COVID-19 大流行对急诊创伤服务的影响：西班牙一家三级创伤中心的经验。
Impact of the COVID-19 Pandemic on an Emergency Traumatology Service: Experience at a Tertiary Trauma Centre in Spain.
机构信息
Department of Traumatology and Orthopedic Surgery, University Hospital of Vall d'Hebron. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Universitat Autónoma de Barcelona. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Department of Traumatology and Orthopedic Surgery, Mutua de Terrassa Hospital. Terrassa, Plaça del Doctor Robert, 5, 08221 Terrassa, Barcelona, Spain.
Department of Traumatology and Orthopedic Surgery, University Hospital of Vall d'Hebron. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Universitat Autónoma de Barcelona. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain.
出版信息
Injury. 2020 Jul;51(7):1414-1418. doi: 10.1016/j.injury.2020.05.016. Epub 2020 May 13.
INTRODUCTION
The severe disruptions caused by the SARS-CoV-2 coronavirus have necessitated a redistribution of resources to meet hospitals' current service needs during this pandemic. The aim of this study was to provide an overview of the impact of the pandemic, and its corresponding State of Emergency, on a tertiary traumatology emergency service.
METHODS
An observational study was performed at a tertiary hospital within the Spanish National Health System. Four different periods were studied, including the first 20 days of Spain's current State of Emergency, from March 14 to April 02, 2020 (Period 4). This period was compared to the 20-day period prior to the State of Emergency (Period 3), and to matching periods in the two previous years (Periods 1 and 2). A total of 6,565 patient visits were analyzed: 1909 in Period 1 (29.1%), 2161 in Period 2 (32.9%), 1983 in Period 3 (30.2%), and 512 in Period 4 (7.8%). Variables collected included patient age and sex, insurance type, discharge destination and reason for hospital admission.
RESULTS
The patients' mean age was 55.1 years old (Standard Deviation (SD): 22.1), and 51.8% were women (3495/6565). During the COVID-19 pandemic, there were significant reductions in total visits to the trauma emergency department, workplace accidents, traffic accidents and number of hospital admissions, particularly during Period 4. However, no statistically-significant differences were found in the number of osteoporotic hip fractures admitted between the four periods. The numbers of hospital admissions for osteoporotic hip fracture were 42 during Period 1, 41 during Period 2, 43 during Period 3 and 36 during Period 4.
CONCLUSIONS
While most traumatological presentations decreased in frequency over the course of the outbreak, the number of osteoporotic hip fractures remained stable. Thus, contingency plans in times of crisis need to be carefully targeted, and to keep in mind certain public health issues that do not decrease, despite a State of Emergency, like osteoporotic hip fractures.
简介
由 SARS-CoV-2 冠状病毒引起的严重干扰导致资源重新分配，以满足医院在大流行期间的当前服务需求。本研究的目的是概述大流行及其相应的紧急状态对三级创伤急诊服务的影响。
方法
在西班牙国家卫生系统内的一所三级医院进行了一项观察性研究。研究了四个不同时期，包括西班牙当前紧急状态的前 20 天，即 2020 年 3 月 14 日至 4 月 02 日（第 4 期）。将这一时期与紧急状态前的 20 天（第 3 期）以及前两年的两个匹配时期（第 1 期和第 2 期）进行比较。共分析了 6565 例患者就诊：第 1 期 1909 例（29.1%），第 2 期 2161 例（32.9%），第 3 期 1983 例（30.2%），第 4 期 512 例（7.8%）。收集的变量包括患者年龄和性别、保险类型、出院目的地和入院原因。
结果
患者的平均年龄为 55.1 岁（标准差（SD）：22.1），51.8%为女性（3495/6565）。在 COVID-19 大流行期间，创伤急诊就诊总数、工作场所事故、交通事故和入院人数均显著减少，尤其是第 4 期。然而，四个时期入院的骨质疏松性髋部骨折数量无统计学差异。第 1 期入院的骨质疏松性髋部骨折 42 例，第 2 期 41 例，第 3 期 43 例，第 4 期 36 例。
结论
尽管在疫情期间大多数创伤性表现的频率有所下降，但骨质疏松性髋部骨折的数量保持稳定。因此，在危机时期的应急计划需要有针对性，并且要牢记某些公共卫生问题不会减少，尽管处于紧急状态，如骨质疏松性髋部骨折。
Zotero 插件