scholarly journals Reduced Rate of Inpatient Hospital Admissions in 18 German University Hospitals During the COVID-19 Lockdown

2021 ◽  
Vol 8 ◽  
Author(s):  
Lorenz A. Kapsner ◽  
Marvin O. Kampf ◽  
Susanne A. Seuchter ◽  
Julian Gruendner ◽  
Christian Gulden ◽  
...  
Keyword(s):  
Critical Care ◽  
Hospital Admissions ◽  
Study Data ◽  
University Hospital ◽  
Care Process ◽  
Benign Tumors ◽  
University Hospitals ◽  
Inpatient Hospital ◽  
Admission Rates ◽  
The University

The COVID-19 pandemic has caused strains on health systems worldwide disrupting routine hospital services for all non-COVID patients. Within this retrospective study, we analyzed inpatient hospital admissions across 18 German university hospitals during the 2020 lockdown period compared to 2018. Patients admitted to hospital between January 1 and May 31, 2020 and the corresponding periods in 2018 and 2019 were included in this study. Data derived from electronic health records were collected and analyzed using the data integration center infrastructure implemented in the university hospitals that are part of the four consortia funded by the German Medical Informatics Initiative. Admissions were grouped and counted by ICD 10 chapters and specific reasons for treatment at each site. Pooled aggregated data were centrally analyzed with descriptive statistics to compare absolute and relative differences between time periods of different years. The results illustrate how care process adoptions depended on the COVID-19 epidemiological situation and the criticality of the disease. Overall inpatient hospital admissions decreased by 35% in weeks 1 to 4 and by 30.3% in weeks 5 to 8 after the lockdown announcement compared to 2018. Even hospital admissions for critical care conditions such as malignant cancer treatments were reduced. We also noted a high reduction of emergency admissions such as myocardial infarction (38.7%), whereas the reduction in stroke admissions was smaller (19.6%). In contrast, we observed a considerable reduction in admissions for non-critical clinical situations, such as hysterectomies for benign tumors (78.8%) and hip replacements due to arthrosis (82.4%). In summary, our study shows that the university hospital admission rates in Germany were substantially reduced following the national COVID-19 lockdown. These included critical care or emergency conditions in which deferral is expected to impair clinical outcomes. Future studies are needed to delineate how appropriate medical care of critically ill patients can be maintained during a pandemic.

scholarly journals SYNTHESIS OF THE ORGANIZATION OF TREATMENT, RESEARCH AND TEACHING (CASE STUDY AT THE UNIVERSITY HOSPITAL IN AACHEN)

2021 ◽  
pp. 349-358
Author(s):  
Maryna Lienkova ◽  
Irina Bulakh
Keyword(s):  
Medical Center ◽  
Multidisciplinary Treatment ◽  
University Hospital ◽  
Survey Analysis ◽  
University Hospitals ◽  
Medical Institutions ◽  
Hospital Patients ◽  
Student Training ◽  
Treatment Research ◽  
The University

The article considers and analyzes the existing in the world, but new for Ukraine, type of healthcare institutions - a university hospital, which today is an example of one of the largest and best university hospitals in Germany - the Medical Center of the University of Aachen. The planning and functional structure of the university hospital and special design approaches that contributed to its design and development are analyzed. The purpose of the article is to illustrate an innovative approach for our state to the organization of medical institutions and to emphasize the importance of their implementation in the domestic healthcare system. The research methodology is based on the systematization and analysis of data from various information sources, as well as on the method of sociological survey (analysis of reviews). The article considers the features of the structure of the University Hospital Aachen, namely the multidisciplinary treatment, research and student training, which are combined in one institution. According to hospital patients, the only drawback of this structure is the frequent long wait for visitors. This is probably due to the significant daily flow of patients of varying complexity and, consequently, the shortcomings of the managerial approach. However, at the same time, the hospital has many advantages, which were highlighted in the article.  

scholarly journals Albania vs Norway – FM at two university hospitals

Facilities ◽  
2017 ◽  
Vol 35 (7/8) ◽  
pp. 462-484
Author(s):  
Knut Boge ◽  
Anjola Aliaj
Keyword(s):  
Strong Support ◽  
University Hospital ◽  
Comparative Case Study ◽  
Facilities Management ◽  
University Hospitals ◽  
Content Type ◽  
Adequate Food ◽  
The University ◽  
House Production

PurposeGiven the premise of de facto universal standards for FM, this paper aims to investigate development of facilities management (FM) at an Albanian and a Norwegian university hospital through examination of two hypotheses: the university hospital has recognised FM and established a designated FM organisation (H1) and the university hospital provides adequate food and catering services at ward kitchens and buffets (H2). Design/methodology/approachThis is an exploratory and descriptive comparative case study based on a diverse cases’ designs. FindingsThere is limited and strong support for H1 at the Albanian and Norwegian university hospitals, respectively. Both the Albanian and the Norwegian university hospitals rely on in-house production of facilities services, but the Albanian university hospital has outsourced food and catering services. FM and provision of facilities services are deeply integrated within the Norwegian university hospital’s core activities. There is also limited and strong support for H2 at the Albanian and Norwegian university hospitals, respectively. Hence, the Albanian Ministry of Health and the Albanian university hospital’s top management have a comprehensive, but not impossible, task, if the aim is to catch up with the Norwegian university hospital concerning FM. Research limitations/implicationsThis is an exploratory and descriptive comparative case study. Large N studies should be carried out both in Albania and Norway and preferably also in other countries to corroborate and develop the findings. Originality/valueThis is the first comparative study of FM at an Albanian and a Norwegian university hospital.

scholarly journals Use of LOINC and SNOMED CT with FHIR for Microbiology Data

2021 ◽  
Author(s):  
Eugenia Rinaldi ◽  
Julian Saas ◽  
Sylvia Thun
Keyword(s):  
Infection Control ◽  
Data Sharing ◽  
Information Exchange ◽  
International Standards ◽  
University Hospital ◽  
Use Case ◽  
Snomed Ct ◽  
University Hospitals ◽  
Related Data ◽  
The University

Infectious diseases due to microbial resistance pose a worldwide threat that calls for data sharing and the rapid reuse of medical data from health care to research. The integration of pathogen-related data from different hospitals can yield intelligent infection control systems that detect potentially dangerous germs as early as possible. Within the use case Infection Control of the German HiGHmed Project, eight university hospitals have agreed to share their data to enable analysis of various data sources. Data sharing among different hospitals requires interoperability standards that define the structure and the terminology of the information to be exchanged. This article presents the work performed at the University Hospital Charité and Berlin Institute of Health towards a standard model to exchange microbiology data. Fast Healthcare Interoperability Resources (FHIR) is a standard for fast information exchange that allows to model healthcare information, based on information packets called resources, which can be customized into so-called profiles to match use case- specific needs. We show how we created the specific profiles for microbiology data. The model was implemented using FHIR for the structure definition, and the international standards SNOMED CT and LOINC for the terminology services.

scholarly journals Evaluation of the Tendencies of Urology Residents in Different Training Centers in Turkey on the Use of Fluoroscopy in Operations

2021 ◽  
Author(s):  
Samet Senel ◽  
Fatih Sandikci ◽  
Ali Yasin Ozercan ◽  
Emin Gurtan ◽  
Salih Zeki Sonmez ◽  
...  
Keyword(s):  
Daily Practice ◽  
University Hospital ◽  
University Hospitals ◽  
Study Results ◽  
Significant Difference ◽  
Training And Research ◽  
Harmful Radiation ◽  
And Behavior ◽  
The University ◽  
Harmful Effects

Aim: To evaluate the tendency, knowledge, awareness and behavior patterns of urology residents training at different institutions in Turkey about the use of fluoroscopy in operations. Methods: The 13-questioned survey prepared using “Google Forms©” as of 01.03.2021 was shared for four weeks in the “WhatsApp®” application group, which includes 279 urology residents studying with university hospitals and training and research hospitals in Turkey. One hundred and thirteen participants, who completed the questionnaire were included in the study. Results: Of the 113 urology residents included in the study, 56 (49.6%) were studying in university hospitals and 57 (50.4%) were in training and research hospitals. 67.3% of the residents stated that they never hesitated to participate in the operations which fluoroscopy was used. Additionally, the residents stated that, also 43.4% of the auxiliary healthcare staff frequently refrain from being involved in these cases(p <0.001). While 21 (37.5%) of the residents trained in the university hospital reported that they hesitated from these cases, this rate was found that 16 (28.2%) of the residents who were trained in the training and research hospitals and a significant difference was observed between two groups (p <0.016). Among residents, the rate of using radioprotective lead apron was 94.7%, and the rate of thyroid shield use was 98.2%. While the rate of using radiation protective glasses was 1.8%, it was learned that none of the residents used radioprotective gloves. Only 5.3% of the residents stated that they are trained in subjects about the harmful radiation effect. Conclusion: Urology residents in Turkey do not receive sufficient training on the harmful effects of fluoroscopy, which they frequently use in their daily practice. In addition, the residents whom training in university hospitals are more scared of the radiation exposure from fluoroscopy than their colleagues working in training and research hospitals.

scholarly journals Is sleep apnoea a risk factor for Covid-19? Findings from a retrospective cohort study

2020 ◽  
Author(s):  
Thijs Feuth ◽  
Tarja Saaresranta ◽  
Antti Karlsson ◽  
Mika Valtonen ◽  
Ville Peltola ◽  
...  
Keyword(s):  
Critical Care ◽  
Risk Factor ◽  
Cohort Study ◽  
Oxygen Saturation ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Sleep Apnoea ◽  
Study Data ◽  
University Hospital ◽  
Obstructive Sleep

Background: In the early phase of the coronavirus disease-19 (Covid-19) pandemic, Southwest Finland remained relatively spared. By the 3rd of May 2020, a total of 28 patients have been admitted to the Turku University Hospital. In this paper, we explore baseline characteristics in order to identify risk for severe Covid-19 disease and critical care admission. Methods For this retrospective cohort study, data were derived from hospital records. Basic descriptive statistics were used to characterise patients, including medians, percentiles and frequencies. Differences were tested with Mann Whitney U-test and Pearson's chi-square test. Results Pre-existent obstructive sleep apnoea (OSA) was present in 29% of patients admitted in the hospital for Covid-19, none of them having severe OSA. Overall, other findings on admission were comparable with those reported elsewhere. C-reactive protein (CRP) and procalcitonin (PCT) were higher in patients who were eventually transferred to critical care in comparison to in those who were not (median CRP 187 mg/L versus 52 mg/L, p<0.005 and median PCT 0.46 versus 0.12, p=0.047). Moreover, there was a trend towards lower oxygen saturation on admission in ICU-patients (87% versus 93%, p=0.09). Discussion OSA was pre-existent in a disproportional large group of patients, which suggests that it is an important risk factor for severe Covid-19. Furthermore, we identified high CRP, PCT and possibly oxygen saturation as useful clinical measures to identify patients at risk for critical care.

scholarly journals COVID-19 pandemic management at the Emergency Department: the changing scenario at the University Hospital of Pisa

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Greta Barbieri ◽  
Stefano Spinelli ◽  
Matteo Filippi ◽  
Francesca Foltran ◽  
Mauro Giraldi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hospital Admissions ◽  
Task Force ◽  
Regional Distribution ◽  
University Hospital ◽  
Organizational Model ◽  
Similar Reduction ◽  
The University ◽  
Italian Territory

Starting from 1st case in Italy, on February 20th, 2020, CO-rona VI-rus D-isease 2019 (COVID-19) pandemic spread to whole Italian territory, with different regional distribution. Tuscany has been classified as medium diffusion area (40-100 cases/100000 inhabitants). In this context, all healthcare structures reviewed their organization to meet new needs. Our study’s objectives were description of organizational model outlined to safely manage Emergency Department (ED) and analysis of patients’ flows within Hospital of Pisa during pandemic. The ED has been reorganized with dedicated areas for examination and waiting for tests results. A similar reduction (-62%) of ED accesses comparing to the same period of 2019 and the previous months of 2020 was observed. Hospital Task Force arranged for progressive activation of Units by modules, according to territorial needs. From the beginning of March to the end of April 2020, 315 COVID-19 patients were hospitalized. Overall, a 45% reduction in hospital admissions compared to the same period of 2019 was observed, with increased mortality (4% versus 2%). The University Hospital of Pisa efficiently managed COVID-19 emergency with a logistical reorganization of ED.

scholarly journals Hospital admissions for alcohol-related problems in concomitance with weekends, New Year’s Eve and Christmas Eve: Myth or reality?

2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Giuseppe Lippi ◽  
Anna Ferrari ◽  
Chiara Bovo ◽  
Gianfranco Cervellin
Keyword(s):  
Hospital Admissions ◽  
Blood Alcohol Concentration ◽  
Alcohol Concentration ◽  
University Hospital ◽  
Younger Age ◽  
Study Population ◽  
New Year’S Eve ◽  
The University ◽  
Alcohol Testing ◽  
Alcohol Related Problems

This retrospective observational study was carried out by searching the database of the laboratory information system for identifying all requests for alcohol testing placed from emergency departments and intensive care units of the University Hospital of Verona between June 29th, 2012 and December 31st, 2018. The study population consisted of 7488 patients. The number of alcohol tests was more than double in concomitance with New Year’s Eve than in the rest of the year (7.6±6.1 vs 3.1±2.8 requests/day; P<0.001), whereas blood alcohol concentration was similar (1.55 vs 1.12 g/L; P=0.308). The risk of measuring alcohol concentrations >0.1 g/L and >1.0 g/L was 1.9-fold and 1.6-fold higher in concomitance with New Year’s Eve. In multivariate analysis, younger age, female sex and alcohol testing during New Year’s Eve remained significant predictors of alcohol concentrations >0.1 g/L and >1.0 g/L. The requests for alcohol testing were similar in concomitance with Christmas Eve and in other periods of the year, whilst number of requests (4.0±3.2 vs 2.8±2.5 requests/day; P<0.001) and concentration (1.37 vs 0.77 g/L; P<0.001) were higher during weekends than in other weekdays.

scholarly journals Mainstreamed Genetic Testing of Breast Cancer Patients in Two Hospitals in South Eastern Norway

2019 ◽  
Author(s):  
Eli Marie Grindedal ◽  
Kjersti Jørgensen ◽  
Pernilla Olsson ◽  
Berit Gravdehaug ◽  
Hilde Lurås ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Genetic Testing ◽  
Brca Mutation ◽  
Study Data ◽  
Regional Hospital ◽  
University Hospital ◽  
Breast Cancer Patients ◽  
South Eastern ◽  
The University ◽  
Eastern Norway

Abstract Background: Identification of a BRCA mutation in a breast cancer patient provides critical information both for treatment decisions and for prevention of new cancers. In South Eastern Norway, genetic testing of the BRCA genes has been mainstreamed into breast cancer care. Testing is offered directly to the patients by the surgeon or oncologist if they fulfill national criteria. The purpose of this study was to investigate to what extent BC patients who fulfill these criteria are offered testing. Methods: Three hundred and sixty one BC patients diagnosed during the first half of 2016 and 2017 at one university and one regional hospital in South Eastern Norway were included in the study. Data were collected on whether the patients fulfilled the criteria, whether they had been offered testing and if they had accepted testing. Results: For the two hospitals combined, 75% of BC patients who fulfilled the criteria were offered testing. The numbers were 63% at the regional hospital and 90% at the university hospital. Fifty two percent of the patients who were not offered testing even though they fulfilled the criteria and were younger than 50 years at time of diagnosis. As many as 95% of the patients who were offered testing, wanted to be tested. Conclusions: The majority of patients who fulfilled the criteria were offered testing. However, there were differences in rates of testing between the hospitals that affected all groups of patients. This indicates that diagnostic genetic testing is not equally available to all BC patients. We suggest that efforts should be made to raise awareness of and improve routines for genetic testing of BC patients in Norway.

scholarly journals Mortality Rates of Traumatic Traffic Accident Patients at the University Hospital

2014 ◽  
Vol 26 (3) ◽  
pp. 219-225
Author(s):  
Atilla Senih MAYDA ◽  
Muammer YILMAZ ◽  
Filiz BOLU ◽  
Mustafa USLU ◽  
Nuray YEŞİLDAL
Keyword(s):  
Mortality Rate ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Public Health Problem ◽  
Mortality Rates ◽  
Study Data ◽  
University Hospital ◽  
The University ◽  
Mean Cost

The aim of the study is to estimate hospitalization and mortality rates in patients admitted to the University Hospital due to traffic accidents, and to determine the mean cost of the applicants in the hospital due to traffic accident. In this retrospective study data were obtained from the records of a university research and practice hospital. There were 802 patients admitted to emergency and other outpatient clinics of the University Hospital because of traffic accidents throughout the year 2012. Out of these patients, 166 (20.7%) were hospitalized, and the annual mortality rate was 0.87%. The total cost was 322,545.2 euro and 402.2 euro per patient. Road traffic accident detection reports covered only the numbers of fatal injuries and injuries that happened at the scene of accidents. Determination of the number of the dead and wounded with overall mortality rate would be supposed to reveal the magnitude of public health problem caused by traffic accidents.

Sign in / Sign up

Export Citation Format

Share Document