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. 2024 Aug 16.
doi: 10.1007/s15010-024-02362-2. Online ahead of print. 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
Lene T Tscharntke 1 , Norma Jung 1 , Frank Hanses 2 , Carolin E M Koll 3 4 , Lisa Pilgram 5 6 , Siegbert Rieg 7 , Stefan Borgmann 8 , Susana M Nunes de Miranda 3 , Margarete Scherer 3 , Christoph D Spinner 9 , Maria Rüthrich 10 , Maria J G T Vehreschild 4 11 , Michael von Bergwelt-Baildon 12 , Kai Wille 13 , Uta Merle 14 , Martin Hower 15 , Katja Rothfuss 16 , Silvio Nadalin 17 , Hartwig Klinker 18 , Julia Fürst 19 , Ingo Greiffendorf 20 , Claudia Raichle 21 , Anette Friedrichs 22 , Dominic Rauschning 23 , Katja de With 24 , Lukas Eberwein 25 , Christian Riedel 26 , Milena Milovanovic 27 , Maximilian Worm 28 , Beate Schultheis 29 , Jörg Schubert 30 , Marc Bota 31 , Gernot Beutel 32 , Thomas Glück 33 , Michael Schmid 34 , Tobias Wintermantel 35 , Helga Peetz 36 , Stephan Steiner 37 , Elena Ribel 38 , Harald Schäfer 39 , Jörg Janne Vehreschild # 40 41 42 , Melanie Stecher # 3 4 ; LEOSS Study Group
Affiliations
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.
Keywords: COVID-19; Healthcare quality; Healthcare research; Infectious diseases medicine; Pandemic; Quality indicators.
. 2024 Aug 16.
doi: 10.1007/s15010-024-02362-2. Online ahead of print. 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
Lene T Tscharntke 1 , Norma Jung 1 , Frank Hanses 2 , Carolin E M Koll 3 4 , Lisa Pilgram 5 6 , Siegbert Rieg 7 , Stefan Borgmann 8 , Susana M Nunes de Miranda 3 , Margarete Scherer 3 , Christoph D Spinner 9 , Maria Rüthrich 10 , Maria J G T Vehreschild 4 11 , Michael von Bergwelt-Baildon 12 , Kai Wille 13 , Uta Merle 14 , Martin Hower 15 , Katja Rothfuss 16 , Silvio Nadalin 17 , Hartwig Klinker 18 , Julia Fürst 19 , Ingo Greiffendorf 20 , Claudia Raichle 21 , Anette Friedrichs 22 , Dominic Rauschning 23 , Katja de With 24 , Lukas Eberwein 25 , Christian Riedel 26 , Milena Milovanovic 27 , Maximilian Worm 28 , Beate Schultheis 29 , Jörg Schubert 30 , Marc Bota 31 , Gernot Beutel 32 , Thomas Glück 33 , Michael Schmid 34 , Tobias Wintermantel 35 , Helga Peetz 36 , Stephan Steiner 37 , Elena Ribel 38 , Harald Schäfer 39 , Jörg Janne Vehreschild # 40 41 42 , Melanie Stecher # 3 4 ; LEOSS Study Group
Affiliations
- PMID: 39150640
- DOI: 10.1007/s15010-024-02362-2
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.
Keywords: COVID-19; Healthcare quality; Healthcare research; Infectious diseases medicine; Pandemic; Quality indicators.