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Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?

BACKGROUND: During the SARS-CoV-2 pandemic, the French Government imposed various containment strategies, such as severe lockdown (SL) or moderate lockdown (ML). The aim of this study was to evaluate the effect of both strategies on severe trauma admissions and ICU capacity in Ile-de-France region (...

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Autores principales: Moyer, Jean-Denis, Abback, Paer-Selim, Hamada, Sophie, Martinez, Thibault, Werner, Marie, James, Arthur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438550/
https://www.ncbi.nlm.nih.gov/pubmed/34521446
http://dx.doi.org/10.1186/s13049-021-00918-x
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author Moyer, Jean-Denis
Abback, Paer-Selim
Hamada, Sophie
Martinez, Thibault
Werner, Marie
James, Arthur
author_facet Moyer, Jean-Denis
Abback, Paer-Selim
Hamada, Sophie
Martinez, Thibault
Werner, Marie
James, Arthur
author_sort Moyer, Jean-Denis
collection PubMed
description BACKGROUND: During the SARS-CoV-2 pandemic, the French Government imposed various containment strategies, such as severe lockdown (SL) or moderate lockdown (ML). The aim of this study was to evaluate the effect of both strategies on severe trauma admissions and ICU capacity in Ile-de-France region (Paris Area). MAIN TEXT: We conducted a multicenter cohort-based observational study from 1(st)January 2017 to 31th December 2020, including all consecutive trauma patients admitted to the trauma centers of Ile-de-France region participating in the national registry (Traumabase®). Two periods were defined, the “non-pandemic period” (NPP) from 2017 to 2019, and the “pandemic period” (PP) concerning those admitted in 2020. The number of ICU beds released during 2020 pandemic period (overall period, SL and ML) was estimated by multiplying difference in trauma admissions by the median length of stay during the same week of pandemic period (ICU day-beds in 2020). A 15% yearly reduction of trauma patients was observed during the PP, associated with the release of 6422 ICU day-beds in 2020. During SL and ML, the observed decrease in trauma admission was respectively 49 and 39% compared with similar dates of the NPP. The number of beds released was 1531 days-beds in SL and 679 day-beds in ML. Those reductions respectively accounted for 4.5 and 6.0% of the overall ICU admission for COVID-19 in Ile-de-France. CONCLUSION: The lockdown strategies during pandemic resulted in a reduction of severe trauma admissions. In addition to the social distancing effect, lockdown strategies freed up an important number of ICU beds in trauma centers, available for severe COVID-19 patients.
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spelling pubmed-84385502021-09-14 Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown? Moyer, Jean-Denis Abback, Paer-Selim Hamada, Sophie Martinez, Thibault Werner, Marie James, Arthur Scand J Trauma Resusc Emerg Med Commentary BACKGROUND: During the SARS-CoV-2 pandemic, the French Government imposed various containment strategies, such as severe lockdown (SL) or moderate lockdown (ML). The aim of this study was to evaluate the effect of both strategies on severe trauma admissions and ICU capacity in Ile-de-France region (Paris Area). MAIN TEXT: We conducted a multicenter cohort-based observational study from 1(st)January 2017 to 31th December 2020, including all consecutive trauma patients admitted to the trauma centers of Ile-de-France region participating in the national registry (Traumabase®). Two periods were defined, the “non-pandemic period” (NPP) from 2017 to 2019, and the “pandemic period” (PP) concerning those admitted in 2020. The number of ICU beds released during 2020 pandemic period (overall period, SL and ML) was estimated by multiplying difference in trauma admissions by the median length of stay during the same week of pandemic period (ICU day-beds in 2020). A 15% yearly reduction of trauma patients was observed during the PP, associated with the release of 6422 ICU day-beds in 2020. During SL and ML, the observed decrease in trauma admission was respectively 49 and 39% compared with similar dates of the NPP. The number of beds released was 1531 days-beds in SL and 679 day-beds in ML. Those reductions respectively accounted for 4.5 and 6.0% of the overall ICU admission for COVID-19 in Ile-de-France. CONCLUSION: The lockdown strategies during pandemic resulted in a reduction of severe trauma admissions. In addition to the social distancing effect, lockdown strategies freed up an important number of ICU beds in trauma centers, available for severe COVID-19 patients. BioMed Central 2021-09-14 /pmc/articles/PMC8438550/ /pubmed/34521446 http://dx.doi.org/10.1186/s13049-021-00918-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Commentary
Moyer, Jean-Denis
Abback, Paer-Selim
Hamada, Sophie
Martinez, Thibault
Werner, Marie
James, Arthur
Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?
title Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?
title_full Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?
title_fullStr Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?
title_full_unstemmed Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?
title_short Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?
title_sort effect of 2020 containment strategies on trauma workflow in ile-de-france region: another benefit of lockdown?
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438550/
https://www.ncbi.nlm.nih.gov/pubmed/34521446
http://dx.doi.org/10.1186/s13049-021-00918-x
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