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[Changes in number of emergency medical service deployments in an urban area during the first COVID-19 pandemic-related contact restriction phase].
Notf Rett Med. 2021 Apr 23 [Online ahead of print]NR

Abstract

BACKGROUND

To contain the coronavirus disease (COVID-19) pandemic, public life was reduced through contact restriction measures (referred to as "lockdown" in the further course for reading simplicity), among other things to make health system resources available for the treatment of COVID-19 patients. In parallel, a decrease in emergency patients was observed in the public health system.

METHODS

For two 10-week periods before and during the lockdown, ambulance service deployment rates were analysed in 6 ambulance service areas for 6 tracer diagnoses. Random effects were minimised by comparing the results with the corresponding 2018 and 2019 time periods and a calculated expected value.

RESULTS

For emergency ambulance service calls, there was a reduction in call numbers (-16%) during the lockdown. A 20% reduction for the categories cardiac and cerebral ischaemia was found. In the urban area, the reduction in cardiac ischaemia was less pronounced at 14% than in the surrounding area at 23%. The deployment figures for intoxications decreased by 27% and for psychiatric emergencies by 16%.

CONCLUSION

The public ambulance service was not overwhelmed by the COVID-19 pandemic; there was a decrease in depolyments during the lockdown. For the reduction in cerebral or cardiac ischaemias, the explanatory models for the influence of the lockdown are missing. Further studies on the utilisation behaviour of the ambulance service during a lockdown appear necessary in order to detect potentially fatal reductions in utilisation for the patient outcome and to be able to counteract them through education.

Authors+Show Affiliations

Gesundheitsamt Frankfurt am Main, Breite Gasse 28, 60313 Frankfurt am Main, Deutschland.BG Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstraβe 430, 60389 Frankfurt am Main, Deutschland.Gefahrenabwehrzentrum - Main-Kinzig-Kreis (Amt 37), Gesundheitsamt (Amt 53), Frankfurter Str. 34, 63571 Gelnhausen, Deutschland.Der Kreisausschuss - Main-Taunus-Kreis, Amt f. Brandschutz und Rettungswesen, Katharina-Kemmler-Str. 1, 65719 Hofheim, Deutschland.Stadt Offenbach am Main, Feuerwehr, 37.51 Rettungsdienstträger, Rhönstr. 10, 63071 Offenbach am Main, Deutschland.Der Kreisausschuss - Hochtaunuskreis, Brandschutz, Rettungsdienst und Katastrophenschutz, Ludwig-Erhard-Anlage 1-5, 61352 Bad Homburg v.d. Höhe, Deutschland.Eigenbetrieb Rettungsdienst Kreis Offenbach, Gottlieb-Daimler-Str. 10, 63128 Dietzenbach, Deutschland.Fachbereich Psychologie, JWG-Universität Frankfurt, Theodor-W.-Adorno-Platz 6, 60323 Frankfurt am Main, Deutschland.Fachbereich Psychologie, JWG-Universität Frankfurt, Theodor-W.-Adorno-Platz 6, 60323 Frankfurt am Main, Deutschland.Branddirektion, Rettungsdienstträger, Feuerwehrstr. 1, 60435 Frankfurt am Main, Deutschland.Gesundheitsamt Frankfurt am Main, Breite Gasse 28, 60313 Frankfurt am Main, Deutschland.

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

33935590

Citation

Naujoks, Frank, et al. "[Changes in Number of Emergency Medical Service Deployments in an Urban Area During the First COVID-19 Pandemic-related Contact Restriction Phase]." Notfall & Rettungsmedizin, 2021, pp. 1-9.
Naujoks F, Schweigkofler U, Lenz W, et al. [Changes in number of emergency medical service deployments in an urban area during the first COVID-19 pandemic-related contact restriction phase]. Notf Rett Med. 2021.
Naujoks, F., Schweigkofler, U., Lenz, W., Blau, J., Brune, I., Lischke, V., Adler, H., Schindelin, I., Rouchi, H., Chobotsky, H., & Gottschalk, R. (2021). [Changes in number of emergency medical service deployments in an urban area during the first COVID-19 pandemic-related contact restriction phase]. Notfall & Rettungsmedizin, 1-9. https://doi.org/10.1007/s10049-021-00875-z
Naujoks F, et al. [Changes in Number of Emergency Medical Service Deployments in an Urban Area During the First COVID-19 Pandemic-related Contact Restriction Phase]. Notf Rett Med. 2021 Apr 23;1-9. PubMed PMID: 33935590.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Changes in number of emergency medical service deployments in an urban area during the first COVID-19 pandemic-related contact restriction phase]. AU - Naujoks,Frank, AU - Schweigkofler,Uwe, AU - Lenz,Wolfgang, AU - Blau,Jörg, AU - Brune,Ingo, AU - Lischke,Volker, AU - Adler,Holger, AU - Schindelin,Ina, AU - Rouchi,Hasti, AU - Chobotsky,Holger, AU - Gottschalk,René, Y1 - 2021/04/23/ PY - 2021/03/31/accepted PY - 2021/5/3/entrez PY - 2021/5/4/pubmed PY - 2021/5/4/medline KW - COVID-19 KW - Deployment figures KW - Lockdown KW - Rescue services KW - Tracer diagnoses SP - 1 EP - 9 JF - Notfall & rettungsmedizin JO - Notf Rett Med N2 - BACKGROUND: To contain the coronavirus disease (COVID-19) pandemic, public life was reduced through contact restriction measures (referred to as "lockdown" in the further course for reading simplicity), among other things to make health system resources available for the treatment of COVID-19 patients. In parallel, a decrease in emergency patients was observed in the public health system. METHODS: For two 10-week periods before and during the lockdown, ambulance service deployment rates were analysed in 6 ambulance service areas for 6 tracer diagnoses. Random effects were minimised by comparing the results with the corresponding 2018 and 2019 time periods and a calculated expected value. RESULTS: For emergency ambulance service calls, there was a reduction in call numbers (-16%) during the lockdown. A 20% reduction for the categories cardiac and cerebral ischaemia was found. In the urban area, the reduction in cardiac ischaemia was less pronounced at 14% than in the surrounding area at 23%. The deployment figures for intoxications decreased by 27% and for psychiatric emergencies by 16%. CONCLUSION: The public ambulance service was not overwhelmed by the COVID-19 pandemic; there was a decrease in depolyments during the lockdown. For the reduction in cerebral or cardiac ischaemias, the explanatory models for the influence of the lockdown are missing. Further studies on the utilisation behaviour of the ambulance service during a lockdown appear necessary in order to detect potentially fatal reductions in utilisation for the patient outcome and to be able to counteract them through education. SN - 1434-6222 UR - https://www.unboundmedicine.com/medline/citation/33935590/[Changes_in_number_of_emergency_medical_service_deployments_in_an_urban_area_during_the_first_COVID_19_pandemic_related_contact_restriction_phase]_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/33935590/ DB - PRIME DP - Unbound Medicine ER -
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