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.
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...
| Publicado en: | Infection Vol. 53; no. 1; pp. 259 - 270 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183079906&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183079906 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03008126 NXO jtl: Infection issn: 03008126 maglogo: N pubinfo: dt: Feb2025 vid: 53 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 183079906 179017525 183079906 183079906 10.1007/s15010-024-02362-2 183079906 ppf: 259 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: 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. aug: au: 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 affil: https://ror.org/00rcxh774 Klinik I für Innere Medizin, Centrum für Integrierte Onkologie Aachen Bonn Köln Düsseldorf, Universität zu Köln, Medizinische Fakultät und Uniklinik Köln, Köln, Germany sug: subj: COVID-19 Pandemic Prevention and Control Infection Preventionists Professional Role Hospitals Quality of Health Care Evaluation Health Policy Decision Making, Clinical Human Germany Secondary Analysis Multiple Regression COVID-19 Mortality Crisis Intervention Inpatients Critical Care Mortality Prevention and Control ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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