Decreased adult trauma admission volumes and changing injury patterns during the COVID-19 pandemic at 85 trauma centers in a multistate healthcare system

被引：35

作者：

Berg, Gina M. ^{[1
]}

Wyse, Ransom J. ^{[2
]}

Morse, Jennifer L. ^{[2
]}

Chipko, John ^{[3
]}

Garland, Jeneva M. ^{[2
]}

Slivinski, Andrea ^{[4
]}

Lieser, Mark ^{[5
]}

Biswas, Saptarshi ^{[6
]}

Carrick, Matthew M. ^{[7
]}

Rhodes, Heather ^{[8
]}

Acuna, David ^{[1
]}

Watts, Dorraine D. ^{[2
]}

Wilson, Nina Y. ^{[2
]}

Shen, Yan ^{[2
]}

Deas, Shenequa ^{[3
]}

Fakhry, Samir M. ^{[2
]}

机构：

[1] Wesley Med Ctr, Wichita, KS USA

[2] HCA Healthcare, Ctr Trauma & Acute Care Surg Res, Nashville, TN 37203 USA

[3] Res Med Ctr, Kansas City, MO USA

[4] Mission Hosp, Asheville, NC USA

[5] Res Med Ctr, Trauma Serv, Kansas City, MO USA

[6] Chippenham Hosp, CJW Med Ctr, Richmond, VA USA

[7] Med Ctr Plano, Plano, TX USA

[8] Grand Strand Med Ctr, Myrtle Beach, SC USA

来源：

TRAUMA SURGERY & ACUTE CARE OPEN | 2021年 / 6卷 / 01期

关键词：

COVID-19; wounds and injuries; outcome assessment; health care; EMERGENCY-DEPARTMENT;

D O I：

10.1136/tsaco-2020-000642

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background Reports indicate social distancing guidelines and other effects of the COVID-19 pandemic impacted trauma patient volumes and injury patterns. This report is the first analysis of a large trauma network describing the extent of these impacts. The objective of this study was to describe the effects of the COVID-19 pandemic on patient volumes, demographics, injury characteristics, and outcomes. Methods For this descriptive, multicenter study from a large, multistate hospital network, data were collected from the system-wide centralized trauma registry and retrospectively reviewed to retrieve patient information including volume, demographics, and outcomes. For comparison, patient data from January through May of 2020 and January through May of 2019 were extracted. Results A total of 12 395 trauma patients (56% men, 79% white, mean age 59 years) from 85 trauma centers were included. The first 5 months of 2020 revealed a substantial decrease in volume, which began in February and continued into June. Further analysis revealed an absolute decrease of 32.5% in patient volume in April 2020 compared with April 2019 (4997 from 7398; p<0.0001). Motor vehicle collisions decreased 49.7% (628 from 1249). There was a statistically significant increase in injury severity score (9.0 vs. 8.3; p<0.001). As a proportion of the total trauma population, blunt injuries decreased 3.1% (87.3 from 90.5) and penetrating injuries increased 2.7% (10.0 from 7.3; p<0.001). A significant increase was found in the proportion of patients who did not survive to discharge (3.6% vs. 2.8%; p=0.010; absolute decrease: 181 from 207). Discussion Early phases of the COVID-19 pandemic were associated with a 32.5% decrease in trauma patient volumes and altered injury patterns at 85 trauma centers in a multistate system. This preliminary observational study describes the initial impact of the COVID-19 pandemic and warrants further investigation.

引用

页数：6

共 25 条

[1]

1Point3Acres, 2020, GLOB COVID 19 TRACK

[2] The early effects of social distancing resultant from COVID-19 on admissions to a Level I trauma center [J].