Decreased hospital length of stay and intensive care unit admissions for non-COVID blunt trauma patients during the COVID-19 pandemic

BACKGROUND: The COVID-19 pandemic overwhelmed hospitals, forcing adjustments including discharging patients earlier and limiting intensive care unit (ICU) utilization. This study aimed to evaluate ICU admissions and length of stay (LOS) for blunt trauma patients (BTPs). METHODS: A retrospective revi...

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Detalles Bibliográficos
Autores principales: Yeates, Eric O., Grigorian, Areg, Schellenberg, Morgan, Owattanapanich, Natthida, Barmparas, Galinos, Margulies, Daniel, Juillard, Catherine, Garber, Kent, Cryer, Henry, Tillou, Areti, Burruss, Sigrid, Penaloza-Villalobos, Liz, Lin, Ann, Figueras, Ryan Arthur, Coimbra, Raul, Brenner, Megan, Costantini, Todd, Santorelli, Jarrett, Curry, Terry, Wintz, Diane, Biffl, Walter L., Schaffer, Kathryn B., Duncan, Thomas K., Barbaro, Casey, Diaz, Graal, Johnson, Arianne, Chinn, Justine, Naaseh, Ariana, Leung, Amanda, Grabar, Christina, Nahmias, Jeffry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
Original Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8863305/
https://www.ncbi.nlm.nih.gov/pubmed/35219493
http://dx.doi.org/10.1016/j.amjsurg.2022.02.055
Descripción
Sumario:BACKGROUND: The COVID-19 pandemic overwhelmed hospitals, forcing adjustments including discharging patients earlier and limiting intensive care unit (ICU) utilization. This study aimed to evaluate ICU admissions and length of stay (LOS) for blunt trauma patients (BTPs). METHODS: A retrospective review of COVID (3/19/20-6/30/20) versus pre-COVID (3/19/19-6/30/19) BTPs at eleven trauma centers was performed. Multivariable analysis was used to identify risk factors for ICU admission. RESULTS: 12,744 BTPs were included (6942 pre-COVID vs. 5802 COVID). The COVID cohort had decreased mean LOS (3.9 vs. 4.4 days, p = 0.029), ICU LOS (0.9 vs. 1.1 days, p < 0.001), and rate of ICU admission (22.3% vs. 24.9%, p = 0.001) with no increase in complications or mortality compared to the pre-COVID cohort (all p > 0.05). On multivariable analysis, the COVID period was associated with decreased risk of ICU admission (OR = 0.82, CI 0.75–0.90, p < 0.001). CONCLUSIONS: BTPs had decreased LOS and associated risk of ICU admission during COVID, with no corresponding increase in complications or mortality.

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