{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T20:15:38Z","timestamp":1722888938014},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T00:00:00Z","timestamp":1672876800000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum des Saarlandes und Medizinische Fakult\u00e4t der Universit\u00e4t des Saarlandes"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Ziel war die Erhebung, wie h\u00e4ufig und welche Art von feuerwerksbedingten Knalltraumata in Deutschland um Silvester 2021 trotz Verkaufsverbots f\u00fcr Feuerwerksk\u00f6rper aufgrund der COVID-19-Pandemie auftraten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Der Erhebungszeitraum umfasste 7\u00a0Tage (28. Dezember 2021 bis 03.\u00a0Januar 2022). In einem Fragebogen wurden Datum, Art und Behandlung des Traumas, Geschlecht und Alter der Patienten erhoben sowie abgefragt, ob das Trauma beim Z\u00fcnden oder Betrachten von Feuerwerk auftrat. Die H\u00f6rbeeintr\u00e4chtigung wurde nach der Einteilung der Weltgesundheitsorganisation (WHO-Grade 0\u20134) klassifiziert und begleitender Tinnitus, Schwindel oder andere Verletzungen erfasst. Der Fragebogen wurde an die Hals-Nasen-Ohren-Abteilungen von 171 Krankenh\u00e4usern in Deutschland verschickt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Von 37\u00a0HNO-Abteilungen meldeten 16 keine und 21\u00a0Abteilungen meldeten 50\u00a0Patienten mit feuerwerksbedingtem Knalltrauma. Das Durchschnittsalter betrug 29\u202f\u00b1\u200916\u00a0Jahre. Die Mehrzahl der Patienten war m\u00e4nnlich (41\u00a0von 50). Es stellten sich 22\u00a0Patienten ohne und 28\u00a0mit H\u00f6rverlust vor, 32\u00a0berichteten \u00fcber Tinnitus und 3\u00a0\u00fcber Schwindel. Beim Z\u00fcnden verletzten sich 20\u00a0Patienten und 30\u00a0als Bystander. Die H\u00f6rminderung wurde in 14\u202f\u00d7\u2009WHO-Grad\u00a00, 5\u202f\u00d7\u2009WHO-Grad\u00a01, 4\u202f\u00d7\u2009WHO-Grad\u00a02, 2\u202f\u00d7\u2009WHO-Grad\u00a03 und 3\u202f\u00d7\u2009WHO-Grad\u00a04 eingestuft. Station\u00e4r wurden 8\u00a0Patienten behandelt, 11\u00a0erlitten gleichzeitig Brandverletzungen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Trotz des Verkaufsverbots gab es zum Jahreswechsel 2021\/2022 einige Knalltraumata durch Feuerwerksk\u00f6rper. Einige davon f\u00fchrten zu Krankenhausaufenthalten, eine deutlich h\u00f6here Dunkelziffer ist zu vermuten. 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