Decreased hospital length of stay and intensive care unit admissions for non-COVID blunt trauma patients during the COVID-19 pandemic

被引：8

作者：

Yeates, Eric O. ^{[1
]}

Grigorian, Areg ^{[1
,2
]}

Schellenberg, Morgan ^{[2
]}

Owattanapanich, Natthida ^{[2
]}

Barmparas, Galinos ^{[3
]}

Margulies, Daniel ^{[3
]}

Juillard, Catherine ^{[4
]}

Garber, Kent ^{[4
]}

Cryer, Henry ^{[4
]}

Tillou, Areti ^{[4
]}

Burruss, Sigrid ^{[5
]}

Penaloza-Villalobos, Liz ^{[5
]}

Lin, Ann ^{[5
]}

Figueras, Ryan Arthur ^{[5
]}

Coimbra, Raul ^{[5
,6
]}

Brenner, Megan ^{[7
]}

Costantini, Todd ^{[8
]}

Santorelli, Jarrett ^{[8
]}

Curry, Terry ^{[8
]}

Wintz, Diane ^{[9
]}

Biffl, Walter L. ^{[10
]}

Schaffer, Kathryn B. ^{[10
]}

Duncan, Thomas K. ^{[11
]}

Barbaro, Casey ^{[11
]}

Diaz, Graal ^{[11
]}

Johnson, Arianne ^{[12
]}

Chinn, Justine ^{[1
]}

Naaseh, Ariana ^{[1
]}

Leung, Amanda ^{[1
]}

Grabar, Christina ^{[1
]}

Nahmias, Jeffry ^{[1
]}

机构：

[1] Univ Calif Irvine UCI, Dept Surg, Orange, CA USA

[2] Univ Southern Calif USC, Dept Surg, Los Angeles, CA USA

[3] Cedars Sinai Med Ctr, Dept Surg, Los Angeles, CA 90048 USA

[4] Univ Calif Los Angeles UCLA, Dept Surg, Los Angeles, CA USA

[5] Loma Linda Univ, Dept Surg, Loma Linda, CA 92350 USA

[6] Riverside Univ Hlth Syst, Med Ctr, Moreno Valley, CA USA

[7] Univ Calif Riverside, Riverside Univ Hlth Syst, Dept Surg, Moreno Valley, CA USA

[8] Univ Calif San Diego UCSD, Dept Surg, San Diego, CA USA

[9] Sharp Mem Hosp & Rehabil Ctr, Dept Surg, San Diego, CA USA

[10] Scripps Mem Hosp La Jolla, Trauma Dept, La Jolla, CA USA

[11] Ventura Cty Med Ctr, Dept Surg, Ventura, CA USA

[12] Santa Barbara Cottage Hosp, Cottage Hlth Res Inst, Santa Barbara, CA USA

来源：

AMERICAN JOURNAL OF SURGERY | 2022年 / 224卷 / 01期

关键词：

Length of stay; Trauma; Blunt; Intensive care unit; COVID-19; CORONAVIRUS DISEASE 2019; PREDICTING MORTALITY; INJURY; VOLUME; IMPACT;

D O I：

10.1016/j.amjsurg.2022.02.055

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The COVID-19 pandemic overwhelmed hospitals, forcing adjustments including discharging patients earlier and limiting intensive care unit (ICU) utilization. This study aimed to evaluate ICU admissions and length of stay (LOS) for blunt trauma patients (BTPs). Methods: A retrospective review of COVID (3/19/20-6/30/20) versus pre-COVID (3/19/19-6/30/19) BTPs at eleven trauma centers was performed. Multivariable analysis was used to identify risk factors for ICU admission. Results: 12,744 BTPs were included (6942 pre-COVID vs. 5802 COVID). The COVID cohort had decreased mean LOS (3.9 vs. 4.4 days, p = 0.029), ICU LOS (0.9 vs. 1.1 days, p < 0.001), and rate of ICU admission (22.3% vs. 24.9%, p = 0.001) with no increase in complications or mortality compared to the pre-COVID cohort (all p > 0.05). On multivariable analysis, the COVID period was associated with decreased risk of ICU admission (OR = 0.82, CI 0.75-0.90, p < 0.001). Conclusions: BTPs had decreased LOS and associated risk of ICU admission during COVID, with no corresponding increase in complications or mortality.

引用

页码：90 / 95

页数：6

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