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Comparative analysis of the trauma care profile before and during the COVID-19 pandemic: a cross-sectional study in a tertiary university hospital
OBJECTIVES: to evaluate the profile of emergency care of trauma patients at Hospital Universitário Evangélico Mackenzie (HUEM) during the period of restrictive measures due to COVID-19 (03/13/2021 to 04/05/2021), and compare to the same period at the beginning of the pandemic, in 2020, and before th...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Colégio Brasileiro de Cirurgiões
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519697/ https://www.ncbi.nlm.nih.gov/pubmed/36921134 http://dx.doi.org/10.1590/0100-6991e-20233449-en |
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author | GOBETTI, JULIA SANTA CRUZ ZRAIK, MARIAM BLEIBEL AFORNALI, CAMILA BECKMANN GOVEIA, CAIO HENRIQUE MARCHETTE NAUFEL, CARLOS ROBERTO COELHO, GUILHERME ANDRADE NUNES, SUELEN GEISEMARA BARCELAR SIMM, EDUARDO BOLICENHA |
author_facet | GOBETTI, JULIA SANTA CRUZ ZRAIK, MARIAM BLEIBEL AFORNALI, CAMILA BECKMANN GOVEIA, CAIO HENRIQUE MARCHETTE NAUFEL, CARLOS ROBERTO COELHO, GUILHERME ANDRADE NUNES, SUELEN GEISEMARA BARCELAR SIMM, EDUARDO BOLICENHA |
author_sort | GOBETTI, JULIA SANTA CRUZ |
collection | PubMed |
description | OBJECTIVES: to evaluate the profile of emergency care of trauma patients at Hospital Universitário Evangélico Mackenzie (HUEM) during the period of restrictive measures due to COVID-19 (03/13/2021 to 04/05/2021), and compare to the same period at the beginning of the pandemic, in 2020, and before the pandemic, in 2019. METHODS: quantitative and descriptive observational cross-sectional study. The final sample of 8,338 was analyzed in terms of date, gender, age and service responsible for providing care; the traumas were analyzed according to the etiology and conduct of the treatment and outcome. RESULTS: there was a percentage increase in non-traumatic emergency care during the pandemic, and the medical clinic held a third of admissions in 2021. There was a reduction in trauma care, since in 2019 traumas were responsible for 44.9% of admissions and by 23.5% in 2021. There was a significant difference in the proportion between the attendance of men and women, and the percentage of men victims of trauma was higher than in the pre-pandemic periods. There was a reduction in absolute numbers, with statistical significance, in traffic accidents, falls from the same level, burns, general blunt trauma and sports and leisure trauma. The proportion of conservative treatments with hospital discharge reduced. There was a significant difference in the number of deaths, decreasing in 2020 but increasing in 2021. CONCLUSION: there was a reduction in trauma care during the pandemic, but the profile remained the adult male victim of a traffic accident. More severe traumas were admitted, resulting in an increase in surgical treatment, hospitalizations and deaths. |
format | Online Article Text |
id | pubmed-10519697 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Colégio Brasileiro de Cirurgiões |
record_format | MEDLINE/PubMed |
spelling | pubmed-105196972023-09-26 Comparative analysis of the trauma care profile before and during the COVID-19 pandemic: a cross-sectional study in a tertiary university hospital GOBETTI, JULIA SANTA CRUZ ZRAIK, MARIAM BLEIBEL AFORNALI, CAMILA BECKMANN GOVEIA, CAIO HENRIQUE MARCHETTE NAUFEL, CARLOS ROBERTO COELHO, GUILHERME ANDRADE NUNES, SUELEN GEISEMARA BARCELAR SIMM, EDUARDO BOLICENHA Rev Col Bras Cir Original Article OBJECTIVES: to evaluate the profile of emergency care of trauma patients at Hospital Universitário Evangélico Mackenzie (HUEM) during the period of restrictive measures due to COVID-19 (03/13/2021 to 04/05/2021), and compare to the same period at the beginning of the pandemic, in 2020, and before the pandemic, in 2019. METHODS: quantitative and descriptive observational cross-sectional study. The final sample of 8,338 was analyzed in terms of date, gender, age and service responsible for providing care; the traumas were analyzed according to the etiology and conduct of the treatment and outcome. RESULTS: there was a percentage increase in non-traumatic emergency care during the pandemic, and the medical clinic held a third of admissions in 2021. There was a reduction in trauma care, since in 2019 traumas were responsible for 44.9% of admissions and by 23.5% in 2021. There was a significant difference in the proportion between the attendance of men and women, and the percentage of men victims of trauma was higher than in the pre-pandemic periods. There was a reduction in absolute numbers, with statistical significance, in traffic accidents, falls from the same level, burns, general blunt trauma and sports and leisure trauma. The proportion of conservative treatments with hospital discharge reduced. There was a significant difference in the number of deaths, decreasing in 2020 but increasing in 2021. CONCLUSION: there was a reduction in trauma care during the pandemic, but the profile remained the adult male victim of a traffic accident. More severe traumas were admitted, resulting in an increase in surgical treatment, hospitalizations and deaths. Colégio Brasileiro de Cirurgiões 2023-02-17 /pmc/articles/PMC10519697/ /pubmed/36921134 http://dx.doi.org/10.1590/0100-6991e-20233449-en Text en © 2023 Revista do Colégio Brasileiro de Cirurgiões https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article GOBETTI, JULIA SANTA CRUZ ZRAIK, MARIAM BLEIBEL AFORNALI, CAMILA BECKMANN GOVEIA, CAIO HENRIQUE MARCHETTE NAUFEL, CARLOS ROBERTO COELHO, GUILHERME ANDRADE NUNES, SUELEN GEISEMARA BARCELAR SIMM, EDUARDO BOLICENHA Comparative analysis of the trauma care profile before and during the COVID-19 pandemic: a cross-sectional study in a tertiary university hospital |
title | Comparative analysis of the trauma care profile before and during the COVID-19 pandemic: a cross-sectional study in a tertiary university hospital |
title_full | Comparative analysis of the trauma care profile before and during the COVID-19 pandemic: a cross-sectional study in a tertiary university hospital |
title_fullStr | Comparative analysis of the trauma care profile before and during the COVID-19 pandemic: a cross-sectional study in a tertiary university hospital |
title_full_unstemmed | Comparative analysis of the trauma care profile before and during the COVID-19 pandemic: a cross-sectional study in a tertiary university hospital |
title_short | Comparative analysis of the trauma care profile before and during the COVID-19 pandemic: a cross-sectional study in a tertiary university hospital |
title_sort | comparative analysis of the trauma care profile before and during the covid-19 pandemic: a cross-sectional study in a tertiary university hospital |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519697/ https://www.ncbi.nlm.nih.gov/pubmed/36921134 http://dx.doi.org/10.1590/0100-6991e-20233449-en |
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