Your browser doesn't support javascript.
Impact of the COVID-19 Pandemic on Long-term Recovery From Traumatic Injury.
Herrera-Escobar, Juan P; Wang, Joyce; Lamarre, Taylor; Patel, Nikita; Orlas, Claudia P; El Moheb, Mohamad; Levy-Carrick, Nomi C; Sanchez, Sabrina E; Velmahos, George; Kaafarani, Haytham Ma; Salim, Ali; Nehra, Deepika.
  • Herrera-Escobar JP; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Wang J; Division of Trauma, Burn, and Surgical Critical Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Lamarre T; Harvard Medical School, Boston, Massachusetts.
  • Patel N; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Orlas CP; Division of Trauma, Burn, and Surgical Critical Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • El Moheb M; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Levy-Carrick NC; Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • Sanchez SE; Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Velmahos G; Division of Trauma, Acute Care Surgery & Surgical Critical Care, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts.
  • Kaafarani HM; Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • Salim A; Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • Nehra D; Division of Trauma, Burn, and Surgical Critical Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Ann Surg ; 274(6): 913-920, 2021 12 01.
Article in English | MEDLINE | ID: covidwho-1337305
ABSTRACT

OBJECTIVE:

Determine the proportion and characteristics of traumatic injury survivors who perceive a negative impact of the COVID-19 pandemic on their recovery and to define post-injury outcomes for this cohort.

BACKGROUND:

The COVID-19 pandemic has precipitated physical, psychological, and social stressors that may create a uniquely difficult recovery and reintegration environment for injured patients.

METHODS:

Adult (≥18 years) survivors of moderate-to-severe injury completed a survey 6 to 14 months post-injury during the COVID-19 pandemic. This survey queried individuals about the perceived impact of the COVID-19 pandemic on injury recovery and assessed post-injury functional and mental health outcomes. Regression models were built to identify factors associated with a perceived negative impact of the pandemic on injury recovery, and to define the relationship between these perceptions and long-term outcomes.

RESULTS:

Of 597 eligible trauma survivors who were contacted, 403 (67.5%) completed the survey. Twenty-nine percent reported that the COVID-19 pandemic negatively impacted their recovery and 24% reported difficulty accessing needed healthcare. Younger age, lower perceived-socioeconomic status, extremity injury, and prior psychiatric illness were independently associated with negative perceived impact of the COVID-19 pandemic on injury recovery. In adjusted analyses, patients who reported a negative impact of the pandemic on their recovery were more likely to have new functional limitations, daily pain, lower physical and mental component scores of the Short-Form-12 and to screen positive for PTSD and depression.

CONCLUSIONS:

The COVID-19 pandemic is negatively impacting the recovery of trauma survivors. It is essential that we recognize the impact of the pandemic on injured patients while focusing on directed efforts to improve the long-term outcomes of this already at-risk population.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / Stress Disorders, Post-Traumatic / Survivors / Recovery of Function / Pandemics / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Female / Humans / Male / Middle aged Language: English Journal: Ann Surg Year: 2021 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / Stress Disorders, Post-Traumatic / Survivors / Recovery of Function / Pandemics / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Female / Humans / Male / Middle aged Language: English Journal: Ann Surg Year: 2021 Document Type: Article