{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:10:18Z","timestamp":1790658618677,"version":"4.1.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf (UKE)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Bundesgesundheitsbl"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>In den letzten Jahrzehnten traten in Deutschland Hochwasserereignisse auf, die eine Bedrohung f\u00fcr die Gesundheit der lokalen Bev\u00f6lkerung darstellten. Es existieren allerdings kaum Studien, die die gesundheitlichen Folgen dieser Ereignisse untersuchen. Studienziel war daher die Untersuchung der Assoziationen des Ahrtal-Hochwassers im Jahr 2021 mit der Gesundheit der lokalen Bev\u00f6lkerung.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Datengrundlage dieser Studie sind bundesweite Abrechnungsdaten (station\u00e4r\/ambulant) des BKK-Landesverbands Nordwest. Untersuchungsregion war die Region Ahrweiler, Untersuchungszeitr\u00e4ume jeweils das 3.\u00a0Quartal der Jahre 2020 und 2021. Unter anderem mit Prevalence-Rate-Ratio-Tests wurde auf Grundlage von ICD-10-Kodierungen untersucht, welche Diagnosen (station\u00e4r\/ambulant) r\u00e4umlich und zeitlich in Assoziation mit dem Hochwasserereignis standen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Ergebnisse zeigen im station\u00e4ren Bereich eine deutliche Zunahme abgerechneter Leistungen in einigen Diagnosegruppen gegen\u00fcber dem Vorjahr. Verzeichnet wurden insbesondere Zunahmen bestimmter F\u2011Diagnosen (<jats:italic>psychische und Verhaltensst\u00f6rungen<\/jats:italic>) und S\u2011Diagnosen (<jats:italic>Verletzungen<\/jats:italic>) sowie verschiedener Diagnoseschl\u00fcssel innerhalb der Z\u2011Kodierungen (<jats:italic>Faktoren, die den Gesundheitszustand beeinflussen und zur Inanspruchnahme des Gesundheitswesens f\u00fchren<\/jats:italic>). Im ambulanten Sektor wurde in vielen Diagnosegruppen (F- und Z\u2011Diagnosen) eine Abnahme identifiziert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Ergebnisse der Studie deuten darauf hin, dass vor allem die mentale Gesundheit der lokalen Bev\u00f6lkerung und die Gesundheitsversorgung insgesamt (sektorspezifische Inanspruchnahme) vom Hochwasser beeintr\u00e4chtigt wurden. Da Hochwasserereignisse zuk\u00fcnftig h\u00e4ufiger und st\u00e4rker werden k\u00f6nnen, m\u00fcssen die Ma\u00dfnahmen zum Schutz der Bev\u00f6lkerung und Gesundheitsinfrastruktur entsprechend angepasst werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00103-023-03809-x","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T11:02:23Z","timestamp":1704798143000},"page":"5-13","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Auswirkungen des Ahrtal-Hochwassers auf die Gesundheit der lokalen Bev\u00f6lkerung\u00a0\u2013 eine Analyse auf Grundlage von GKV-Routinedaten","The impact of the Ahr Valley flood on the health of the local population \u2013 an analysis based on SHI routine data"],"prefix":"10.1007","volume":"67","author":[{"given":"Jobst","family":"Augustin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Andrees","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Czerniejewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Dallner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian M.","family":"Schulz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaus Christian Simon","family":"Mezger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"3809_CR1","unstructured":"IPCC: Climate Change (2014) Synthesis report. 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