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Impact of the COVID-19 Pandemic on Trauma Encounters.
Sheets, Nicholas W; Fawibe, Oluwatosin S; Mahmoud, Ahmed; Chawla-Kondal, Bhani; Ayutyanont, Napatkamon; Plurad, David S.
  • Sheets NW; 43951Riverside Community Hospital, Riverside, CA, USA.
  • Fawibe OS; 43951Riverside Community Hospital, Riverside, CA, USA.
  • Mahmoud A; 43951Riverside Community Hospital, Riverside, CA, USA.
  • Chawla-Kondal B; 43951Riverside Community Hospital, Riverside, CA, USA.
  • Ayutyanont N; 43951Riverside Community Hospital, Riverside, CA, USA.
  • Plurad DS; 43951Riverside Community Hospital, Riverside, CA, USA.
Am Surg ; : 31348211029858, 2021 Jul 04.
Article in English | MEDLINE | ID: covidwho-2235517
ABSTRACT

OBJECTIVES:

The Coronavirus Disease 2019 pandemic has affected the health care system significantly. We compare 2019 to 2020 to evaluate how trauma encounters has changed during the pandemic.

METHODS:

Retrospective analysis using a large US health care system to compare trauma demographics, volumes, mechanisms of injury, and outcomes. Statistical analysis was used to evaluate for significant differences comparing 2019 to 2020.

RESULTS:

Data was collected from 88 hospitals across 18 states. 169 892 patients were included in the study. There were 6.3% fewer trauma patient encounters in 2020 compared to 2019. Mechanism of injury was significantly different between 2019 and 2020 with less blunt injuries (89.64% vs. 88.39%, P < .001), more burn injuries (1.84% vs. 2.00%, P = .021), and more penetrating injuries (8.58% vs. 9.75%, P < .001). Compared to 2019, patients in 2020 had higher mortality (2.62% vs. 2.88%, P < .001), and longer hospital LOS (3.92 ± 6.90 vs. 4.06 ± 6.56, P < .001).

CONCLUSION:

The COVID-19 pandemic has significantly affected trauma patient demographics, LOS, mechanism of injury, and mortality.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Journal: Am Surg Year: 2021 Document Type: Article Affiliation country: 00031348211029858

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Journal: Am Surg Year: 2021 Document Type: Article Affiliation country: 00031348211029858