key: cord-0782885-emwr0spe
authors: Dziodzio, Tomasz; Hillebrandt, Karl-Herbert; Knitter, Sebastian; Ritschl, Paul Viktor; Jara, Maximilian; Nösser, Maximilian; Elsner, Aron; Öllinger, Robert; Pratschke, Johann; Rückert, Jens-Carsten; Neudecker, Jens
title: COVID-19-Pandemie in Deutschland: Die aktuelle Lage in der Thoraxchirurgie
date: 2020-08-12
journal: Zentralbl Chir
DOI: 10.1055/a-1209-3758
sha: b50741643e996586cc623da8864cdb1ca9f4f10c
doc_id: 782885
cord_uid: emwr0spe

Background The new COVID-19 pandemic has an impact on routine thoracic surgery. Various concepts and recommendations are being pursued to protect patients and hospital staff. However, the implementation of these recommendations may depend on the existing infrastructure, local conditions and in-house procedural instructions. Material and Method Between 11th May and 26th May 2020, an anonymous online survey on the topic of COVID-19 was conducted among thoracic surgeons in Germany. The survey consisted of 16 questions on the local COVID-19 case numbers, protective measures, procedural instructions and treatment concepts. The results were summarised, descriptively analysed and discussed. Results The response rate of 42.6% (n = 66), included replies from 23 (34.8%) specialised hospitals, 18 (27.3%) maximum care hospitals and 14 (21.2%) university clinics. COVID-19-positive patients were treated in 65 (99%) clinics and 37.9% of the clinics also performed surgery on COVID-19-positive patients. Nasopharyngeal swabs were the main instrument for COVID-19 patient testing (in 95.4% of the clinics). Test results influenced decisions on treatment in 71.2% of the clinics. In 59.1% of clinics, safety equipment was supplemented with FFP2 masks and eye protection during thoracic surgeries due to the COVID-19 pandemic. Discussion Almost all thoracic surgeons reported that they had treated patients with COVID-19 and half of them also had performed surgery on COVID-19-positive patients. The applied procedural instructions as well as the effects of COVID-19 on treatment decisions and patient-doctor contact differed between the reporting clinics.

Hintergrund Die Thoraxchirurgie ist im Alltag durch die COVID-19-Pandemie mit neuen Herausforderungen konfrontiert. Gegenwärtig werden unterschiedliche Konzepte und Empfehlungen verfolgt, um unsere Patienten/-innen und uns selbst zu schützen. Wie diese im Einzelnen umgesetzt werden, kann jedoch aufgrund der bestehenden Infrastruktur, der lokalen Gegebenheiten sowie aufgrund hauseigener Verfahrensanweisungen unterschiedlich sein. 

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