{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:56:50Z","timestamp":1781135810500,"version":"3.54.1"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Das HandTraumaRegister (HTR) der Deutschen Gesellschaft f\u00fcr Handchirurgie\n                        (DGH) wurde etabliert, um Handverletzungen sowie deren Versorgung\n                        systematisch und bundesweit zu erfassen. Ziel der vorliegenden Studie war\n                        es, die Auswirkungen der COVID-19-Pandemie auf Verletzungsmuster,\n                        Unfallmechanismen und die Versorgung von Handverletzungen zu\n                        untersuchen.<\/jats:p>\n                  <jats:p>In einer retrospektiven multizentrischen Registerstudie wurden 14\u2009072\n                        Patienten mit insgesamt 41\u2009119 operativ behandelten Handverletzungen aus dem\n                        HTR analysiert. Die Daten wurden entsprechend den f\u00fcnf definierten\n                        Pandemiephasen gruppiert und hinsichtlich Alter, Verletzungsmuster,\n                        Versicherungstyp, Unfallmechanismus und Versorgungszeiten vergleichend\n                        ausgewertet (Signifikanzniveau p&lt;0,05).<\/jats:p>\n                  <jats:p>W\u00e4hrend der Pandemie ver\u00e4nderte sich die Altersverteilung signifikant\n                        (p&lt;0,001): Im ersten Lockdown war der Anteil an Kindern und Jugendlichen\n                        reduziert, w\u00e4hrend die Gruppe der 19\u201330-J\u00e4hrigen h\u00e4ufiger betroffen war.\n                        Isolierte Handverletzungen traten mit 32,1% seltener auf (vs. 42,7%\n                        pr\u00e4pandemisch), w\u00e4hrend die H\u00e4ufigkeit von Mehrfachverletzungen zunahm\n                        (p&lt;0,001). Bei berufsgenossenschaftlich Versicherten stiegen\n                        Sturzverletzungen von 10,9% auf 19,2%, w\u00e4hrend bei gesetzlich Versicherten\n                        Kreiss\u00e4genverletzungen im ersten Lockdown signifikant zunahmen (p&lt;0,001).\n                        Die Zeit bis zur operativen Versorgung sank von 52,6 auf 27,1 Stunden\n                        (p&lt;0,001), w\u00e4hrend der Anteil definitiver Versorgungen \u00fcber alle Phasen\n                        stabil \u00fcber 90% blieb.<\/jats:p>\n                  <jats:p>Die COVID-19-Pandemie hatte signifikante Auswirkungen auf die Epidemiologie,\n                        den Verletzungsmechanismus und die zeitliche Dynamik der Versorgung von\n                        Handverletzungen in Deutschland. Diese Ver\u00e4nderungen zeigen, wie externe\n                        Krisen Einfluss auf die medizinische Versorgungsrealit\u00e4t nehmen. Das HTR\n                        erm\u00f6glicht die datenbasierte Analyse solcher Entwicklungen und unterst\u00fctzt\n                        die evidenzbasierte Planung zuk\u00fcnftiger Versorgungs- und\n                        Pr\u00e4ventionsstrategien.<\/jats:p>","DOI":"10.1055\/a-2836-6004","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T22:41:47Z","timestamp":1778193707000},"page":"194-201","source":"Crossref","is-referenced-by-count":0,"title":["Das HandTraumaRegister der Deutschen Gesellschaft f\u00fcr Handchirurgie \u2013\n                    Analyse nationaler Versorgungstrends w\u00e4hrend der COVID-19\n                    Pandemie"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8130-7714","authenticated-orcid":false,"given":"Simeon C.","family":"Daeschler","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Periphere Nervenchirurgie und\n                    Rehabilitation, Klinik f\u00fcr Hand- und Plastische Chirurgie, BG Klinik\n                    Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Aman","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Replantations- und Mikrochirurgie, BG Klinikum\n                    Unfallkrankenhaus Berlin gGmbH, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Rieth","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Periphere Nervenchirurgie und\n                    Rehabilitation, Klinik f\u00fcr Hand- und Plastische Chirurgie, BG Klinik\n                    Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Panzram","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Orthop\u00e4die, Unfallchirurgie und Paraplegiologie,\n                    Universit\u00e4tsKlinikum Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne Hendrik","family":"B\u00f6cker","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Periphere Nervenchirurgie und\n                    Rehabilitation, Klinik f\u00fcr Hand- und Plastische Chirurgie, BG Klinik\n                    Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Harhaus","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Replantations- und Mikrochirurgie, BG Klinikum\n                    Unfallkrankenhaus Berlin gGmbH, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1055\/a-0820-3904","article-title":"Sektoren\u00fcbergreifende Entwicklungen in der 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Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1007\/s00068-021-01654-8","article-title":"Impact of the first COVID-19 shutdown on patient volumes and surgical procedures\n                    of a Level I trauma center","volume":"47","author":"C A Kreis","year":"2021","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"536","DOI":"10.3238\/arztebl.m2021.0293","article-title":"Mobilit\u00e4tsreduktion nach Alter, Geschlecht und Bundesland w\u00e4hrend der COVID-19-Pandemie in Deutschland","volume":"118","author":"H Becher","year":"2021","journal-title":"Dtsch Arztebl Int"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1177\/15589447211028918","article-title":"The Impact of COVID-19 on Hand Trauma","volume":"18","author":"S Saleh","year":"2023","journal-title":"Hand (New York, NY)"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0283388","article-title":"Detailed analysis of surgically treated hand trauma patients in a regional\n                    German trauma centre","volume":"18","author":"M Gerken","year":"2023","journal-title":"PloS one"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"103118","DOI":"10.1016\/j.otsr.2021.103118","article-title":"The impact of COVID-19 on hand surgery: A French retrospective comparative study\n                    in COVID-19 and non-COVID-19 hand trauma centers","volume":"109","author":"I Regas","year":"2023","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0263435","article-title":"Emergency department visits due to hand trauma and subsequent emergency hand\n                    surgery in three Finnish hospitals during the first and second waves of COVID-19\n                    pandemic","volume":"17","author":"I Kuitunen","year":"2022","journal-title":"PloS one"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1016\/j.bjps.2023.04.077","article-title":"RSTN COVID Hand: Hand trauma in the United Kingdom and Europe during the\n                    COVID-19 pandemic","volume":"84","author":"A V Shaw","year":"2023","journal-title":"J Plast Reconstr Aesthet Surg"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2836-6004.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:04:19Z","timestamp":1781132659000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2836-6004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,7]]},"references-count":10,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,6,10]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2836-6004","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,7]]}}}