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Am J Surg ; 222(4): 832-841, 2021 10.
Article in English | MEDLINE | ID: mdl-33641939

ABSTRACT

BACKGROUND: A community lockdown has a profound impact on its citizens. Our objective was to identify changes in trauma patient demographics, volume, and pattern of injury following the COVID-19 lockdown. METHODS: A retrospective review was conducted at a Level-1 Trauma Center from 2017 to 2020. RESULTS: A downward trend in volume is seen December-April in 2020 (R2 = 0.9907). February through April showed an upward trend in 2018 and 2019 (R2= 0.80 and R2 = 0.90 respectively), but a downward trend in 2020 (R2 = 0.97). In April 2020, there was 41.6% decrease in total volume, a 47.4% decrease in blunt injury and no decrease in penetrating injury. In contrast to previous months, in April the majority of injuries occurred in home zip codes. CONCLUSIONS: A community lockdown decreased the number of blunt trauma, however despite social distancing, did not decrease penetrating injury. Injuries were more likely to occur in home zip codes.


Subject(s)
COVID-19/prevention & control , Hospitals, Urban/trends , Physical Distancing , Trauma Centers/trends , Violence/trends , Adolescent , Adult , COVID-19/epidemiology , Female , Hospitals, Urban/standards , Hospitals, Urban/statistics & numerical data , Humans , Male , Middle Aged , Retrospective Studies , Trauma Centers/standards , Trauma Centers/statistics & numerical data , Violence/statistics & numerical data , Wounds, Nonpenetrating/epidemiology , Wounds, Nonpenetrating/therapy , Wounds, Penetrating/epidemiology , Wounds, Penetrating/therapy , Young Adult
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