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An Epidemic Within the Pandemic: The Rising Tide of Trauma During COVID-19
BACKGROUND: In the age of COVID-19 and enforced social distancing, changes in patterns of trauma were observed but poorly understood. Our aim was to characterize traumatic injury mechanisms and acuities in 2020 and compare them with previous years at our level I trauma center. MATERIAL AND METHODS:...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654586/ https://www.ncbi.nlm.nih.gov/pubmed/34971837 http://dx.doi.org/10.1016/j.jss.2021.11.016 |
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author | Mazzolini, Kirea Dzubnar, Jessica Kwak, Hyunjee Banks, Kian Mooney, Colin Tang, Annie Cohan, Caitlin Browder, Timothy |
author_facet | Mazzolini, Kirea Dzubnar, Jessica Kwak, Hyunjee Banks, Kian Mooney, Colin Tang, Annie Cohan, Caitlin Browder, Timothy |
author_sort | Mazzolini, Kirea |
collection | PubMed |
description | BACKGROUND: In the age of COVID-19 and enforced social distancing, changes in patterns of trauma were observed but poorly understood. Our aim was to characterize traumatic injury mechanisms and acuities in 2020 and compare them with previous years at our level I trauma center. MATERIAL AND METHODS: Patients with trauma triaged in 2016 through 2020 from January to May were reviewed. Patient demographics, level of activation (1 versus 2), injury severity score, and mechanism of injury were collected. Data from 2016 through 2019 were combined, averaged by month, and compared with data from 2020 using chi-squared analysis. RESULTS: During the months of interest, 992 patients with trauma were triaged in 2020 and 4311 in 2016-2019. The numbers of penetrating and level I trauma activations in January-March of 2020 were similar to average numbers for the same months during 2016 through 2019. In April 2020, there was a significant increase in the incidence of penetrating trauma compared with the prior 4-year average (27% versus 16%, P < 0.002). Level I trauma activations in April 2020 also increased, rising from 17% in 2016 through 2019 to 32% in 2020 (P < 0.003). These findings persisted through May 2020 with similarly significant increases in penetrating and high-level trauma. CONCLUSIONS: In the months after the initial spread of COVID-19, there was a perceptible shift in patterns of trauma. The significant increase in penetrating and high-acuity trauma may implicate a change in population dynamics, demanding a need for thoughtful resource allocation at trauma centers nationwide in the context of a global pandemic. |
format | Online Article Text |
id | pubmed-8654586 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86545862021-12-09 An Epidemic Within the Pandemic: The Rising Tide of Trauma During COVID-19 Mazzolini, Kirea Dzubnar, Jessica Kwak, Hyunjee Banks, Kian Mooney, Colin Tang, Annie Cohan, Caitlin Browder, Timothy J Surg Res Acute Care Surgery BACKGROUND: In the age of COVID-19 and enforced social distancing, changes in patterns of trauma were observed but poorly understood. Our aim was to characterize traumatic injury mechanisms and acuities in 2020 and compare them with previous years at our level I trauma center. MATERIAL AND METHODS: Patients with trauma triaged in 2016 through 2020 from January to May were reviewed. Patient demographics, level of activation (1 versus 2), injury severity score, and mechanism of injury were collected. Data from 2016 through 2019 were combined, averaged by month, and compared with data from 2020 using chi-squared analysis. RESULTS: During the months of interest, 992 patients with trauma were triaged in 2020 and 4311 in 2016-2019. The numbers of penetrating and level I trauma activations in January-March of 2020 were similar to average numbers for the same months during 2016 through 2019. In April 2020, there was a significant increase in the incidence of penetrating trauma compared with the prior 4-year average (27% versus 16%, P < 0.002). Level I trauma activations in April 2020 also increased, rising from 17% in 2016 through 2019 to 32% in 2020 (P < 0.003). These findings persisted through May 2020 with similarly significant increases in penetrating and high-level trauma. CONCLUSIONS: In the months after the initial spread of COVID-19, there was a perceptible shift in patterns of trauma. The significant increase in penetrating and high-acuity trauma may implicate a change in population dynamics, demanding a need for thoughtful resource allocation at trauma centers nationwide in the context of a global pandemic. Elsevier Inc. 2022-04 2021-12-09 /pmc/articles/PMC8654586/ /pubmed/34971837 http://dx.doi.org/10.1016/j.jss.2021.11.016 Text en © 2021 Elsevier Inc. All rights reserved. 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 | Acute Care Surgery Mazzolini, Kirea Dzubnar, Jessica Kwak, Hyunjee Banks, Kian Mooney, Colin Tang, Annie Cohan, Caitlin Browder, Timothy An Epidemic Within the Pandemic: The Rising Tide of Trauma During COVID-19 |
title | An Epidemic Within the Pandemic: The Rising Tide of Trauma During COVID-19 |
title_full | An Epidemic Within the Pandemic: The Rising Tide of Trauma During COVID-19 |
title_fullStr | An Epidemic Within the Pandemic: The Rising Tide of Trauma During COVID-19 |
title_full_unstemmed | An Epidemic Within the Pandemic: The Rising Tide of Trauma During COVID-19 |
title_short | An Epidemic Within the Pandemic: The Rising Tide of Trauma During COVID-19 |
title_sort | epidemic within the pandemic: the rising tide of trauma during covid-19 |
topic | Acute Care Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654586/ https://www.ncbi.nlm.nih.gov/pubmed/34971837 http://dx.doi.org/10.1016/j.jss.2021.11.016 |
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