Department of Trauma Surgery, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Department of Anesthesiology and Intensive Therapy, Otto von Guericke University Magdeburg, Magdeburg, Germany.
BMC Emerg Med. 2022 Jan 11;22(1):5. doi: 10.1186/s12873-021-00563-8.
Compelling data on clinical emergency medicine is required for healthcare system management. The aim of this survey was to describe the nationwide status quo of emergency care in Germany at the healthcare system level using the Utstein reporting template as the guideline to measure the data collected.
This cross-sectional survey collected standardized data from German EDs in 2018. All 759 of the EDs listed in a previously collected ED Directory were contacted in November 2019 using the online-survey tool SoSci Survey. Exclusively descriptive statistical analyses were performed. Absolute as well as relative frequencies, medians, means, ranges, standard deviations (SD) and interquartile ranges (IQR) were reported depending on distribution.
A total of 150 questionnaires of contacted EDs were evaluated (response rate: 19.8%). Hospitals had a median of 403 inpatient beds (n=147). The EDs recorded a median of 30,000 patient contacts (n=136). Eighty-three EDs (55%) had observation units with a median of six beds. The special patient groups were pediatric patients (< 5 years) and older patients (> 75 years) with a median of 1.7% and 25%, respectively. Outpatients accounted for 55%, while 45% were admitted (intensive care unit 5.0%, standard care unit 32.3%, observation unit 6.3%) and 1.2% transferred to another hospital.
The use of the Utstein reporting template enabled the collection of ED descriptive parameters in Germany. The data can provide a baseline for upcoming reforms on German emergency medicine, and for international comparisons on admission rates, initial triage categories, and patient populations.
医疗体系管理需要有说服力的临床急诊医学数据。本调查旨在采用 Utstein 报告模板来描述德国急诊医疗的全国现状，以此作为衡量收集数据的标准。
本横断面调查于 2018 年从德国急诊科收集标准化数据。2019 年 11 月，使用在线调查工具 SoSci Survey 联系了此前收集的急诊科名录中的 759 家急诊科。仅进行了描述性统计分析。根据分布情况，报告了绝对和相对频率、中位数、平均值、范围、标准差（SD）和四分位间距（IQR）。
共评估了 150 份联系急诊科的问卷（应答率：19.8%）。医院的中位数为 403 张住院病床（n=147）。急诊科记录的中位数为 30000 名患者就诊（n=136）。83 家急诊科（55%）设有观察单位，中位数为 6 张病床。特殊患者群体为儿科患者（<5 岁）和老年患者（>75 岁），中位数分别为 1.7%和 25%。门诊患者占 55%，45%为入院患者（重症监护病房 5.0%，标准护理病房 32.3%，观察单位 6.3%），1.2%转院。
使用 Utstein 报告模板能够收集德国急诊科的描述性参数。这些数据可为德国急诊医学即将进行的改革以及入院率、初始分诊类别和患者人群的国际比较提供基线数据。
