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.

IF 5.4 2区医学 Q1 INFECTIOUS DISEASES

Infection Pub Date : 2024-08-16 DOI:10.1007/s15010-024-02362-2

Lene T Tscharntke, Norma Jung, Frank Hanses, Carolin E M Koll, Lisa Pilgram, Siegbert Rieg, Stefan Borgmann, Susana M Nunes de Miranda, Margarete Scherer, Christoph D Spinner, Maria Rüthrich, Maria J G T Vehreschild, Michael von Bergwelt-Baildon, Kai Wille, Uta Merle, Martin Hower, Katja Rothfuss, Silvio Nadalin, Hartwig Klinker, Julia Fürst, Ingo Greiffendorf, Claudia Raichle, Anette Friedrichs, Dominic Rauschning, Katja de With, Lukas Eberwein, Christian Riedel, Milena Milovanovic, Maximilian Worm, Beate Schultheis, Jörg Schubert, Marc Bota, Gernot Beutel, Thomas Glück, Michael Schmid, Tobias Wintermantel, Helga Peetz, Stephan Steiner, Elena Ribel, Harald Schäfer, Jörg Janne Vehreschild, Melanie Stecher

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引用次数: 0

Abstract

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.

Abstract Image

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传染病专家在 COVID-19 大流行中的作用和益处：利用关于 SARS-CoV-2 感染者的 Lean European Open Survey (LEOSS) 队列数据，对德国医院提供的医疗服务进行多层次分析。

目的：本研究调查了冠状病毒病-2019（COVID-19）大流行期间提供的护理和传染病（ID）专家的作用：方法：在参与 "关于 SARS-CoV-2 感染者的精益欧洲公开调查"（Lean European Open Survey on SARS-CoV-2 infected patients，LEOSS）的德国研究机构进行调查。经德国传染病学会 (DGI) 认证的医院被确定为 ID 中心。我们比较了 ID 医院和非 ID 医院的医疗服务提供情况以及 ID 专家的参与情况。然后，我们应用多变量回归模型分析了临床ID护理如何影响LEOSS队列中COVID-19患者的死亡率：在参与研究的 40 家医院中，35%（14/40）被认定为 ID 中心。在这些医院中，临床 ID 护理机构的建立更为普遍，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）的医院让 ID 专家参与普通住院护理，80%（28/35）的医院让 ID 专家参与重症监护。多变量分析显示，与非ID中心的患者相比，ID中心的COVID-19患者死亡率较低（几率比：0.61（95% CI 0.40-0.93），P = 0.021）：ID专家在大流行管理和住院治疗中发挥了重要作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Infection 医学-传染病学

CiteScore

12.50

自引率

1.30%

发文量

224

审稿时长

6-12 weeks

期刊介绍： Infection is a journal dedicated to serving as a global forum for the presentation and discussion of clinically relevant information on infectious diseases. Its primary goal is to engage readers and contributors from various regions around the world in the exchange of knowledge about the etiology, pathogenesis, diagnosis, and treatment of infectious diseases, both in outpatient and inpatient settings. The journal covers a wide range of topics, including: Etiology: The study of the causes of infectious diseases. Pathogenesis: The process by which an infectious agent causes disease. Diagnosis: The methods and techniques used to identify infectious diseases. Treatment: The medical interventions and strategies employed to treat infectious diseases. Public Health: Issues of local, regional, or international significance related to infectious diseases, including prevention, control, and management strategies. Hospital Epidemiology: The study of the spread of infectious diseases within healthcare settings and the measures to prevent nosocomial infections. In addition to these, Infection also includes a specialized "Images" section, which focuses on high-quality visual content, such as images, photographs, and microscopic slides, accompanied by brief abstracts. This section is designed to highlight the clinical and diagnostic value of visual aids in the field of infectious diseases, as many conditions present with characteristic clinical signs that can be diagnosed through inspection, and imaging and microscopy are crucial for accurate diagnosis. The journal's comprehensive approach ensures that it remains a valuable resource for healthcare professionals and researchers in the field of infectious diseases.