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Impact of Coronavirus Disease 2019 Shutdown on Neurotrauma Volume in Pennsylvania

OBJECTIVE: The 2020 coronavirus disease 2019 (COVID-19) pandemic resulted in state-specific quarantine protocols and introduced the concept of social distancing into modern parlance. We assess the impact of the COVID-19 pandemic on neurotrauma presentations in the first 3 months after shutdown throu...

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Autores principales: Algattas, Hanna N., McCarthy, David, Kujawski, Brandon, Agarwal, Nitin, Brown, Joshua, Forsythe, Raquel M., Leonardo, Jody, Walsh, Kevin, Gross, Bradley A., Friedlander, Robert M., Okonkwo, David O., Whiting, Donald, Miele, Vincent J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678926/
https://www.ncbi.nlm.nih.gov/pubmed/33857673
http://dx.doi.org/10.1016/j.wneu.2021.04.004
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author Algattas, Hanna N.
McCarthy, David
Kujawski, Brandon
Agarwal, Nitin
Brown, Joshua
Forsythe, Raquel M.
Leonardo, Jody
Walsh, Kevin
Gross, Bradley A.
Friedlander, Robert M.
Okonkwo, David O.
Whiting, Donald
Miele, Vincent J.
author_facet Algattas, Hanna N.
McCarthy, David
Kujawski, Brandon
Agarwal, Nitin
Brown, Joshua
Forsythe, Raquel M.
Leonardo, Jody
Walsh, Kevin
Gross, Bradley A.
Friedlander, Robert M.
Okonkwo, David O.
Whiting, Donald
Miele, Vincent J.
author_sort Algattas, Hanna N.
collection PubMed
description OBJECTIVE: The 2020 coronavirus disease 2019 (COVID-19) pandemic resulted in state-specific quarantine protocols and introduced the concept of social distancing into modern parlance. We assess the impact of the COVID-19 pandemic on neurotrauma presentations in the first 3 months after shutdown throughout Pennsylvania. METHODS: The Pennsylvania Trauma Systems Foundation was queried for registry data from the Pennsylvania Trauma Outcomes Study between March 12 and June 5 in each year from 2017 to 2020. RESULTS: After the COVID-19 shutdown, there was a 27% reduction in neurotrauma volume, from 2680 cases in 2017 to 2018 cases in 2020, and a 28.8% reduction in traumatic brain injury volume. There was no significant difference in neurotrauma phenotype incurred relative to total cases. Injury mechanism was less likely to be motor vehicle collision and more likely caused by falls, gunshot wound, and recreational vehicle accidents (P < 0.05). Location of injury was less likely on roads and public locations and more likely at indoor private locations (P < 0.05). The proportion of patients with neurotrauma with blood alcohol concentration >0.08 g/dL was reduced in 2020 (11.4% vs. 9.0%; P < 0.05). Mortality was higher during 2020 compared with pre-COVID years (7.7% vs. 6.4%; P < 0.05). CONCLUSIONS: During statewide shutdown, neurotrauma volume and alcohol-related trauma decreased and low-impact traumas and gunshot wounds increased, with a shift toward injuries occurring in private, indoor locations. These changes increased mortality. However, there was not a change in the types of injuries sustained.
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spelling pubmed-86789262021-12-17 Impact of Coronavirus Disease 2019 Shutdown on Neurotrauma Volume in Pennsylvania Algattas, Hanna N. McCarthy, David Kujawski, Brandon Agarwal, Nitin Brown, Joshua Forsythe, Raquel M. Leonardo, Jody Walsh, Kevin Gross, Bradley A. Friedlander, Robert M. Okonkwo, David O. Whiting, Donald Miele, Vincent J. World Neurosurg Original Article OBJECTIVE: The 2020 coronavirus disease 2019 (COVID-19) pandemic resulted in state-specific quarantine protocols and introduced the concept of social distancing into modern parlance. We assess the impact of the COVID-19 pandemic on neurotrauma presentations in the first 3 months after shutdown throughout Pennsylvania. METHODS: The Pennsylvania Trauma Systems Foundation was queried for registry data from the Pennsylvania Trauma Outcomes Study between March 12 and June 5 in each year from 2017 to 2020. RESULTS: After the COVID-19 shutdown, there was a 27% reduction in neurotrauma volume, from 2680 cases in 2017 to 2018 cases in 2020, and a 28.8% reduction in traumatic brain injury volume. There was no significant difference in neurotrauma phenotype incurred relative to total cases. Injury mechanism was less likely to be motor vehicle collision and more likely caused by falls, gunshot wound, and recreational vehicle accidents (P < 0.05). Location of injury was less likely on roads and public locations and more likely at indoor private locations (P < 0.05). The proportion of patients with neurotrauma with blood alcohol concentration >0.08 g/dL was reduced in 2020 (11.4% vs. 9.0%; P < 0.05). Mortality was higher during 2020 compared with pre-COVID years (7.7% vs. 6.4%; P < 0.05). CONCLUSIONS: During statewide shutdown, neurotrauma volume and alcohol-related trauma decreased and low-impact traumas and gunshot wounds increased, with a shift toward injuries occurring in private, indoor locations. These changes increased mortality. However, there was not a change in the types of injuries sustained. Elsevier Inc. 2021-07 2021-04-20 /pmc/articles/PMC8678926/ /pubmed/33857673 http://dx.doi.org/10.1016/j.wneu.2021.04.004 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 Original Article
Algattas, Hanna N.
McCarthy, David
Kujawski, Brandon
Agarwal, Nitin
Brown, Joshua
Forsythe, Raquel M.
Leonardo, Jody
Walsh, Kevin
Gross, Bradley A.
Friedlander, Robert M.
Okonkwo, David O.
Whiting, Donald
Miele, Vincent J.
Impact of Coronavirus Disease 2019 Shutdown on Neurotrauma Volume in Pennsylvania
title Impact of Coronavirus Disease 2019 Shutdown on Neurotrauma Volume in Pennsylvania
title_full Impact of Coronavirus Disease 2019 Shutdown on Neurotrauma Volume in Pennsylvania
title_fullStr Impact of Coronavirus Disease 2019 Shutdown on Neurotrauma Volume in Pennsylvania
title_full_unstemmed Impact of Coronavirus Disease 2019 Shutdown on Neurotrauma Volume in Pennsylvania
title_short Impact of Coronavirus Disease 2019 Shutdown on Neurotrauma Volume in Pennsylvania
title_sort impact of coronavirus disease 2019 shutdown on neurotrauma volume in pennsylvania
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678926/
https://www.ncbi.nlm.nih.gov/pubmed/33857673
http://dx.doi.org/10.1016/j.wneu.2021.04.004
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