{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T17:05:58Z","timestamp":1779901558565,"version":"3.53.1"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Einleitung Als Reaktion auf die Corona-Pandemie fand im Fr\u00fchjahr 2020 ein gesellschaftlicher Stillstand statt. Untersucht werden soll, wie diese Pandemie-Ma\u00dfnahme auf die Bev\u00f6lkerung eines l\u00e4ndlich gepr\u00e4gten, strukturschwachen Bundeslandes am Beispiel der Notaufnahmefallzahlen eines Schwerpunktversorgers gewirkt hat.<\/jats:p><jats:p>Methoden Abruf von anonymisierten aggregierten Routinedaten und Auswertung der Phasen \u201eVergleich\u201c (03.07.2019\u201315.03.2020), Corona\u2013Phase 1\u201c (16.03.2020\u201306.05.2020) und \u201eCorona\u2013Phase 2\u201c (07.05.2020\u201331.07.2020).<\/jats:p><jats:p>Ergebnisse Auswertung von 24977 Patientendaten (2493 Patienten Corona-Phase 1\/5106 Patienten Phase 2). 53% der Patienten sind \u00e4lter als 50 Jahre, ca. 30% \u00e4lter als 70 Jahre. Regul\u00e4r suchen 67,6 Patienten die Notaufnahme je Tag auf. In der Corona-Phase 1 reduziert sich die Zahl um 19,7 Patienten\/Tag; in der Phase 2 sind 8,2 Patienten\/Tag weniger als in der Vergleichsgruppe \u2013 bei insgesamt unver\u00e4nderter Altersstruktur. 56% der Patienten suchen eigenst\u00e4ndig (Selbstvorstellung) die Notaufnahme auf, 24% auf Veranlassung eines Vertragsarztes, 17% werden durch den Rettungsdienst (Notarzt, RTW) vorgestellt. Besonders auff\u00e4llig ist der Fallzahlr\u00fcckgang bei den Patienten, die sich selbst in der Notaufnahme vorstellen und vom Kassenarzt eingewiesen werden. Die Fallzahlen \u00fcber den Rettungsdienst (NEF, RTW) sind relativ stabil \u2013 bzw. in der 2. Corona-Phase anteigend (Notarzt+7%, RTW+36%). Das Hauptdiagnosespektrum der aus der Notaufnahme station\u00e4r aufgenommenen Patienten umfasst bei den Vertragsarzteinweisungen und Selbstvorsteller 375 bzw. 360 ICD-10-GM Dreistellergruppen. Hierbei reduzieren sich typische Notfallerkrankungen deutlich (Hirninfarkt (I63) -52%, Herzinfarkt (I21) -61%, Cholelithiasis (K80) \u221275% bei Selbstvorstellungen\/Vorhofflimmern (I48) \u221255%, akute Bronchitis (J20) \u2013 35%, Gastroenteritis (A09) \u221248% bei Vertragsarzteinweisungen \u2013 jeweils Corona-Phase 1 zu Vergleichsgruppe). Diese Fallzahlverluste sind \u00fcberwiegend in der Corona-Phase 2 persistent (Hirninfarkt (I63) \u2013 29% bei Selbstvorstellern) und nur z. T. reversibel (Herzinfarkt (I21)+10%).<\/jats:p><jats:p>Schlussfolgerung Eine Reduktion von Notfallkontakten, die nicht final durch den Pandemieverlauf erkl\u00e4rbar ist, v. a. der Selbstvorstellungen, Kassenarztvorstellungen fanden statt. Die Reduktion der Fallzahlen v. a. der \u00fcberwiegend \u00e4lteren Patienten, die selbstst\u00e4ndig oder \u00fcber den Kassenarzt vorgestellt wurden, \u00fcberwog den Anteil des professionellen Rettungsdienstes deutlich. Es kann vermutet werden, dass Pandemie-Ma\u00dfnahmen selbst zu diesem Effekt \u2013 trotz ausreichender medizinischer Ressourcen- gef\u00fchrt haben. \u201eInfektionsangst\u201c als alleiniges Erkl\u00e4rungsmodell \u00fcberzeugt nicht, da in Mecklenburg die Pandemie einen sehr milden, fallzahlschwachen Verlauf ohne Hotspot-Ereignisse in Krankenh\u00e4usern hatte. Untersuchungen zur Entscheidungsfindung der Bev\u00f6lkerung bei Notf\u00e4llen im weiteren Pandemieverlauf sind notwendig.<\/jats:p>","DOI":"10.1055\/a-1384-0508","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:05:45Z","timestamp":1616025945000},"page":"265-273","source":"Crossref","is-referenced-by-count":5,"title":["Entwicklung der Notaufnahmefallzahlen eines Schwerpunktversorgers im Verlauf der Corona-Pandemie in Mecklenburg-Vorpommern"],"prefix":"10.1055","volume":"83","author":[{"given":"Mathias","family":"St\u00f6whas","sequence":"additional","affiliation":[{"name":"Medizincontrolling, KMG Kliniken SE, Bad Wilsnack, Deutschland"},{"name":"Fakult\u00e4t Gesundheitswissenschaften , MSB Medical School Berlin GmbH, Berlin, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Lippert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie, Otto von Guericke Universitat Magdeburg, Magdeburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,3,17]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1038\/s41586-020-2012-7","article-title":"A pneumonia outbreak associated with a new coronavirus of probable bat origin","volume":"579","author":"P Zhou","journal-title":"Nature"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1055\/a-1162-1987","article-title":"Epidemiologie und Kontrollma\u00dfnahmen bei COVID-19","volume":"145","author":"O M\u00fcller","year":"2020","journal-title":"Dtsch Med Wochenschr"},{"key":"ref3","first-page":"3","article-title":"Vorl\u00e4ufige Bewertung der Krankheitsschwere von COVID-19 in Deutschland basierend auf \u00fcbermittelten F\u00e4llen gem\u00e4\u00df Infektionsschutzgesetz. 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