Scholarlink

Background <p>Comprehensive data on municipal specialized infectious disease (ID) departments in Germany are scarce.</p> Purpose <p>To analyze ID cases at Hospital St. Georg in Leipzig with regard to patient characteristics, spectrum of infections, care concepts, length of stay (LOS), clinical outcomes, and economic indicators.</p> Methods <p>Retrospective descriptive analysis of all adult inpatient cases between January 2020 and December 2025.</p> Results <p>Of 17,878 adult patients (11.5% of all patients) discharged with a primary ID diagnosis, 28.7% (5,135/17,878) were treated as inpatients in the 40-bed ID department itself, while 3.8% (671/17,878) received organ-specific treatment in another specialty department with concurrent care provided by the antimicrobial stewardship (AMS) team, and 5.2% (935/17,878) received care via the ID consultation service (telephone consultations not included). A total of 4,492 individual ICD-10 codes were assigned, with 740 of them being classified as ID diagnoses. ID patients were older (median 70 vs. 66 years) and more frequently male (59% vs. 51%) than the reference population. The median LOS was longer for ID patients (7.0 vs. 4.1 days). The median case-mix index (CMI) was 1.344 (€ 5,356 per case) in the ID population vs. 1.113 (€ 4,352 per case) in the reference group.</p> Conclusions <p>This six-year analysis shows that ID patients represent a significant, complex, and older inpatient population with longer LOS, causing high clinical burden. Since coding data suggest that 62.3% of these patients did not receive specific treatment by ID specialists, there is potential for expanding structured ID consultation and AMS services, requiring additional resources.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Caseload, treatment diagnoses, and evaluation of clinical care concepts for infectious diseases at a municipal tertiary care hospital in Germany

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月31日

查看全文
  • Kathrin Marx,
  • Nils Kellner,
  • Nadja Herrmann,
  • Christoph Lübbert

摘要

Background

Comprehensive data on municipal specialized infectious disease (ID) departments in Germany are scarce.

Purpose

To analyze ID cases at Hospital St. Georg in Leipzig with regard to patient characteristics, spectrum of infections, care concepts, length of stay (LOS), clinical outcomes, and economic indicators.

Methods

Retrospective descriptive analysis of all adult inpatient cases between January 2020 and December 2025.

Results

Of 17,878 adult patients (11.5% of all patients) discharged with a primary ID diagnosis, 28.7% (5,135/17,878) were treated as inpatients in the 40-bed ID department itself, while 3.8% (671/17,878) received organ-specific treatment in another specialty department with concurrent care provided by the antimicrobial stewardship (AMS) team, and 5.2% (935/17,878) received care via the ID consultation service (telephone consultations not included). A total of 4,492 individual ICD-10 codes were assigned, with 740 of them being classified as ID diagnoses. ID patients were older (median 70 vs. 66 years) and more frequently male (59% vs. 51%) than the reference population. The median LOS was longer for ID patients (7.0 vs. 4.1 days). The median case-mix index (CMI) was 1.344 (€ 5,356 per case) in the ID population vs. 1.113 (€ 4,352 per case) in the reference group.

Conclusions

This six-year analysis shows that ID patients represent a significant, complex, and older inpatient population with longer LOS, causing high clinical burden. Since coding data suggest that 62.3% of these patients did not receive specific treatment by ID specialists, there is potential for expanding structured ID consultation and AMS services, requiring additional resources.