亡人数。
平均年龄为62.3±24.8岁，男性576例（56.5%）。2018年、2019年和2020年的任务数量分别为397次、403次和333次。控制室记录显示，2020年救援任务减少了22%。甚至通过紧急号码112的紧急呼叫数量在2018年至2020年期间也减少了17.4%。150次（14.9%）任务是由呼吸道紧急情况引起的。2020年，10次任务（占呼吸道紧急情况的28.6%）与新冠病毒相关。2020年NACA评分显著升高。
我们发现，对于德国北部一个拥有120万居民的地区，新冠疫情对紧急呼叫数量和任务数量产生了下降影响，同时院前护理中病例的严重程度有所增加。新冠疫情对医疗系统造成的这些影响还有待观察。
