Epidemiology of trauma presentations to a major trauma centre in the North West of England during the COVID-19 level 4 lockdown.
Eur J Trauma Emerg Surg
; 47(3): 631-636, 2021 Jun.
Article
in English
| MEDLINE | ID: covidwho-807824
ABSTRACT
PURPOSE:
The COVID-19 pandemic has impacted healthcare systems globally, little is known about the trauma patterns during a national lockdown. The aim of this study is to delineate the trauma patterns and outcomes at Aintree University Teaching Hospital level 1 Major Trauma Centre (MTC) during the COVID-19 lockdown imposed by the U.K. government.METHODS:
A retrospective cohort study data from the Merseyside and Cheshire Trauma Audit and Research Network database were analysed. The 7-week 'lockdown period' was compared to a 7-week period prior to the lockdown and also to an equivalent 7-week period corresponding to the previous year.RESULTS:
A total of 488 patients were included in the study. Overall, there was 37.6% and 30.0% reduction in the number of traumatic injuries during lockdown. Road traffic collisions (RTC) reduced by 42.6% and 46.6%. RTC involving a car significantly reduced during lockdown, conversely, bike-related RTC significantly increased. No significant changes were noted in deliberate self-harm, trauma severity and crude mortality during lockdown. There was 1 mortality from COVID-19 infection in the lockdown cohort.CONCLUSION:
Trauma continues during lockdown, our MTC has continued to provide a full service during lockdown. However, trauma patterns have changed and departments should adapt to balance these alongside the COVID-19 pandemic. As the U.K. starts its cautious transition out of lockdown, trauma services are required to be flexible during changes in national social restrictions and changing trauma patterns. COVID-19 and lockdown state were found to have no significant impact on survival outcomes for trauma.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Surgical Procedures, Operative
/
Wounds and Injuries
/
Infection Control
/
Emergency Service, Hospital
/
COVID-19
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
English
Journal:
Eur J Trauma Emerg Surg
Year:
2021
Document Type:
Article
Affiliation country:
S00068-020-01507-w
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