[2021年德国养老保险覆盖的新冠肺炎后综合征康复]。

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2023-12-01 Epub Date: 2023-12-06 DOI:10.1055/a-2192-1969
Tanja Trefzer, Silke Brüggemann, Susanne Weinbrenner, Axel Schlitt
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引用次数: 0

摘要

研究目的:本研究旨在概述2021年德国养老保险覆盖的COVID-19后患者的康复情况。方法:对2021年完成的医学康复病例进行横断面分析,其中按照《疾病及相关健康问题国际统计分类》将COVID-19后遗症编码在统一出院报告的第一或第二位。将代码U08(.9)、U09(.9)和U10(.9)以及2020年的相应代码作为covid -19相关疾病纳入评价。儿童康复和退休人员及其亲属的肿瘤康复不包括在内。统计上,对于名义变量和有序变量,给出了相对频率和绝对频率,对于连续的、偏态分布的变量,给出了中位数和四分位数。结果:其中一种编码排名第一或第二的康复项目剩余9666例。女性占54.8%,男性占43.2%。中位年龄分别为54岁和55岁(女性/男性)。64.4%的康复是在肺内科进行的。由于身体适应症,这些康复患者中几乎有50%在常规批准期后仍留在诊所。最常见的其他诊断是呼吸系统疾病。在80.7%的患者中,治疗医生认为通过康复治疗后covid -19相关症状得到改善。此外,这些患者中有88.0%的人需要缴纳社会保险,30.5%的人受雇于卫生、社会事务、教学和教育领域。在受影响的人士中,63.8%在入院时为病假,63.0%在出院时为病假。至于在上一份工作或在一般就业市场上的表现,超过90.0%的人得到了6小时或更长时间的预后。结论:2021年期间,新冠肺炎后病情在医疗康复中的重要性显著增加。这种疾病会导致长时间的残疾。关于业绩,现有的分析给出了一幅积极的画面;在接受康复治疗的人中,只有6.5%的人被评估为在一般劳动力市场上挣不到3小时的钱的能力下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Rehabilitation for Post-COVID Syndrome covered by the German Pension Insurance in 2021].

Aim of the study: The present work is intended to give an overview of rehabilitation of patients with post COVID-19 condition covered by the German Pension Insurance in 2021.

Methods: Cross-sectional analysis of medical rehabilitation completed in 2021, in which COVID-19 sequelae were coded in first or second place in the uniform discharge report according to the International Statistical Classification of Diseases and Related Health Problems was carried out. The codes U08(.9), U09(.9) and U10(.9) as well as the corresponding codes from 2020 were taken into the evaluation as COVID-19-related diseases. Children's rehabilitation and oncological rehabilitation for pensioners and their relatives were excluded. Statistically, relative and absolute frequencies are given for nominal and ordinal variables, and median and quartiles for continuous, skewed distributed variables.

Results: 9,666 rehabilitations with one of the codes mentioned in first or second place remained. 54.8% of the patients were women and 43.2% men. The median age was 54 and 55 years (women/men). In all, 64.4% of the rehabilitations were carried out in the pulmonary medicine department. Owing to somatic indications, almost 50% of these patients in rehabilitation remained in the clinic beyond the regular approval period. The most common other diagnoses were diseases of the respiratory system. In 80.7% of those affected, the treating physicians considered the post-COVID-19 condition-associated symptoms as improved through rehabilitation. Furthermore, employment was subject to social security contributions for 88.0% of these patients, and 30.5% were employed in the fields of health, social affairs, teaching, and education. Of those affected, 63.8% were on sick leave when they were admitted, 63.0% when they were discharged. With regard to performance in the last job or on the general job market, over 90.0% received a prognosis for 6 hours and more.

Conclusion: The importance of post-COVID-19 condition in the context of medical rehabilitation increased significantly over the course of 2021. The disease causes long periods of disability. With regard to performance, the available analyses give a positive picture; only 6.5% of those individuals undergoing rehabilitation were assessed as having a reduced capacity to earn of less than 3 hours on the general labor market.

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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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