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Decreased hospital length of stay and intensive care unit admissions for non-COVID blunt trauma patients during the COVID-19 pandemic.
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.
  • Yeates EO; University of California, Irvine (UCI), Department of Surgery, Orange, CA, USA. Electronic address: yeatese@hs.uci.edu.
  • Grigorian A; University of California, Irvine (UCI), Department of Surgery, Orange, CA, USA; University of Southern California (USC), Department of Surgery, Los Angeles, CA, USA. Electronic address: areg.grigorian@med.usc.edu.
  • Schellenberg M; University of Southern California (USC), Department of Surgery, Los Angeles, CA, USA. Electronic address: morgan.schellenberg@med.usc.edu.
  • Owattanapanich N; University of Southern California (USC), Department of Surgery, Los Angeles, CA, USA. Electronic address: natthida.owa@gmail.com.
  • Barmparas G; Cedars-Sinai Medical Center, Department of Surgery, Los Angeles, CA, USA. Electronic address: galinos.barmparas@cshs.org.
  • Margulies D; Cedars-Sinai Medical Center, Department of Surgery, Los Angeles, CA, USA. Electronic address: daniel.margulies@cshs.org.
  • Juillard C; University of California, Los Angeles (UCLA), Department of Surgery, Los Angeles, CA, USA. Electronic address: cjuillard@mednet.ucla.edu.
  • Garber K; University of California, Los Angeles (UCLA), Department of Surgery, Los Angeles, CA, USA. Electronic address: kgarber@mednet.ucla.edu.
  • Cryer H; University of California, Los Angeles (UCLA), Department of Surgery, Los Angeles, CA, USA. Electronic address: hcryer@mednet.ucla.edu.
  • Tillou A; University of California, Los Angeles (UCLA), Department of Surgery, Los Angeles, CA, USA. Electronic address: atillou@mednet.ucla.edu.
  • Burruss S; Loma Linda University, Department of Surgery, Loma Linda, CA, USA. Electronic address: sburruss@llu.edu.
  • Penaloza-Villalobos L; Loma Linda University, Department of Surgery, Loma Linda, CA, USA. Electronic address: lpenalozavillalobos@llu.edu.
  • Lin A; Loma Linda University, Department of Surgery, Loma Linda, CA, USA. Electronic address: aclin@llu.edu.
  • Figueras RA; Loma Linda University, Department of Surgery, Loma Linda, CA, USA. Electronic address: rfigueras@llu.edu.
  • Coimbra R; Loma Linda University, Department of Surgery, Loma Linda, CA, USA; Riverside University Health System Medical Center, Moreno Valley, CA, USA. Electronic address: r.coimbra@ruhealth.org.
  • Brenner M; University of California, Riverside/Riverside University Health System Department of Surgery, Moreno Valley, CA, USA. Electronic address: m.brenner@ruhealth.org.
  • Costantini T; University of California, San Diego (UCSD), Department of Surgery, San Diego, CA, USA. Electronic address: tcostantini@health.ucsd.edu.
  • Santorelli J; University of California, San Diego (UCSD), Department of Surgery, San Diego, CA, USA. Electronic address: jsantorelli@health.ucsd.edu.
  • Curry T; University of California, San Diego (UCSD), Department of Surgery, San Diego, CA, USA. Electronic address: tcurry@health.ucsd.edu.
  • Wintz D; Sharp Memorial Hospital, Department of Surgery, San Diego, CA, USA. Electronic address: diane.wintzmd@sharp.com.
  • Biffl WL; Scripps Memorial Hospital La Jolla, Trauma Department, La Jolla, CA, USA. Electronic address: biffl.walter@scrippshealth.org.
  • Schaffer KB; Scripps Memorial Hospital La Jolla, Trauma Department, La Jolla, CA, USA. Electronic address: schaffer.kathryn@scrippshealth.org.
  • Duncan TK; Ventura County Medical Center, Department of Surgery, Ventura, CA, USA. Electronic address: thomas.duncan@ventura.org.
  • Barbaro C; Ventura County Medical Center, Department of Surgery, Ventura, CA, USA. Electronic address: casey.barbaro@ventura.org.
  • Diaz G; Ventura County Medical Center, Department of Surgery, Ventura, CA, USA. Electronic address: graal.diaz@ventura.org.
  • Johnson A; Santa Barbara Cottage Hospital, Cottage Health Research Institute, Santa Barbara, CA, USA. Electronic address: a11johns@sbch.org.
  • Chinn J; University of California, Irvine (UCI), Department of Surgery, Orange, CA, USA. Electronic address: jochinn@hs.uci.edu.
  • Naaseh A; University of California, Irvine (UCI), Department of Surgery, Orange, CA, USA. Electronic address: anaaseh1@hs.uci.edu.
  • Leung A; University of California, Irvine (UCI), Department of Surgery, Orange, CA, USA. Electronic address: leungac1@hs.uci.edu.
  • Grabar C; University of California, Irvine (UCI), Department of Surgery, Orange, CA, USA. Electronic address: grabarc@hs.uci.edu.
  • Nahmias J; University of California, Irvine (UCI), Department of Surgery, Orange, CA, USA. Electronic address: jnahmias@hs.uci.edu.
Am J Surg ; 224(1 Pt A): 90-95, 2022 07.
Article in English | MEDLINE | ID: covidwho-1699425
ABSTRACT

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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wounds, Nonpenetrating / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Am J Surg Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wounds, Nonpenetrating / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Am J Surg Year: 2022 Document Type: Article