Müller, Frank

[["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Schmidt, Tobias"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-06-01T09:42:55Z"],["dc.date.available","2021-06-01T09:42:55Z"],["dc.date.issued","2021"],["dc.description.abstract","Hintergrund Zur Bekämpfung der SARS-CoV-2-Pandemie wurden in Deutschland Mitte März 2020 weitgehende Kontaktbeschränkungen erlassen (sog. Lockdown). Die vorliegende Arbeit soll klären, welche Auswirkungen diese Maßnahmen auf Rettungsdiensteinsätze hatten. Material und Methoden Retrospektive Auswertung von 6668 Einsatzprotokollen von vier Rettungswachen in Ostniedersachsen der beiden ersten Quartale 2020. Deskription und teststatistischer Vergleich der Einsätze sechs Wochen vor den Kontaktbeschränkungen mit einem gleich großen Zeitraum nach deren Erlass. Ergebnisse In den sechs Wochen im Lockdown gab es 17,7 % weniger Einsätze als in den Wochen vor dem Lockdown. Insbesondere zeigte sich eine Abnahme von Einsätzen wegen Atemwegserkrankungen um 40,6 % (91 Fälle), die insbesondere auf den Rückgang von Pneumonien und exazerbierten chronisch-obstruktiven Lungenerkrankungen (COPD) zurückgeht. Gleichzeitig zeigte sich ein Anstieg des durchschnittlichen Alters der Patienten mit einer Verringerung des Anteils der unter 65-Jährigen. Veränderungen bei psychiatrischen Erkrankungen, verstorbenen oder verletzten Patienten oder der Verweigerung von Behandlung und Transport wurden nicht beobachtet. Insgesamt wurden im Zeitraum 67 Patienten (1,0 %) mit Verdacht auf oder bestätigter COVID-19-Erkrankung behandelt. Diskussion Im Rettungsdienst zeigt sich eine Reduktion der Einsätze in Folge der Kontaktbeschränkungen, wobei diese nicht so stark ausfällt, wie für Notaufnahmen beschrieben wurde. Dieser Rückgang könnte auf eine Reduktion insbesondere weniger schwerer Erkrankungsfälle und jüngerer Patienten zurückzuführen sein. Auffällig ist die Reduktion von Pneumonien und exazerbierter COPD. Dies könnte einerseits bedeuten, dass Kontaktbeschränkungen das Infektionsgeschehen bei anderen Atemwegserkrankungen reduziert haben, aber ebenfalls, dass Patienten Krankenhausbehandlungen vermeiden wollten."],["dc.description.abstract","Background As a response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, extensive contact restrictions were imposed by law in Germany as in other European countries. The present study intends to clarify the effect of these restrictions on emergency medical service (EMS) operations. Materials and methods Retrospective chart review of EMS operation protocols over the first 6 months of 2020 ( n  = 6668 rescue missions) in four rescue stations in eastern Lower Saxony (Germany). Description and statistical comparison of operations 6 weeks before the restrictions with an equally long period after the order of the restrictions (“lockdown”). Results During the 6 weeks after the lockdown the frequency of rescue operations decreased by 17.7%. In particular, there was a 40.6% ( n  = 91) decrease of emergency cases with respiratory diseases, mainly due to a decline of pneumonia and exacerbated chronic–obstructive pulmonary disease (COPD). At the same time, patients’ mean age increased with fewer patients under 65 years. There were no changes in the frequency of psychiatric disorders, deceased or injured patients, or refusal of treatment and transport. A total of 67 patients with suspected or confirmed SARS-CoV‑2 infection (1.0%) were observed during this period. Discussion EMS experienced a reduction of operations as a result of contact restrictions, although not as pronounced as was recently described for emergency rooms. This supports the hypothesis that the reduction is particularly evident in less severe cases and in younger patients. The reduction in pneumonia and COPD cases is striking. On the one hand, this could indicate that contact restrictions reduce the incidence of other respiratory infections and their impact on chronic respiratory disorders, but it could also mean that patients try to avoid hospital treatment."],["dc.identifier.doi","10.1007/s10049-021-00873-1"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85385"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.eissn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Auswirkung des COVID-19-Lockdowns auf Rettungseinsätze"],["dc.title.translated","Impact of the COVID-19 lockdown on emergency medical service operations"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1074"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Pharmacoepidemiology and Drug Safety"],["dc.bibliographiccitation.lastpage","1083"],["dc.bibliographiccitation.volume","30"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Simmenroth, Anne"],["dc.date.accessioned","2021-06-01T09:42:24Z"],["dc.date.available","2021-06-01T09:42:24Z"],["dc.date.issued","2021"],["dc.description.abstract","Abstract Purpose Unnecessary and inappropriate use of antibiotics is a widespread problem in primary care. However, current data on the care of refugees and migrants in initial reception centers is pending. This article provides data on prescription frequencies of various antibiotics and associated diagnoses. Methods In this retrospective observational study, patient data of 3255 patients with 6376 medical contacts in two initial reception centers in Germany were analyzed. Patient data, collected by chart review, included sociodemographic characteristics, diagnoses, and prescriptions. Antibiotic prescription behavior and corresponding physician‐coded diagnoses were analyzed. Results Nineteen percent of all patients in our study received systemic antibiotics during the observation period, with children below the age of 10 years receiving antibiotics most frequently (24%). The most commonly prescribed antibiotics were penicillins (65%), macrolides (12%), and cephalosporins (7%). The most frequent diagnoses associated with antibiotic prescription were acute tonsillitis (26%), bronchitis (21%), infections of the upper respiratory tract (14%), and urinary tract infections (10%). In case of acute bronchitis 74% of the antibiotic prescriptions were probably not indicated. In addition, we found a significant number of inappropriate prescriptions such as amoxicillin for tonsillitis (67%), and ciprofloxacin and cotrimoxazol for urinary tract infections (49%). Conclusion Regarding inappropriate prescription of antibiotics in refugee healthcare, this study shows a rate ranging from 8% for upper respiratory tract infections to 75% for acute bronchitis. Unnecessary use of antibiotics is a global problem contributing to gratuitous costs, side effects, and antimicrobial resistance. This research contributes to the development of stringent antibiotic stewardship regiments in the particularly vulnerable population of migrants and refugees."],["dc.description.sponsorship","European Social Fund http://dx.doi.org/10.13039/501100004895"],["dc.description.sponsorship","German Centre for Infection Research at Hannover Medical School"],["dc.description.sponsorship","Land Niedersachsen"],["dc.description.sponsorship","Medizinischen Hochschule Hannover http://dx.doi.org/10.13039/501100005624"],["dc.description.sponsorship","Robert Bosch Stiftung http://dx.doi.org/10.13039/501100001646"],["dc.identifier.doi","10.1002/pds.5254"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85240"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.publisher","John Wiley \\u0026 Sons, Inc."],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.eissn","1099-1557"],["dc.relation.issn","1053-8569"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-ND 4.0"],["dc.title","Prescription of antibiotics in the medical care of newly arrived refugees and migrants"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","6823"],["dc.bibliographiccitation.issue","18"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Simmenroth, Anne"],["dc.contributor.author","Wetzke, Martin"],["dc.date.accessioned","2021-04-14T08:32:34Z"],["dc.date.available","2021-04-14T08:32:34Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.3390/ijerph17186823"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83952"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.publisher","MDPI"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Factors Influencing the Frequency of Airway Infections in Underage Refugees: A Retrospective, Cross Sectional Study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1934"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Vakilzadeh, Annabelle"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Ernst, Diana"],["dc.contributor.author","Schmidt, Reinhold"],["dc.contributor.author","Behrens, Georg"],["dc.contributor.author","Merkesdal, Sonja"],["dc.contributor.author","Wetzke, Martin"],["dc.contributor.author","Jablonka, Alexandra"],["dc.date.accessioned","2020-12-10T18:47:07Z"],["dc.date.available","2020-12-10T18:47:07Z"],["dc.date.issued","2018"],["dc.identifier.doi","10.3390/ijerph15091934"],["dc.identifier.eissn","1660-4601"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/78649"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.publisher","MDPI"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Pregnancy Related Health Care Needs in Refugees — A Current Three Center Experience in Europe"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Pediatrics"],["dc.bibliographiccitation.volume","20"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Wetzke, Martin"],["dc.contributor.author","Zychlinsky Scharff, Anna"],["dc.contributor.author","Mueller, Frank"],["dc.contributor.author","Dressler, Frank"],["dc.contributor.author","Baumann, Ulrich"],["dc.contributor.author","Sasse, Michael"],["dc.contributor.author","Hansen, Gesine"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Happle, Christine"],["dc.date.accessioned","2021-04-14T08:32:46Z"],["dc.date.available","2021-04-14T08:32:46Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1186/s12887-020-02303-6"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/84011"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1471-2431"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","COVID-19 related reduction in pediatric emergency healthcare utilization – a concerning trend"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","4415"],["dc.bibliographiccitation.issue","22"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Ernst, Diana"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Vakilzadeh, Annabelle"],["dc.contributor.author","Hellms, Susanne"],["dc.contributor.author","Evlampidou, Iro"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Schmidt, Reinhold E."],["dc.contributor.author","Behrens, Georg M. N."],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Wetzke, Martin"],["dc.contributor.author","Jablonka, Alexandra"],["dc.date.accessioned","2020-12-10T18:47:08Z"],["dc.date.available","2020-12-10T18:47:08Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.3390/ijerph16224415"],["dc.identifier.eissn","1660-4601"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17106"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/78652"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.notes.intern","Merged from goescholar"],["dc.publisher","MDPI"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Pediatric Healthcare Utilization in a Large Cohort of Refugee Children Entering Western Europe During the Migrant Crisis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Frontiers in Public Health"],["dc.bibliographiccitation.volume","10"],["dc.contributor.affiliation","Schröder, Dominik; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Heesen, Gloria; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Heinemann, Stephanie; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Hummers, Eva; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Jablonka, Alexandra; 2Department of Rheumatology and Immunology, Hannover Medical School, Hanover, Germany"],["dc.contributor.affiliation","Steffens, Sandra; 2Department of Rheumatology and Immunology, Hannover Medical School, Hanover, Germany"],["dc.contributor.affiliation","Mikuteit, Marie; 2Department of Rheumatology and Immunology, Hannover Medical School, Hanover, Germany"],["dc.contributor.affiliation","Niewolik, Jacqueline; 2Department of Rheumatology and Immunology, Hannover Medical School, Hanover, Germany"],["dc.contributor.affiliation","Overbeck, Tobias R.; 4Department of Hematology and Medical Oncology, University Medical Center Göttingen, Göttingen, Germany"],["dc.contributor.affiliation","Kallusky, Jonathan; 4Department of Hematology and Medical Oncology, University Medical Center Göttingen, Göttingen, Germany"],["dc.contributor.affiliation","Müller, Frank; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.author","Schröder, Dominik"],["dc.contributor.author","Heesen, Gloria"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Steffens, Sandra"],["dc.contributor.author","Mikuteit, Marie"],["dc.contributor.author","Niewolik, Jacqueline"],["dc.contributor.author","Kallusky, Jonathan"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Overbeck, Tobias R."],["dc.date.accessioned","2022-04-26T12:34:44Z"],["dc.date.available","2022-04-26T12:34:44Z"],["dc.date.issued","2022"],["dc.date.updated","2022-05-10T16:09:22Z"],["dc.description.abstract","Background: Restrictions to contain the COVID-19 pandemic affect the social participation of people worldwide. Especially those at high risk for a severe disease tend to abstain from social gatherings. While there are a few questionnaires to measure social participation in elderly or chronic patients, a valid survey instrument that includes pandemic-related social participation is needed. Methods We developed a social participation questionnaire that aims to assess pandemic-related restrictions in social participation. Items were developed using a theory and literature-based approach and then compiled in a discursive process involving experts and lay people. This was followed by the validation of the questionnaire through a cross-sectional survey on 431 individuals. Items with low item-total correlations and low factor loadings using exploratory factor analysis [EFA] were excluded. Using EFA on the remaining items, the factor structure was retrieved and tested with a confirmatory factor analysis [CFA]. Internal consistency was assessed with Chronbachs α. Results Initially, 27 items were developed which were used for validation. 13 items were excluded due to low item-total correlations and factors loadings. EFA of the remaining 14 items revealed three factors which were identified as domains “active social participation,” “wellbeing,” and “restrictions”. CFA showed an acceptable model fit using the three-dimensional structure. Chronbachs α of 0.81 and McDonalds Ω of 0.87 indicate good internal consistency. Correlation analysis showed an association between the developed questionnaire and previously-established participation and mental health scales. Conclusion This study suggests that our 14 item questionnaire is of high reliability and validity and can be used to measure social participation during a pandemic."],["dc.identifier.doi","10.3389/fpubh.2022.831087"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/106769"],["dc.language.iso","en"],["dc.publisher","Frontiers Media S.A."],["dc.relation","DEFEnse Against COVID-19 STudy"],["dc.relation.issn","2296-2565"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights.uri","http://creativecommons.org/licenses/by/4.0/"],["dc.title","Development and Validation of a Questionnaire to Assess Social Participation of High Risk-Adults in Germany During the COVID-19 Pandemic"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","97"],["dc.bibliographiccitation.firstpage","97"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","European journal of medical research"],["dc.bibliographiccitation.volume","27"],["dc.contributor.author","Schröder, Dominik"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Heesen, Gloria"],["dc.contributor.author","Klawonn, Frank"],["dc.contributor.author","Mikuteit, Marie"],["dc.contributor.author","Niewolik, Jacqueline"],["dc.contributor.author","Steffens, Sandra"],["dc.contributor.author","Behrens, Georg"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Müller, Frank"],["dc.date.accessioned","2022-06-24T08:23:02Z"],["dc.date.available","2022-06-24T08:23:02Z"],["dc.date.issued","2022-06-22"],["dc.date.updated","2022-07-25T11:19:00Z"],["dc.description.abstract","The influence of immunosuppressive therapy on immunogenicity after COVID-19 vaccination remains unclear. This study surveys patients who receive immunosuppressive therapy about whether or not they paused their immunosuppressive medication while receiving SARS-CoV-2 vaccination."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2022"],["dc.identifier.citation","European Journal of Medical Research. 2022 Jun 22;27(1):97"],["dc.identifier.doi","10.1186/s40001-022-00727-7"],["dc.identifier.pmid","35733228"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/111667"],["dc.language.iso","en"],["dc.relation","DEFEnse Against COVID-19 STudy"],["dc.relation.eissn","2047-783X"],["dc.relation.issn","2047-783X"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.subject","Immunosuppression"],["dc.subject","SARS-CoV-2"],["dc.subject","COVID-19"],["dc.subject","Immunization"],["dc.subject","Immunogenicity"],["dc.subject","Drug compliance"],["dc.subject","Drug adherence"],["dc.title","Who is pausing immunosuppressive medication for COVID-19 vaccination? Results of an exploratory observational trial"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","9924"],["dc.bibliographiccitation.issue","16"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","19"],["dc.contributor.author","Homann, Stefanie"],["dc.contributor.author","Mikuteit, Marie"],["dc.contributor.author","Niewolik, Jacqueline"],["dc.contributor.author","Behrens, Georg"],["dc.contributor.author","Stölting, Andrea"],["dc.contributor.author","Müllenmeister, Christina"],["dc.contributor.author","El-Sayed, Iman"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Steffens, Sandra"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Schröder, Dominik"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.orcid","0000-0003-3111-621X"],["dc.contributor.orcid","0000-0002-7084-9013"],["dc.contributor.orcid","0000-0002-9496-9423"],["dc.contributor.orcid","0000-0002-3564-4725"],["dc.contributor.orcid","0000-0002-3937-5956"],["dc.contributor.orcid","0000-0002-5500-7416"],["dc.contributor.orcid","0000-0001-7129-100X"],["dc.creator.author","Stefanie Homann"],["dc.creator.author","Marie Mikuteit"],["dc.creator.author","Jacqueline Niewolik"],["dc.creator.author","Georg Behrens"],["dc.creator.author","Andrea Stölting"],["dc.creator.author","Frank Müller"],["dc.creator.author","Dominik Schröder"],["dc.creator.author","Stephanie Heinemann"],["dc.creator.author","Christina Müllenmeister"],["dc.creator.author","Iman El-Sayed"],["dc.creator.author","Christine Happle"],["dc.creator.author","Sandra Steffens"],["dc.creator.author","Alexandra Jablonka"],["dc.date.accessioned","2022-10-13T11:36:39Z"],["dc.date.available","2022-10-13T11:36:39Z"],["dc.date.issued","2022"],["dc.description.abstract","Background: Patients who are post-COVID-19 will require more treatment soon. Therefore, it is important to understand the root cause of their psychological and somatic conditions. Previous studies showed contradictory results on the influence of pre-existing mental conditions. The present study examines the influence of these pre-existing conditions and their pre-treatment on the severity of post-COVID-19 symptoms. Methods: This analysis employs questionnaire data from a large study sample in Germany. Overall, 801 participants were included. All participants rated their health status on a scale from 0 to 100. Fatigue, depression, and anxiety were measured using the FAS, PHQ-9, and GAD-7 scales. Results: All pre-pandemic values showed no significant differences between the groups. The current health status was rated similarly by the recovered patients (μ = 80.5 ± 17.0) and the control group (μ = 81.2 ± 18.0) but significantly worse by acutely infected (μ = 59.0 ± 21.5) and post-COVID-19 patients (μ = 54.2 ± 21.1). Fatigue, depression, and anxiety were similar for recovered patients and the control group. By contrast, there were significant differences between the control and the post-COVID-19 groups concerning fatigue (45.9% vs. 93.1%), depression (19.3% vs. 53.8%), and anxiety (19.3% vs. 22.3%). Conclusion: Fatigue and psychological conditions of post-COVID-19 patients are not associated with pre-existing conditions."],["dc.identifier.doi","10.3390/ijerph19169924"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/116305"],["dc.identifier.url","https://www.mdpi.com/1660-4601/19/16/9924"],["dc.language.iso","en"],["dc.relation","DEFEnse Against COVID-19 STudy"],["dc.relation.issn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Effects of Pre-Existing Mental Conditions on Fatigue and Psychological Symptoms Post-COVID-19"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","npj Primary Care Respiratory Medicine"],["dc.bibliographiccitation.volume","31"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Shalabi, Andree"],["dc.contributor.author","Wetzke, Martin"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Simmenroth, Anne"],["dc.contributor.author","Müller, Frank"],["dc.date.accessioned","2021-12-21T12:22:50Z"],["dc.date.available","2021-12-21T12:22:50Z"],["dc.date.issued","2021"],["dc.description.abstract","The presence of acute infectious respiratory diseases (ARD) is one of the main reasons why recently arrived refugees seek medical help. This paper investigates the incidence rates of acute respiratory diseases in an adult refugee population as well as associated sociodemographic factors and drug treatments. We conducted a retrospective observational study of deidentified medical records. The data were collected between 2015 and 2019 in the health care centers of two large German initial reception centers for refugees. Multivariable analyses controlling for sociodemographics were carried out using generalized estimating equations. Out of 10,431 eligible residents, 6965 medical encounters of 2840 adult patients were recorded over 30 months. Of all the adult patients, 34.4% sought medical help for a respiratory symptom or diagnosis at least once. Older patients and patients from Sub-Saharan Africa sought help less often. The occurrence of ARD showed a typical distribution over the course of the year. Facility occupancy was not associated with ARD occurrence. Acute respiratory symptoms are a leading cause for adult refugee patients to seek medical care. The doctor contact rates due to ARD were consistently two to three times higher among refugees than among German residents."],["dc.identifier.doi","10.1038/s41533-021-00261-9"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/97163"],["dc.language.iso","en"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.issn","2055-1010"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Acute respiratory infections in an adult refugee population: an observational study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]