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German bronchoscopy unit readiness for the COVID-19 pandemic: a nationwide survey

Clara S. Heidemann, Jakob Garbe, Marko Damm, Steffen Walter, Patrick Michl, Jonas Rosendahl, Kaid Darwiche, Stephan Eisenmann
ERJ Open Research 2020 6: 00396-2020; DOI: 10.1183/23120541.00396-2020
Clara S. Heidemann
1Dept of Internal Medicine I, University Hospital Halle, Halle, Germany
5These authors contributed equally
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Jakob Garbe
1Dept of Internal Medicine I, University Hospital Halle, Halle, Germany
5These authors contributed equally
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Marko Damm
1Dept of Internal Medicine I, University Hospital Halle, Halle, Germany
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Steffen Walter
2Dept of Medical Psychology, Clinic for Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, Germany
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Patrick Michl
1Dept of Internal Medicine I, University Hospital Halle, Halle, Germany
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Jonas Rosendahl
1Dept of Internal Medicine I, University Hospital Halle, Halle, Germany
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Kaid Darwiche
3West German Lung Center, Ruhrlandklinik, University Essen-Duisburg, Essen, Germany
4German Respiratory Society (DGP), Berlin, Germany
5These authors contributed equally
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  • ORCID record for Kaid Darwiche
Stephan Eisenmann
1Dept of Internal Medicine I, University Hospital Halle, Halle, Germany
5These authors contributed equally
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  • FIGURE 1
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    FIGURE 1

    Survey timeframe in context of major events and progress of the coronavirus disease 2019 (COVID-19) pandemic. Neighboring European countries are plotted for comparison. For clarity, cumulative cases are plotted on a logarithmic scale. Data were retrieved from the Johns Hopkins University (Baltimore, MD, USA) [13].

  • FIGURE 2
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    FIGURE 2

    Fraction of cancellations by unit size. Bronchoscopy units are divided into smaller units (<2000 procedures per year, n=60) and larger units (>2000, n=45). *: fractions deviating <5 percentage points for combined data from interdisciplinary and bronchoscopy units (n=218).

  • FIGURE 3
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    FIGURE 3

    Spatial separability of high-risk patients within endoscopy units. Partial separability was given when either a separate endoscopy suite or separate peri-interventional area were available. For ideal conditions, units had to perform interventions in a negative pressure room in addition to complete separability. *: fractions deviating <5 percentage points for combined data from interdisciplinary and bronchoscopy units (n=218).

  • FIGURE 4
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    FIGURE 4

    Implementation rates for procedural measures. COVID-19: coronavirus disease 2019; PPE: personal protective equipment. *: fractions deviating <5 percentage points for combined data from interdisciplinary and bronchoscopy units (n=218).

  • FIGURE 5
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    FIGURE 5

    Expectations of managers of endoscopy units for the future. Diverging bar chart with neutral split indicated by vertical line. 5-step Likert scale for shortages in personal protective equipment (PPE), shortages in staff and financial losses threatening economic survival of the unit.

Supplementary Materials

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    Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

    Translated survey 00396-2020_survey

    Table S1 00396-2020_tableS1

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German bronchoscopy unit readiness for the COVID-19 pandemic: a nationwide survey
Clara S. Heidemann, Jakob Garbe, Marko Damm, Steffen Walter, Patrick Michl, Jonas Rosendahl, Kaid Darwiche, Stephan Eisenmann
ERJ Open Research Jul 2020, 6 (3) 00396-2020; DOI: 10.1183/23120541.00396-2020

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German bronchoscopy unit readiness for the COVID-19 pandemic: a nationwide survey
Clara S. Heidemann, Jakob Garbe, Marko Damm, Steffen Walter, Patrick Michl, Jonas Rosendahl, Kaid Darwiche, Stephan Eisenmann
ERJ Open Research Jul 2020, 6 (3) 00396-2020; DOI: 10.1183/23120541.00396-2020
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