Your browser doesn't support javascript.
Effect of the COVID-19 pandemic at a major Danish trauma center in 2020 compared with 2018-2019: A retrospective cohort study.
Trier, Frederik; Fjølner, Jesper; Raaber, Nikolaj; Sørensen, Anders H; Kirkegaard, Hans.
  • Trier F; Department of Clinical Medicine, Research Center for Emergency Medicine, Aarhus University, Aarhus, Denmark.
  • Fjølner J; Department of Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
  • Raaber N; Research and Development, Prehospital Emergency Medical Services, Central Denmark Region, Aarhus, Denmark.
  • Sørensen AH; Emergency Department, Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark.
  • Kirkegaard H; Research and Development, Prehospital Emergency Medical Services, Central Denmark Region, Aarhus, Denmark.
Acta Anaesthesiol Scand ; 66(2): 265-272, 2022 02.
Article in English | MEDLINE | ID: covidwho-1506929
ABSTRACT

BACKGROUND:

The COVID-19 pandemic demanded changes in societal behavior and health care worldwide. Previous studies have compared trauma patient admissions in COVID-19-related lockdowns to prior years. This study describes the COVID-19 impact on trauma patient admissions during entire 2020 at a major trauma center in Denmark.

METHODS:

We retrospectively analyzed trauma patients received by a trauma team and admitted at Aarhus University Hospital in 2020 compared with 2018-2019. The incidence of injuries, mechanism of injury, 30-day mortality, and Injury Severity Score (ISS) were investigated.

RESULTS:

The incidence of minor injuries (ISS 1-15) increased by 24% in 2020 compared with 2018-2019 (incidence rate ratio 1.24 [95% CI 1.11-1.39]). The incidence of severe injuries (ISS >15) in 2020 did not change compared with 2018-2019 (incidence rate ratio 0.97 [95% CI 0.80-1.17]). The 30-day mortality was similar in 2020 compared with 2018-2019. Comparing 2020 with 2018-2019, the risk ratio of traffic injuries decreased (0.90 [95% CI 0.82-0.99]), risk ratio for fall injuries was 1.13 (95% CI 0.97-1.30), for violence 1.13 (95% CI 0.51-2.50), and for self-harm 1.94 (95% CI 0.95-3.94). During the first lockdown of 2020, trauma team activations declined from 49.5 to 42 and the risk ratio for traffic injuries was 0.74 (95% CI 0.50-1.10) compared with the same period in 2018-2019.

CONCLUSION:

The incidence of minor injuries increased, but the incidence of severe injuries was similar in 2020 compared with 2018-2019. Societal restrictions might alter the mechanism of injuries. The first lockdown indicated an association with reduced traffic injuries.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Etiology study / Observational study / Risk factors Limits: Humans Country/Region as subject: Europa Language: English Journal: Acta Anaesthesiol Scand Year: 2022 Document Type: Article Affiliation country: Aas.13997

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Etiology study / Observational study / Risk factors Limits: Humans Country/Region as subject: Europa Language: English Journal: Acta Anaesthesiol Scand Year: 2022 Document Type: Article Affiliation country: Aas.13997