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Impact of COVID-19 pandemic at a level 1 trauma center

INTRODUCTION: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic commonly called COVID-19 brought new changes to healthcare delivery in the US. The purpose of this study is to identify the impact of COVID-19 on the delivery of acute surgical care for patients at a Level 1 trau...

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Autores principales: Galvan, Bernardo, Holder, Katherine G., Boeger, Bridget, Raef, Abigail, Desai, Karishma, Shrestha, Kripa, Santos, Ariel P., Santana, Dixon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Ltd. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10245229/
https://www.ncbi.nlm.nih.gov/pubmed/37333994
http://dx.doi.org/10.1016/j.sipas.2023.100189
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author Galvan, Bernardo
Holder, Katherine G.
Boeger, Bridget
Raef, Abigail
Desai, Karishma
Shrestha, Kripa
Santos, Ariel P.
Santana, Dixon
author_facet Galvan, Bernardo
Holder, Katherine G.
Boeger, Bridget
Raef, Abigail
Desai, Karishma
Shrestha, Kripa
Santos, Ariel P.
Santana, Dixon
author_sort Galvan, Bernardo
collection PubMed
description INTRODUCTION: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic commonly called COVID-19 brought new changes to healthcare delivery in the US. The purpose of this study is to identify the impact of COVID-19 on the delivery of acute surgical care for patients at a Level 1 trauma center during the lockdown period of the pandemic from March 13-May 1 2020. METHODS: All trauma admission to the University Medical Center Level 1 Trauma Center from March 13 to May 13, 2020, were retrospectively abstracted and compared to the same period during 2019. Analysis focused on the lockdown period of March 13-May 1, 2020, and compared to the same dates in 2019. Abstracted data included demographics, care timeframes, length of stay, and mortality. The data were analyzed using Chi-Square, Fisher Exact, and the Mann-Whitney U test. RESULTS: A total of 305 (2019) vs. 220 (2020) procedures were analyzed. No significant differences were seen in mean BMI, Injury Severity Score, American Society of Anesthesia Score, and Charlson Comorbidity Index between the two groups. Diagnosis time, interval to surgery, anesthesia time, surgical preparation time, operation time, transit time, mean hospital stay, and mortality were similar. CONCLUSION: The results of this study demonstrate that the lockdown period of the COVID-19 pandemic did not significantly affect the trauma surgery service line, aside from case volume, at a Level 1 trauma center in West Texas during the lockdown period. Despite changes to healthcare delivery during the pandemic, care of surgical patients was conserved as timely and of high quality.
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spelling pubmed-102452292023-06-07 Impact of COVID-19 pandemic at a level 1 trauma center Galvan, Bernardo Holder, Katherine G. Boeger, Bridget Raef, Abigail Desai, Karishma Shrestha, Kripa Santos, Ariel P. Santana, Dixon Surg Pract Sci Article INTRODUCTION: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic commonly called COVID-19 brought new changes to healthcare delivery in the US. The purpose of this study is to identify the impact of COVID-19 on the delivery of acute surgical care for patients at a Level 1 trauma center during the lockdown period of the pandemic from March 13-May 1 2020. METHODS: All trauma admission to the University Medical Center Level 1 Trauma Center from March 13 to May 13, 2020, were retrospectively abstracted and compared to the same period during 2019. Analysis focused on the lockdown period of March 13-May 1, 2020, and compared to the same dates in 2019. Abstracted data included demographics, care timeframes, length of stay, and mortality. The data were analyzed using Chi-Square, Fisher Exact, and the Mann-Whitney U test. RESULTS: A total of 305 (2019) vs. 220 (2020) procedures were analyzed. No significant differences were seen in mean BMI, Injury Severity Score, American Society of Anesthesia Score, and Charlson Comorbidity Index between the two groups. Diagnosis time, interval to surgery, anesthesia time, surgical preparation time, operation time, transit time, mean hospital stay, and mortality were similar. CONCLUSION: The results of this study demonstrate that the lockdown period of the COVID-19 pandemic did not significantly affect the trauma surgery service line, aside from case volume, at a Level 1 trauma center in West Texas during the lockdown period. Despite changes to healthcare delivery during the pandemic, care of surgical patients was conserved as timely and of high quality. The Authors. Published by Elsevier Ltd. 2023-09 2023-06-07 /pmc/articles/PMC10245229/ /pubmed/37333994 http://dx.doi.org/10.1016/j.sipas.2023.100189 Text en © 2023 The Authors. Published by Elsevier Ltd. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Galvan, Bernardo
Holder, Katherine G.
Boeger, Bridget
Raef, Abigail
Desai, Karishma
Shrestha, Kripa
Santos, Ariel P.
Santana, Dixon
Impact of COVID-19 pandemic at a level 1 trauma center
title Impact of COVID-19 pandemic at a level 1 trauma center
title_full Impact of COVID-19 pandemic at a level 1 trauma center
title_fullStr Impact of COVID-19 pandemic at a level 1 trauma center
title_full_unstemmed Impact of COVID-19 pandemic at a level 1 trauma center
title_short Impact of COVID-19 pandemic at a level 1 trauma center
title_sort impact of covid-19 pandemic at a level 1 trauma center
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10245229/
https://www.ncbi.nlm.nih.gov/pubmed/37333994
http://dx.doi.org/10.1016/j.sipas.2023.100189
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