传染病专家在新冠疫情中的作用及益处：利用来自欧洲SARS-CoV-2感染患者精益开放调查（LEOSS）队列的数据对德国医院护理提供情况进行的多层次分析
Role and benefits of infectious diseases specialists in the COVID-19 pandemic: Multilevel analysis of care provision in German hospitals using data from the Lean European Open Survey on SARS-CoV-2 infected patients (LEOSS) cohort.
作者信息
Tscharntke Lene T, Jung Norma, Hanses Frank, Koll Carolin E M, Pilgram Lisa, Rieg Siegbert, Borgmann Stefan, de Miranda Susana M Nunes, Scherer Margarete, Spinner Christoph D, Rüthrich Maria, Vehreschild Maria J G T, von Bergwelt-Baildon Michael, Wille Kai, Merle Uta, Hower Martin, Rothfuss Katja, Nadalin Silvio, Klinker Hartwig, Fürst Julia, Greiffendorf Ingo, Raichle Claudia, Friedrichs Anette, Rauschning Dominic, de With Katja, Eberwein Lukas, Riedel Christian, Milovanovic Milena, Worm Maximilian, Schultheis Beate, Schubert Jörg, Bota Marc, Beutel Gernot, Glück Thomas, Schmid Michael, Wintermantel Tobias, Peetz Helga, Steiner Stephan, Ribel Elena, Schäfer Harald, Vehreschild Jörg Janne, Stecher Melanie
机构信息
Klinik I für Innere Medizin, Centrum für Integrierte Onkologie Aachen Bonn Köln Düsseldorf, Universität zu Köln, Medizinische Fakultät und Uniklinik Köln, Köln, Germany.
Universitätsklinikum Regensburg, Zentrale Notaufnahme, Regensburg, Germany.
出版信息
Infection. 2025 Feb;53(1):259-269. doi: 10.1007/s15010-024-02362-2. Epub 2024 Aug 16.
PURPOSE
This study investigates the care provision and the role of infectious disease (ID) specialists during the coronavirus disease-2019 (COVID-19) pandemic.
METHODS
A survey was conducted at German study sites participating in the Lean European Open Survey on SARS-CoV-2 infected patients (LEOSS). Hospitals certified by the German Society of Infectious diseases (DGI) were identified as ID centers. We compared care provision and the involvement of ID specialists between ID and non-ID hospitals. Then we applied a multivariable regression model to analyse how clinical ID care influenced the mortality of COVID-19 patients in the LEOSS cohort.
RESULTS
Of the 40 participating hospitals in the study, 35% (14/40) were identified as ID centers. Among those, clinical ID care structures were more commonly established, and ID specialists were always involved in pandemic management and the care of COVID-19 patients. Overall, 68% (27/40) of the hospitals involved ID specialists in the crisis management team, 78% (31/40) in normal inpatient care, and 80% (28/35) in intensive care. Multivariable analysis revealed that COVID-19 patients in ID centers had a lower mortality risk compared to those in non-ID centers (odds ratio: 0.61 (95% CI 0.40-0.93), p = 0.021).
CONCLUSION
ID specialists played a crucial role in pandemic management and inpatient care.
目的
本研究调查了在2019冠状病毒病（COVID-19）大流行期间传染病（ID）专家的护理提供情况及其作用。
方法
在参与欧洲SARS-CoV-2感染患者精益开放调查（LEOSS）的德国研究地点进行了一项调查。德国传染病学会（DGI）认证的医院被确定为ID中心。我们比较了ID医院和非ID医院之间的护理提供情况以及ID专家的参与情况。然后，我们应用多变量回归模型来分析临床ID护理如何影响LEOSS队列中COVID-19患者的死亡率。
结果
在该研究的40家参与医院中，35%（14/40）被确定为ID中心。在这些中心中，临床ID护理结构更普遍地建立起来，ID专家始终参与大流行管理和COVID-19患者的护理。总体而言，68%（27/40）的医院让ID专家参与危机管理团队，78%（31/40）参与普通住院护理，80%（28/35）参与重症监护。多变量分析显示，与非ID中心的COVID-19患者相比，ID中心的患者死亡风险更低（优势比：0.61（95%CI 0.40-0.93），p = 0.021）。
结论
ID专家在大流行管理和住院护理中发挥了关键作用。
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