Impact of the COVID-19 Pandemic on road traffic collision injury patterns and severity in Al-Ain City, United Arab Emirates

被引:11
作者
Yasin, Yasin J. [1 ,2 ]
Alao, David O. [3 ,4 ]
Grivna, Michal [1 ,5 ]
Abu-Zidan, Fikri M. [6 ]
机构
[1] UAE Univ, Coll Med & Hlth Sci, Inst Publ Hlth, Al Ain, U Arab Emirates
[2] Mekelle Univ, Coll Hlth Sci, Sch Publ Hlth, Dept Environm Hlth & Behav Sci, Mekelle, Ethiopia
[3] UAE Univ, Coll Med & Hlth Sci, Dept Internal Med, Al Ain, U Arab Emirates
[4] Tawam Hosp, Emergency Dept, Al Ain, U Arab Emirates
[5] Charles Univ Prague, Fac Med 2, Dept Publ Hlth & Prevent Med, Prague, Czech Republic
[6] UAE Univ, Coll Med & Hlth Sci, Dept Surg, Al Ain, U Arab Emirates
关键词
COVID-19; Road traffic collision; Road safety; Injury; Death; United Arab Emirates; ORTHOPEDIC TRAUMA; LOCKDOWN;
D O I
10.1186/s13017-021-00401-z
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: The COVID-19 Pandemic lockdowns restricted human and traffic mobility impacting the patterns and severity of road traffic collisions (RTCs). We aimed to study the effects of the COVID-19 Pandemic on incidence, patterns, severity of the injury, and outcomes of hospitalized RTCs trauma patients in Al-Ain City, United Arab Emirates. Methods: We compared the data of two cohorts of patients which were collected over two periods; the Pandemic period (28 March 2020 to 27 March 2021) and the pre-pandemic period (28 March 2019 to 27 March 2020). All RTCs trauma patients who were hospitalized in the two major trauma centers (Al-Ain and Tawam Hospitals) of Al-Ain City were studied. Results: Overall, the incidence of hospitalized RTC trauma patients significantly reduced by 33.5% during the Pandemic compared with the pre-pandemic period. The mechanism of injury was significantly different between the two periods (p < 0.0001, Fisher's Exact test). MVCs were less during the Pandemic (60.5% compared with 72%), while motorcycle injuries were more (23.3% compared with 11.2%). The mortality of hospitalized RTC patients was significantly higher during the Pandemic (4.4% compared with 2.3%, p = 0.045, Fisher's Exact test). Logistic regression showed that the significant factors that predicted mortality were the low GCS (p < 0.0001), admission to the ICU (p < 0.0001), and the high ISS (p = 0.045). COVID-19 Pandemic had a very strong trend (p = 0.058) for increased mortality. Conclusions: Our study has shown that the numbers of hospitalized RTC trauma patients reduced by 33.5% during the COVID-19 Pandemic compared with the pre-pandemic period in our setting. This was attributed to the reduced motor vehicle, pedestrian and bicycle injuries while motorcycle injuries increased. Mortality was significantly higher during the Pandemic, which was attributed to increased ISS and reduced GCS.
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页数:7
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