Abstract
COVID-19 challenges GP practice and emergency rooms across Germany. In addition to
hygiene, the correct assignment of patients to outpatient, inpatient or intensive
care management is difficult. This article provides an overview of aspects of initial
care, management and risk assessment in COVID-19 patients. The care of corona infected
patients can be improved at the interface between outpatient and inpatient care. There
can be no “business as usual” after the crisis! Age, male sex and overweight are among
the most important risk factors for serious corona disease. Poor oxygen saturation
(< 88 %) and increased signs of inflammation (CRP > 97 mg/l and/or IL-6 > 80 pg/ml)
indicate a critical course and should be determined in symptomatic patients. Only
through regular dialogue between hospital and practice can meaningful decisions be
made to slowly move from individual cases to a basic care structure.
COVID-19 stellt die Praxen und Notaufnahmen in ganz Deutschland vor große Schwierigkeiten.
Außer der Beachtung von Hygiene und Isolation ist vor allem die korrekte Zuweisung
von Patienten zur ambulanten, stationären oder intensivmedizinischen Therapie eine
Herausforderung. Dieser Beitrag bietet eine Übersicht zu Aspekten der Betreuung und
der Risikoeinschätzung des Erkrankungsverlaufs bei COVID-19-Patienten.
Schlüsselwörter
COVID-19 - Notaufnahme - Hausarztpraxis - Primärversorgung
Key words
COVID-19 - general practice - emergency rooms - primary care
