Cargando…

Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre

INTRODUCTION: Lockdown restrictions due to the COVID-19 pandemic have reduced the number of injuries recorded. However, little is known about the impact of easing COVID-19 lockdown restrictions on the nature and outcome of injuries. This study aims to compare injury patterns prior to and after the e...

Descripción completa

Detalles Bibliográficos
Autores principales: Alharbi, Rayan Jafnan, Al-Jafar, Rami, Chowdhury, Sharfuddin, Rahman, Muhammad Aziz, Almuwallad, Ateeq, Alshibani, Abdullah, Lewis, Virginia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812537/
https://www.ncbi.nlm.nih.gov/pubmed/36600205
http://dx.doi.org/10.1186/s12889-023-14981-9
_version_ 1784863749284298752
author Alharbi, Rayan Jafnan
Al-Jafar, Rami
Chowdhury, Sharfuddin
Rahman, Muhammad Aziz
Almuwallad, Ateeq
Alshibani, Abdullah
Lewis, Virginia
author_facet Alharbi, Rayan Jafnan
Al-Jafar, Rami
Chowdhury, Sharfuddin
Rahman, Muhammad Aziz
Almuwallad, Ateeq
Alshibani, Abdullah
Lewis, Virginia
author_sort Alharbi, Rayan Jafnan
collection PubMed
description INTRODUCTION: Lockdown restrictions due to the COVID-19 pandemic have reduced the number of injuries recorded. However, little is known about the impact of easing COVID-19 lockdown restrictions on the nature and outcome of injuries. This study aims to compare injury patterns prior to and after the easing of COVID-19 lockdown restrictions in Saudi Arabia. METHOD: Data were collected retrospectively from the Saudi TraumA Registry for the period between March 25, 2019, and June 21, 2021. These data corresponded to three periods: March 2019–February 2020 (pre-restrictions, period 1), March 2020–June 2020 (lockdown, period 2), and July 2020–June 2021 (post easing of restrictions, period 3). Data related to patients’ demographics, mechanism and severity of injury, and in-hospital mortality were collected and analysed. RESULTS: A total of 5,147 traumatic injury patients were included in the analysis (pre-restrictions n = 2593; lockdown n = 218; post easing of lockdown restrictions n = 2336). An increase in trauma cases (by 7.6%) was seen in the 30–44 age group after easing restrictions (n = 648 vs. 762, p < 0.01). Motor vehicle crashes (MVC) were the leading cause of injury, followed by falls in all the three periods. MVC-related injuries decreased by 3.1% (n = 1068 vs. 890, p = 0.03) and pedestrian-related injuries decreased by 2.7% (n = 227 vs. 143, p < 0.01); however, burn injuries increased by 2.2% (n = 134 vs. 174, p < 0.01) and violence-related injuries increased by 0.9% (n = 45 vs. 60, p = 0.05) post easing of lockdown restrictions. We observed an increase in in-hospital mortality during the period of 12 months after easing of lockdown restrictions—4.9% (114/2336) compared to 12 months of pre-lockdown period—4.3% (113/2593). CONCLUSION: This is one of the first studies to document trauma trends over a one-year period after easing lockdown restrictions. MVC continues to be the leading cause of injuries despite a slight decrease; overall injury cases rebounded towards pre-lockdown levels in Saudi Arabia. Injury prevention needs robust legislation with respect to road safety measures and law enforcement that can decrease the burden of traumatic injuries. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-14981-9.
format Online
Article
Text
id pubmed-9812537
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-98125372023-01-05 Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre Alharbi, Rayan Jafnan Al-Jafar, Rami Chowdhury, Sharfuddin Rahman, Muhammad Aziz Almuwallad, Ateeq Alshibani, Abdullah Lewis, Virginia BMC Public Health Research INTRODUCTION: Lockdown restrictions due to the COVID-19 pandemic have reduced the number of injuries recorded. However, little is known about the impact of easing COVID-19 lockdown restrictions on the nature and outcome of injuries. This study aims to compare injury patterns prior to and after the easing of COVID-19 lockdown restrictions in Saudi Arabia. METHOD: Data were collected retrospectively from the Saudi TraumA Registry for the period between March 25, 2019, and June 21, 2021. These data corresponded to three periods: March 2019–February 2020 (pre-restrictions, period 1), March 2020–June 2020 (lockdown, period 2), and July 2020–June 2021 (post easing of restrictions, period 3). Data related to patients’ demographics, mechanism and severity of injury, and in-hospital mortality were collected and analysed. RESULTS: A total of 5,147 traumatic injury patients were included in the analysis (pre-restrictions n = 2593; lockdown n = 218; post easing of lockdown restrictions n = 2336). An increase in trauma cases (by 7.6%) was seen in the 30–44 age group after easing restrictions (n = 648 vs. 762, p < 0.01). Motor vehicle crashes (MVC) were the leading cause of injury, followed by falls in all the three periods. MVC-related injuries decreased by 3.1% (n = 1068 vs. 890, p = 0.03) and pedestrian-related injuries decreased by 2.7% (n = 227 vs. 143, p < 0.01); however, burn injuries increased by 2.2% (n = 134 vs. 174, p < 0.01) and violence-related injuries increased by 0.9% (n = 45 vs. 60, p = 0.05) post easing of lockdown restrictions. We observed an increase in in-hospital mortality during the period of 12 months after easing of lockdown restrictions—4.9% (114/2336) compared to 12 months of pre-lockdown period—4.3% (113/2593). CONCLUSION: This is one of the first studies to document trauma trends over a one-year period after easing lockdown restrictions. MVC continues to be the leading cause of injuries despite a slight decrease; overall injury cases rebounded towards pre-lockdown levels in Saudi Arabia. Injury prevention needs robust legislation with respect to road safety measures and law enforcement that can decrease the burden of traumatic injuries. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-14981-9. BioMed Central 2023-01-04 /pmc/articles/PMC9812537/ /pubmed/36600205 http://dx.doi.org/10.1186/s12889-023-14981-9 Text en © The Author(s) 2023 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 Research
Alharbi, Rayan Jafnan
Al-Jafar, Rami
Chowdhury, Sharfuddin
Rahman, Muhammad Aziz
Almuwallad, Ateeq
Alshibani, Abdullah
Lewis, Virginia
Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre
title Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre
title_full Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre
title_fullStr Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre
title_full_unstemmed Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre
title_short Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre
title_sort impact of easing covid-19 lockdown restrictions on traumatic injuries in riyadh, saudi arabia: one-year experience at a major trauma centre
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812537/
https://www.ncbi.nlm.nih.gov/pubmed/36600205
http://dx.doi.org/10.1186/s12889-023-14981-9
work_keys_str_mv AT alharbirayanjafnan impactofeasingcovid19lockdownrestrictionsontraumaticinjuriesinriyadhsaudiarabiaoneyearexperienceatamajortraumacentre
AT aljafarrami impactofeasingcovid19lockdownrestrictionsontraumaticinjuriesinriyadhsaudiarabiaoneyearexperienceatamajortraumacentre
AT chowdhurysharfuddin impactofeasingcovid19lockdownrestrictionsontraumaticinjuriesinriyadhsaudiarabiaoneyearexperienceatamajortraumacentre
AT rahmanmuhammadaziz impactofeasingcovid19lockdownrestrictionsontraumaticinjuriesinriyadhsaudiarabiaoneyearexperienceatamajortraumacentre
AT almuwalladateeq impactofeasingcovid19lockdownrestrictionsontraumaticinjuriesinriyadhsaudiarabiaoneyearexperienceatamajortraumacentre
AT alshibaniabdullah impactofeasingcovid19lockdownrestrictionsontraumaticinjuriesinriyadhsaudiarabiaoneyearexperienceatamajortraumacentre
AT lewisvirginia impactofeasingcovid19lockdownrestrictionsontraumaticinjuriesinriyadhsaudiarabiaoneyearexperienceatamajortraumacentre