{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:38:44Z","timestamp":1740166724685,"version":"3.37.3"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"S3","license":[{"start":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T00:00:00Z","timestamp":1603843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T00:00:00Z","timestamp":1603843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003385","name":"Georg-August-Universit\u00e4t G\u00f6ttingen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003385","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Klin Intensivmed Notfmed"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec><jats:title>Hintergrund<\/jats:title><jats:p>Die COVID-19-Pandemie stellt f\u00fcr das Personal der Zentralen Notaufnahme (ZNA) eine sehr komplexe Herausforderung dar. Neben der regul\u00e4ren Notfallversorgung ist die fr\u00fchzeitige Detektion und Isolation von COVID-19-F\u00e4llen erforderlich, um eine hausinterne Transmission der Infektion zu verhindern und den Schutz des Personals zu gew\u00e4hrleisten.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methoden<\/jats:title><jats:p>Es wurde ein Modell zur Risikostratifizierung von SARS-CoV-2-Verdachts- und COVID-19-F\u00e4llen mit 5\u00a0Risikokategorien (RK) auf Basis der Kriterien des Robert-Koch Instituts (RKI) entwickelt und in der ZNA implementiert. Durch Verkn\u00fcpfung der COVID-19-Risikokategorien mit spezifischen Isolations\u2011, Hygiene- und Personalschutzma\u00dfnahmen wurden alle Bereiche der ZNA neu strukturiert. Retrospektiv erfolgte die statistische Auswertung aller station\u00e4ren F\u00e4lle (<jats:italic>n<\/jats:italic>\u202f=\u2009491) innerhalb eines vierw\u00f6chigen Zeitraums.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Im Patientenkollektiv wurden<jats:italic>n<\/jats:italic>\u202f=\u200925 (5,1\u202f%) SARS-CoV-2-positive F\u00e4lle identifiziert. Diese verteilten sich prozentual auf die Risikokategorien wie folgt: RK\u00a0I \u2013 best\u00e4tigte SARS-CoV-2-Infektion 36\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u20099), RK\u00a0II \u2013 begr\u00fcndete Verdachtsf\u00e4lle 32\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u20098), RK\u00a0III \u2013 differenzialdiagnostische Abkl\u00e4rung 12\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u20093), RK\u00a0IV \u2013 geringe Wahrscheinlichkeit 8\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u20092) und RK\u00a0V \u2013 kein Verdacht 12\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u20093). Bis dato ist keine Transmission der SARS-CoV-2-Infektion bei Mitarbeitern oder Patienten in der ZNA aufgetreten.<\/jats:p><\/jats:sec><jats:sec><jats:title>Schlussfolgerung<\/jats:title><jats:p>Die Einf\u00fchrung der COVID-19-Risikokategorien erm\u00f6glicht die zentrale Steuerung der krankenhaushygienisch relevanten Prozesse einer ZNA im Kontext der COVID-19-Pandemie. Durch eine stetige Reevaluation der Falldefinitionen k\u00f6nnen lokale Ausbruchssituationen ber\u00fccksichtigt werden. Die COVID-19-Risikostratifizierung erm\u00f6glicht eine strikte Trennung von COVID-19\/Non-COVID-19-Notf\u00e4llen und stellt so die nosokomiale Infektionspr\u00e4vention f\u00fcr Personal und Patienten sicher.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00063-020-00748-2","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T13:02:30Z","timestamp":1603890150000},"page":"123-131","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risikostratifizierung von Notf\u00e4llen w\u00e4hrend der COVID-19-Pandemie in der Zentralen Notaufnahme","Risk stratification of emergencies during the COVID-19 pandemic within the emergency department"],"prefix":"10.1007","volume":"115","author":[{"given":"M.","family":"Wieckenberg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Meier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Pfeiffer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Blaschke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,10,28]]},"reference":[{"key":"748_CR1","unstructured":"Robert Koch-Institut (2020) Erg\u00e4nzung zum Nationalen Pandemieplan \u2013 COVID-19 \u2013 neuartige Coronaviruserkrankung. https:\/\/www.rki.de\/DE\/Content\/InfAZ\/N\/Neuartiges_Coronavirus\/Ergaenzung_Pandemieplan_Covid.pdf?__blob=publicationFile. Zugegriffen: 10. M\u00e4rz 2020"},{"issue":"20","key":"748_CR2","first-page":"A-1040 \/ B-880","volume":"117","author":"A Ramshorn-Zimmer","year":"2020","unstructured":"Ramshorn-Zimmer\u00a0A, Pin\u00a0M, Hartwig\u00a0T, Lordick\u00a0F, Zimmermann\u00a0M, Brokmann\u00a0JC et al (2020) Coronapandemie Rolle der Zentralen Notaufnahme. Dtsch Arztebl 117(20):A-1040 \/ B\u2011880","journal-title":"Dtsch Arztebl"},{"key":"748_CR3","unstructured":"Robert Koch-Institut (2020) SARS-CoV-2: Informationen des Robert Koch-Instituts zu empfohlenen Infektionsschutzma\u00dfnahmen und Zielen. https:\/\/www.rki.de\/DE\/Content\/Infekt\/EpidBull\/Archiv\/2020\/07\/Art_01.html. Zugegriffen: 26. Mai 2020"},{"key":"748_CR4","first-page":"892","volume":"107","author":"M Christ","year":"2010","unstructured":"Christ\u00a0M, Grossmann\u00a0F, Winter\u00a0D, Bingisser\u00a0R, Platz\u00a0E (2010) Modern triage in the emergency department. Dtsch Arztebl 107:892\u2013898","journal-title":"Dtsch Arztebl"},{"key":"748_CR5","unstructured":"Deutsche Gesellschaft f\u00fcr Allgemeinmedizin und Familienmedizin (2020) DEGAM S1-Handlungsempfehlung: Neues Coronavirus (SARS-CoV-2) \u2013 Informationen f\u00fcr die haus\u00e4rztliche Praxis. https:\/\/www.awmf.org\/uploads\/tx_szleitlinien\/054-054l_S1_Neues_CORONA_Virus_2020-05_2.pdf. Zugegriffen: 15. Mai 2020 (AWMF-Register-Nr. 053-054)"},{"key":"748_CR6","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1007\/s00134-012-2513-4","volume":"38","author":"G Volpicelli","year":"2012","unstructured":"Volpicelli\u00a0G, Elbarbary\u00a0M, Blaivas\u00a0M, Lichtenstein\u00a0DA, Mathis\u00a0G, Kirkpatrick\u00a0AW et al (2012) International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 38:577\u2013591","journal-title":"Intensive Care Med"},{"key":"748_CR7","doi-asserted-by":"publisher","first-page":"e11","DOI":"10.1016\/S2213-2600(20)30071-0","volume":"8","author":"J Zhang","year":"2020","unstructured":"Zhang\u00a0J, Zhou\u00a0L, Yang\u00a0Y, Peng\u00a0W, Wang\u00a0W, Chen\u00a0X (2020) Therapeutic and triage strategies for 2019 novel corona-virus disease in fever clinics. Lancet Respir Med 8:e11\u2013e12","journal-title":"Lancet Respir Med"},{"key":"748_CR8","first-page":"A-715","volume":"117","author":"M Lenzen-Schulte","year":"2020","unstructured":"Lenzen-Schulte\u00a0M (2020) Bei COVID-19-Verdacht: Rasche Triage symptomatischer Patienten in der Notaufnahme. Dtsch Arztebl 117:A-715","journal-title":"Dtsch Arztebl"},{"key":"748_CR9","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1148\/radiol.2020200370","volume":"295","author":"F Pan","year":"2020","unstructured":"Pan\u00a0F, Ye\u00a0T, Sun\u00a0P, Gui\u00a0S, Liang\u00a0B, Li\u00a0L et al (2020) Time-course of lung changes on chest CT during recovery from coronavirus disease 2019 (COVID-19). Radiology 295:715\u2013721","journal-title":"Radiology"},{"issue":"2","key":"748_CR10","doi-asserted-by":"publisher","first-page":"E97","DOI":"10.1148\/radiol.2020201473","volume":"296","author":"M Prokop","year":"2020","unstructured":"Prokop\u00a0M, van Everdingen\u00a0W, van Rees Vellinga\u00a0T, Quarles van Ufford\u00a0H, St\u00f6ger\u00a0L, Beenen\u00a0L et al (2020) CO-RADS: a categorical CT assessment scheme for patients suspected of having COVID-19-definition and evaluation. Radiology 296(2):E97\u2013E104","journal-title":"Radiology"},{"key":"748_CR11","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1016\/S0140-6736(16)30623-7","volume":"388","author":"SY Cho","year":"2016","unstructured":"Cho\u00a0SY, Kang\u00a0JM, Ha\u00a0YE, Park\u00a0GE, Lee\u00a0JY, Ko\u00a0JH et al (2016) MERS-CoV outbreak following a\u00a0single patient exposure in an emergency room in South Korea: an epidemiological outbreak study. Lancet 388:994\u20131001","journal-title":"Lancet"},{"key":"748_CR12","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1001\/jama.2020.1585","volume":"323","author":"D Wang","year":"2020","unstructured":"Wang\u00a0D, Hu\u00a0B, Hu\u00a0C, Zhu\u00a0F, Liu\u00a0X, Zhang\u00a0J et al (2020) Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 323:1061\u20131069","journal-title":"JAMA"},{"issue":"3","key":"748_CR13","doi-asserted-by":"publisher","first-page":"2000045","DOI":"10.2807\/1560-7917.ES.2020.25.3.2000045","volume":"25","author":"VM Corman","year":"2020","unstructured":"Corman\u00a0VM, Landt\u00a0O, Kaiser\u00a0M, Molenkamp\u00a0R, Meijer\u00a0A, Chu\u00a0D et al (2020) Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR. Euro Surveill 25(3):2000045","journal-title":"Euro Surveill"},{"key":"748_CR14","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1038\/s41586-020-2196-x","volume":"581","author":"R W\u00f6lfel","year":"2020","unstructured":"W\u00f6lfel\u00a0R, Corman\u00a0VM, Guggemos\u00a0W, Seilmaier\u00a0M, Zange\u00a0S, M\u00fcller\u00a0MA et al (2020) Virological assessment of hospitalized patients with COVID-2019. Nature 581:465\u2013469","journal-title":"Nature"},{"key":"748_CR15","first-page":"A-866","volume":"117","author":"N Kohmer","year":"2020","unstructured":"Kohmer\u00a0N, Rabenau\u00a0H, Ciesek\u00a0S (2020) SARS-CoV-2: Der richtige Nachweis. Dtsch Arztebl 117:A-866\u2013A-870","journal-title":"Dtsch Arztebl"},{"key":"748_CR16","doi-asserted-by":"publisher","first-page":"104426","DOI":"10.1016\/j.jcv.2020.104426","volume":"128","author":"F Wolters","year":"2020","unstructured":"Wolters\u00a0F, van de Bovenkamp\u00a0J, van den Bosch\u00a0B, van den Brink\u00a0S, Broeders\u00a0M, Chung\u00a0NH et al (2020) Multi-center evaluation of cepheid xpert\u00ae xpress SARS-CoV-2\u00a0point-of-care test during the SARS-CoV\u20112 pandemic. J\u00a0Clin Virol 128:104426","journal-title":"J Clin Virol"},{"key":"748_CR17","doi-asserted-by":"publisher","first-page":"e00798-20","DOI":"10.1128\/JCM.00798-20","volume":"58","author":"A Harrington","year":"2020","unstructured":"Harrington\u00a0A, Cox\u00a0B, Snowdon\u00a0J, Bakst\u00a0J, Ley\u00a0E, Grajales\u00a0P et al (2020) Comparison of Abbott ID now and Abbott m2000 methods for the detection of SARS-CoV\u20112 from nasopharyngeal and nasal swabs from symptomatic patients. J\u00a0Clin Microbiol 58:e00798-20","journal-title":"J Clin Microbiol"},{"issue":"3","key":"748_CR18","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1016\/j.jinf.2020.06.067","volume":"81","author":"KA Walsh","year":"2020","unstructured":"Walsh\u00a0KA, Jordan\u00a0K, Clyne\u00a0B, Rohde\u00a0D, Drummond\u00a0L, Byrne\u00a0P et al (2020) SARS-CoV\u20112 detection, viral load and infectivity over the course of an infection. J\u00a0Infect 81(3):357\u2013371","journal-title":"J Infect"},{"key":"748_CR19","doi-asserted-by":"publisher","first-page":"E115","DOI":"10.1148\/radiol.2020200432","volume":"296","author":"Y Fang","year":"2020","unstructured":"Fang\u00a0Y, Zhang\u00a0H, Xie\u00a0J, Lin\u00a0M, Ying\u00a0L, Pang\u00a0P, Ji\u00a0W (2020) Sensitivity of chest CT for COVID-19: comparison to RT-PCR. Radiology 296:E115\u2013E117","journal-title":"Radiology"},{"key":"748_CR20","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.26211","author":"ZL Zhang","year":"2020","unstructured":"Zhang\u00a0ZL, Hou\u00a0YL, Li\u00a0DT, Li\u00a0FZ (2020) Diagnostic efficacy of anti-SARS-CoV\u20112 IgG\/IgM test for COVID-19: a meta-analysis. J\u00a0Med Virol. https:\/\/doi.org\/10.1002\/jmv.26211","journal-title":"J Med Virol"},{"key":"748_CR21","doi-asserted-by":"publisher","first-page":"E2369","DOI":"10.3390\/jcm9082369","volume":"9","author":"DO Andrey","year":"2020","unstructured":"Andrey\u00a0DO, Cohen\u00a0P, Meyer\u00a0B, Torriani\u00a0G, Yerly\u00a0S, Mazza\u00a0L et al (2020) Head-to-head accuracy comparison of three commercial COVID-19 IgM\/IgG serology rapid tests. J\u00a0Clin Med 9:E2369","journal-title":"J Clin Med"},{"key":"748_CR22","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1111\/acem.13984","volume":"27","author":"LE Wee","year":"2020","unstructured":"Wee\u00a0LE, Fua\u00a0TP, Chua\u00a0YY, Ho\u00a0AFW, Sim\u00a0XYJ, Conceicao\u00a0EP et al (2020) Containing COVID-19 in the emergency room: the role of improved case detection and segregation of suspect cases. Acad Emerg Med 27:379\u2013387","journal-title":"Acad Emerg Med"},{"key":"748_CR23","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1007\/s00063-020-00693-0","volume":"115","author":"DO Wennmann","year":"2020","unstructured":"Wennmann\u00a0DO, Dlugos\u00a0CP, Hofschr\u00f6er\u00a0A, Hennies\u00a0M, K\u00fchn\u00a0J, Hafezi\u00a0W et al (2020) Umgang mit COVID-19 in der Notaufnahme. Med Klin Intensivmed Notfmed 115:380\u2013387","journal-title":"Med Klin Intensivmed Notfmed"},{"key":"748_CR24","doi-asserted-by":"crossref","first-page":"e006631","DOI":"10.1161\/CIRCOUTCOMES.120.006631","volume":"17","author":"CF Tam","year":"2020","unstructured":"Tam\u00a0CF, Cheung\u00a0KS, Lam\u00a0S, Yung\u00a0A, Sze\u00a0M, Lam\u00a0YM et al (2020) Impact of coronavirus disease 2019 (COVID-19) outbreak on ST-segment\u2013elevation myocardial infarction care in Hong Kong, China. Circ Cardiovasc Qual Outcomes 17:e6631","journal-title":"Circ Cardiovasc Qual Outcomes"}],"container-title":["Medizinische Klinik - Intensivmedizin und Notfallmedizin"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00063-020-00748-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00063-020-00748-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00063-020-00748-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T04:39:49Z","timestamp":1669351189000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00063-020-00748-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,28]]},"references-count":24,"journal-issue":{"issue":"S3","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["748"],"URL":"https:\/\/doi.org\/10.1007\/s00063-020-00748-2","relation":{},"ISSN":["2193-6218","2193-6226"],"issn-type":[{"type":"print","value":"2193-6218"},{"type":"electronic","value":"2193-6226"}],"subject":[],"published":{"date-parts":[[2020,10,28]]},"assertion":[{"value":"4 June 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2020","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 September 2020","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 October 2020","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"M.\u00a0Wieckenberg, V.\u00a0Meier, S.\u00a0Pfeiffer und S.\u00a0Blaschke geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Die retrospektive klinische Studie wurde auf der Basis der geltenden ethischen und datenschutzrechtlichen Richtlinien durchgef\u00fchrt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}