Clinical trial NCT05150821: Impact of Covid-19 in the Emergency Department
Official title: Impact of Covid-19 in the Emergency Department in a Tertiary Care Hospital, Nuremberg-Germany
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: COVID-19
Lead sponsor: Paracelsus Medical University
Sponsor class: OTHER
First posted: 2021-12-09
Enrollment: 599
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: the study population will be patients of a teriary care clinic

Brief summary: To investigate the effects of lockdown in the Emergency Department in a tertiary health care hospital, Nuremberg, Germany.

Detailed description: To investigate the effect of the first lockdown caused by the pandemic of Covid-19 in a tertiary health care hospital. Klinikum Nuremberg is one of the largest tertiary health care hospitals in Germany with two locations in Nuremberg. In the north department, around 150 outcome patients visit the Emergency Department every day.

During the pandemic in 2020 the capacities of the hospitals were saved for the patients with Covid-19. A decrease of patients presented in the ED was noticed. Controlling system and patient management provided the number of cases and correlated with the same period of time one year ago, before the pandemic.

For the classification of severity of diseases, different clinical diseases with severity scores were analyzed. Following diseases and scores were evaluated:

Pancreatitis -- \> ranson score; ACS (acute coronary syndrome) --\> Grace-Score; Pulmonary Embolism -- \> sPESI (simplified Pulmonary Embolism Severity Index); Diverticulitis --\> CDD (Classification of Diverticular Disease); Pneumonia -\> crb65 (Confusion- Respiratory rate- Blood pressure- age ≥ 65 years);

Eligibility criteria: Inclusion Criteria:

Only patients who presented in the ED.

Exclusion Criteria:

none

Primary outcomes:
measure: ranson score
timeFrame: through study completion, an average of 1 year
measure: Grace-Score
timeFrame: through study completion, an average of 1 year
measure: sPESI
timeFrame: through study completion, an average of 1 year
measure: crb65
timeFrame: through study completion, an average of 1 year
measure: CDD
timeFrame: through study completion, an average of 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: Nuremberg
country: Germany
facility: Institute of Radiology and Nuclear Medicine
state: Bavaria
Study officials:
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