Suarez, Victor, Koehler, Felix C., Hackl, Matthias J., Moeckel, Martin, Slagman, Anna, Pudasaini, Samipa, Risse, Joachim, Schunk, Domagoj, Blaschke, Sabine, Kuempers, Philipp and Burst, Volker . University emergency departments in the corona pandemic-Results from the ReCovER registry. Med Klin Intensivmed Notfmed. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 2193-6226

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Abstract

Background The current COVID-19 pandemic, despite the availability of rapid tests and the start of the vaccination campaign, continues to pose major challenges to emergency departments (ED). Structured collection of demographic, clinical, as well as treatment-related data provides the basis for establishing evidence-based processes and treatment concepts. Aim of the work To present the systematic collection of clinical parameters in patients with suspected COVID-19 in the Registry for COVID-19 in the Emergency Room (ReCovER) and descriptive presentation of the first 1000 patients. Materials and methods Data from patients with suspected COVID-19, regardless of evidence of SARS-CoV-2 infection, are continuously entered into a web-based, anonymized registry in ED at six university hospitals. Results Between 19 May 2020 and 13 January 2021, 1000 patients were entered into the registry, of whom 594 patients (59.4%) were in the SARS-CoV-2 positive group (PG) and 406 patients (40.6%) were in the negative group (NG). Patients of the PG had significantly fewer pre-existing conditions and a significantly longer latency between symptom onset and presentation to the ED (median 5 vs. 3 days), were more likely to suffer from cough, myalgia, fatigue, and loss of smell/taste and had significantly higher oxygen requirements than NG patients. The rate of severe disease progression was significantly higher in the PG, and persistent symptoms were more common after discharge (11.1 vs. 4.6%). Conclusions The multicenter collection of comprehensive clinical data on COVID-19 suspected cases in the ED allows analysis of aspects specific to the situation in Germany in particular. This is essential for a targeted review and adaptation of internationally published strategies.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Suarez, VictorUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koehler, Felix C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hackl, Matthias J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moeckel, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Slagman, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pudasaini, SamipaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Risse, JoachimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schunk, DomagojUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Blaschke, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuempers, PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Burst, VolkerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-598077
DOI: 10.1007/s00063-021-00859-4
Journal or Publication Title: Med Klin Intensivmed Notfmed
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 2193-6226
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
Medicine, General & InternalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/59807

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