Zehnder Philipp, Bogner-Flatz Viktoria, Zyskowski Michael, Hartz Frederik, Pförringer Dominik, Hinzmann Dominik, Kanz Karl-Georg, Dommasch Michael
Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität München, Ludwig-Maximilians-Universität München, München, Deutschland.
Med Klin Intensivmed Notfmed. 2025 Sep;120(6):500-507. doi: 10.1007/s00063-024-01182-4. Epub 2024 Sep 26.
IVENA eHealth (IVENA, interdisziplinärer Versorgungsnachweis, mainis IT-Service GmbH, Offenbach am Main, Germany) supports the coordination of emergency admissions by providing real-time data on treatment options in hospitals. Overload or technical problems can lead to hospitals having to temporarily deregister parts or the entire emergency department, which can lead to acute admissions. The COVID-19 pandemic may have further exacerbated the situation, which was analyzed as part of this study.
This descriptive analysis used the IVENA eHealth information technology (IT) system to examine the occupancy and acute occupancy figures in the Munich ambulance service area from 2016-2022. Particular attention was paid to inpatient (SC II) and shock room + admissions in the specialties of internal medicine, neurology, trauma surgery and urology, as well as the development of acute occupancies, especially after the COVID-19 pandemic.
During the COVID-19 pandemic in 2020, the number of patients in the surveyed specialist areas fell by 23.7% (2021: -15% and 2022: -11% compared to 2019). The proportion of acute admissions fell in 2020 compared to 2019 (5.9% acute admissions vs. 6.8%) and rose disproportionately in 2021 (7.7% vs. 6.8%) and 2022 (24.9% vs. 6.8%).
There are many reasons for the increase in acute admissions, including the increase in inpatient admissions, the bottleneck in transferring patients (exit block) and the shortage of staff in the healthcare system. The COVID-19 pandemic has exacerbated some of these problems, which could explain the increase in acute admissions. A combination of different solutions is now needed to ensure adequate emergency care.
IVENA电子健康系统（IVENA，跨学科护理证明，Mainis IT-Service GmbH，德国美因河畔奥芬巴赫）通过提供医院治疗方案的实时数据来支持急诊入院的协调工作。超负荷或技术问题可能导致医院不得不暂时注销部分或整个急诊科，这可能导致急性入院情况的发生。新冠疫情可能进一步加剧了这种情况，本研究对此进行了分析。
本描述性分析使用IVENA电子健康信息技术（IT）系统，研究了2016年至2022年慕尼黑急救服务区的占用率和急性占用率数据。特别关注内科、神经内科、创伤外科和泌尿外科专科的住院患者（SC II）以及休克室+入院情况，以及急性占用率的变化，尤其是在新冠疫情之后。
在2020年新冠疫情期间，被调查专科领域的患者数量下降了23.7%（与2019年相比，2021年下降了15%，2022年下降了11%）。与2019年相比，2020年急性入院的比例有所下降（5.9%的急性入院率 vs. 6.8%），而在2021年（7.7% vs. 6.8%）和2022年（24.9% vs. 6.8%）则出现了不成比例的上升。
急性入院人数增加有多种原因，包括住院入院人数的增加、患者转运瓶颈（出院受阻）以及医疗系统人员短缺。新冠疫情加剧了其中一些问题，这可能解释了急性入院人数的增加。现在需要结合不同的解决方案来确保提供足够的急诊护理。
