{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T09:05:24Z","timestamp":1779786324933,"version":"3.53.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf (UKE)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die COVID-19-Pandemie f\u00fchrte zu einer Einschr\u00e4nkung des Operationsbetriebs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Wie wirkte sich die COVID-19-Pandemie \u00fcber 3\u00a0Jahre auf Fallaufkommen und Effizienz des Operationsbetriebs in einem Haus der Maximalversorgung aus?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methodik<\/jats:title>\n                    <jats:p>Im Zeitraum vom 01.01.2019 bis 31.07.2022 wurde die Nutzung von 6\u00a0Operationss\u00e4len jeweils in den ersten 7\u00a0Monaten (Januar bis Juli) w\u00e4hrend des Tagesbetriebs (8:00 bis 16:00\u00a0Uhr) von Montag bis Freitag erfasst. Bestimmt wurden Operationszahl, chirurgische Nutzungszeit, Wechselzeit, Startzeit und Operationsschluss. Zus\u00e4tzlich wurde die Zahl der im Krankenhaus behandelten COVID-19-Patienten dokumentiert. Es handelte sich insgesamt um 10.193 konsekutive Eingriffe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Die Operationszahl sank 2020 um 14,9\u202f%, 2021 um 23,1\u202f% und 2022 um 16,7\u202f% im Vergleich zu 2019. Die chirurgische Nutzungszeit lag 2020 13,7\u202f%, 2021 20,8\u202f% und im Jahr 2022 13,5\u202f% unter dem Wert von 2019. Die Wechselzeit pro Eingriff und die Operationszeit pro Eingriff nahmen signifikant zu. Die Startzeit pro Tag und Saal verz\u00f6gerte sich signifikant, der Operationsschluss war signifikant fr\u00fcher. Mit steigender Zahl station\u00e4r behandelter COVID-19-Patienten nahm die Operationszahl signifikant ab (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090,002). Mit jedem zus\u00e4tzlichen COVID-19-Patienten verringerte sich die chirurgische Nutzungszeit der Operationss\u00e4le im Durchschnitt um etwa 172,99\u202fmin (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090,001) und die versp\u00e4tete Startzeit stieg im Mittel um 46,79\u202fmin pro Monat an (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090,000).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Folgerung<\/jats:title>\n                    <jats:p>Die COVID-19-Pandemie f\u00fchrte, verglichen mit 2019, bis in das Jahr 2022 zu einer signifikanten Reduktion des Operationsaufkommens, verringerter Operationssaalnutzung und erh\u00f6hten Wechselzeiten in einem Haus der Maximalversorgung bei gef\u00e4\u00dfchirurgischen, viszeralchirurgischen und unfallchirurgischen Eingriffen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00104-025-02385-x","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T21:10:47Z","timestamp":1759871447000},"page":"480-488","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Operationssaalmanagement in einem Haus der Maximalversorgung vor und w\u00e4hrend der COVID-19-Pandemie","Operating room management in a\u00a0tertiary care center before and during the COVID-19 pandemic"],"prefix":"10.1007","volume":"97","author":[{"given":"Vladan","family":"Tenic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Heckenkamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelena","family":"Raskovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Hoene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4532-3930","authenticated-orcid":false,"given":"Reinhart T.","family":"Grundmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"key":"2385_CR1","doi-asserted-by":"publisher","first-page":"2499","DOI":"10.1007\/s00264-020-04772-x","volume":"44","author":"M Andreata","year":"2020","unstructured":"Andreata\u00a0M, Faraldi\u00a0M, Bucci\u00a0E, Lombardi\u00a0G, Zagra\u00a0L (2020) Operating room efficiency and timing during coronavirus disease 2019 outbreak in a\u00a0referral orthopaedic hospital in Northern Italy. 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