Abstract：
OBJECTIVE: This study investigates the care provision and the role of infectious disease (ID) specialists during the coronavirus disease-2019 (COVID-19) pandemic.
METHODS: A survey was conducted at German study sites participating in the Lean European Open Survey on SARS-CoV-2 infected patients (LEOSS). Hospitals certified by the German Society of Infectious diseases (DGI) were identified as ID centers. We compared care provision and the involvement of ID specialists between ID and non-ID hospitals. Then we applied a multivariable regression model to analyse how clinical ID care influenced the mortality of COVID-19 patients in the LEOSS cohort.
RESULTS: Of the 40 participating hospitals in the study, 35% (14/40) were identified as ID centers. Among those, clinical ID care structures were more commonly established, and ID specialists were always involved in pandemic management and the care of COVID-19 patients. Overall, 68% (27/40) of the hospitals involved ID specialists in the crisis management team, 78% (31/40) in normal inpatient care, and 80% (28/35) in intensive care. Multivariable analysis revealed that COVID-19 patients in ID centers had a lower mortality risk compared to those in non-ID centers (odds ratio: 0.61 (95% CI 0.40-0.93), p = 0.021).
CONCLUSIONS: ID specialists played a crucial role in pandemic management and inpatient care.
METHODS: A survey was conducted at German study sites participating in the Lean European Open Survey on SARS-CoV-2 infected patients (LEOSS). Hospitals certified by the German Society of Infectious diseases (DGI) were identified as ID centers. We compared care provision and the involvement of ID specialists between ID and non-ID hospitals. Then we applied a multivariable regression model to analyse how clinical ID care influenced the mortality of COVID-19 patients in the LEOSS cohort.
RESULTS: Of the 40 participating hospitals in the study, 35% (14/40) were identified as ID centers. Among those, clinical ID care structures were more commonly established, and ID specialists were always involved in pandemic management and the care of COVID-19 patients. Overall, 68% (27/40) of the hospitals involved ID specialists in the crisis management team, 78% (31/40) in normal inpatient care, and 80% (28/35) in intensive care. Multivariable analysis revealed that COVID-19 patients in ID centers had a lower mortality risk compared to those in non-ID centers (odds ratio: 0.61 (95% CI 0.40-0.93), p = 0.021).
CONCLUSIONS: ID specialists played a crucial role in pandemic management and inpatient care.
摘要：
目的：本研究调查了2019年冠状病毒病（COVID-19）大流行期间传染病（ID）专家的护理提供和作用。
方法：在参加SARS-CoV-2感染患者（LEOSS）的欧洲精益开放调查的德国研究中心进行了一项调查。经德国传染病学会(DGI)认证的医院被确定为ID中心。我们比较了ID医院和非ID医院之间的护理提供和ID专家的参与情况。然后，我们应用多变量回归模型来分析临床ID护理如何影响LEOSS队列中COVID-19患者的死亡率。
结果：在参与研究的40家医院中，35％（14/40）被确定为ID中心。其中,临床ID护理结构更常见，和ID专家始终参与COVID-19患者的大流行管理和护理。总的来说,68%(27/40)的医院在危机管理团队中有ID专家，78%(31/40)在正常住院护理中，和80％（28/35）在重症监护。多变量分析显示，与非ID中心相比，ID中心的COVID-19患者的死亡风险较低(比值比：0.61(95%CI0.40-0.93)，p=0.021)。
结论：ID专家在大流行管理和住院护理中起着至关重要的作用。
方法：在参加SARS-CoV-2感染患者（LEOSS）的欧洲精益开放调查的德国研究中心进行了一项调查。经德国传染病学会(DGI)认证的医院被确定为ID中心。我们比较了ID医院和非ID医院之间的护理提供和ID专家的参与情况。然后，我们应用多变量回归模型来分析临床ID护理如何影响LEOSS队列中COVID-19患者的死亡率。
结果：在参与研究的40家医院中，35％（14/40）被确定为ID中心。其中,临床ID护理结构更常见，和ID专家始终参与COVID-19患者的大流行管理和护理。总的来说,68%(27/40)的医院在危机管理团队中有ID专家，78%(31/40)在正常住院护理中，和80％（28/35）在重症监护。多变量分析显示，与非ID中心相比，ID中心的COVID-19患者的死亡风险较低(比值比：0.61(95%CI0.40-0.93)，p=0.021)。
结论：ID专家在大流行管理和住院护理中起着至关重要的作用。
