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Impact of the COVID-19 Pandemic on Trauma Encounters

OBJECTIVES: The Coronavirus Disease 2019 pandemic has affected the health care system significantly. We compare 2019 to 2020 to evaluate how trauma encounters has changed during the pandemic. METHODS: Retrospective analysis using a large US health care system to compare trauma demographics, volumes,...

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Autores principales: Sheets, Nicholas W., Fawibe, Oluwatosin S., Mahmoud, Ahmed, Chawla-Kondal, Bhani, Ayutyanont, Napatkamon, Plurad, David S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8258398/
https://www.ncbi.nlm.nih.gov/pubmed/34219502
http://dx.doi.org/10.1177/00031348211029858
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author Sheets, Nicholas W.
Fawibe, Oluwatosin S.
Mahmoud, Ahmed
Chawla-Kondal, Bhani
Ayutyanont, Napatkamon
Plurad, David S.
author_facet Sheets, Nicholas W.
Fawibe, Oluwatosin S.
Mahmoud, Ahmed
Chawla-Kondal, Bhani
Ayutyanont, Napatkamon
Plurad, David S.
author_sort Sheets, Nicholas W.
collection PubMed
description OBJECTIVES: The Coronavirus Disease 2019 pandemic has affected the health care system significantly. We compare 2019 to 2020 to evaluate how trauma encounters has changed during the pandemic. METHODS: Retrospective analysis using a large US health care system to compare trauma demographics, volumes, mechanisms of injury, and outcomes. Statistical analysis was used to evaluate for significant differences comparing 2019 to 2020. RESULTS: Data was collected from 88 hospitals across 18 states. 169 892 patients were included in the study. There were 6.3% fewer trauma patient encounters in 2020 compared to 2019. Mechanism of injury was significantly different between 2019 and 2020 with less blunt injuries (89.64% vs. 88.39%, P < .001), more burn injuries (1.84% vs. 2.00%, P = .021), and more penetrating injuries (8.58% vs. 9.75%, P < .001). Compared to 2019, patients in 2020 had higher mortality (2.62% vs. 2.88%, P < .001), and longer hospital LOS (3.92 ± 6.90 vs. 4.06 ± 6.56, P < .001). CONCLUSION: The COVID-19 pandemic has significantly affected trauma patient demographics, LOS, mechanism of injury, and mortality.
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spelling pubmed-82583982023-03-01 Impact of the COVID-19 Pandemic on Trauma Encounters Sheets, Nicholas W. Fawibe, Oluwatosin S. Mahmoud, Ahmed Chawla-Kondal, Bhani Ayutyanont, Napatkamon Plurad, David S. Am Surg Articles OBJECTIVES: The Coronavirus Disease 2019 pandemic has affected the health care system significantly. We compare 2019 to 2020 to evaluate how trauma encounters has changed during the pandemic. METHODS: Retrospective analysis using a large US health care system to compare trauma demographics, volumes, mechanisms of injury, and outcomes. Statistical analysis was used to evaluate for significant differences comparing 2019 to 2020. RESULTS: Data was collected from 88 hospitals across 18 states. 169 892 patients were included in the study. There were 6.3% fewer trauma patient encounters in 2020 compared to 2019. Mechanism of injury was significantly different between 2019 and 2020 with less blunt injuries (89.64% vs. 88.39%, P < .001), more burn injuries (1.84% vs. 2.00%, P = .021), and more penetrating injuries (8.58% vs. 9.75%, P < .001). Compared to 2019, patients in 2020 had higher mortality (2.62% vs. 2.88%, P < .001), and longer hospital LOS (3.92 ± 6.90 vs. 4.06 ± 6.56, P < .001). CONCLUSION: The COVID-19 pandemic has significantly affected trauma patient demographics, LOS, mechanism of injury, and mortality. SAGE Publications 2023-03 /pmc/articles/PMC8258398/ /pubmed/34219502 http://dx.doi.org/10.1177/00031348211029858 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Articles
Sheets, Nicholas W.
Fawibe, Oluwatosin S.
Mahmoud, Ahmed
Chawla-Kondal, Bhani
Ayutyanont, Napatkamon
Plurad, David S.
Impact of the COVID-19 Pandemic on Trauma Encounters
title Impact of the COVID-19 Pandemic on Trauma Encounters
title_full Impact of the COVID-19 Pandemic on Trauma Encounters
title_fullStr Impact of the COVID-19 Pandemic on Trauma Encounters
title_full_unstemmed Impact of the COVID-19 Pandemic on Trauma Encounters
title_short Impact of the COVID-19 Pandemic on Trauma Encounters
title_sort impact of the covid-19 pandemic on trauma encounters
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8258398/
https://www.ncbi.nlm.nih.gov/pubmed/34219502
http://dx.doi.org/10.1177/00031348211029858
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