Neurology. 2020 Nov 17;95(12 Suppl 2):S11. doi: 10.1212/01.wnl.0000719968.10580.81.
Evaluating the TBI incidence during the COVID-19 pandemic era compared with similar period in previous year.
The emergence of SARS-CoV2 influenced the evolution of governmental and hospital policy worldwide, which might eventually impact many aspects. The incidence of many diseases in the Emergency Department (ED), especially traumatic brain injury (TBI), has been an area of interest.
DESIGN/METHODS: Retrospective study comparing TBI incidence before and during COVID-19 pandemic era starting from the declaration of national pandemic date (March 16, 2020) until June 14, 2020 with the comparison of the same period in the previous year.
There was an increase in admission rate due to TBI during COVID-19 pandemic compared with the previous year (157/752 (20.9%) vs 106/766 (13.8%), < 0.001, respectively). While the range of age was similar between COVID-19 and non-COVID-19 era (37.9 ± 14.8 vs 38.6 ± 15.4 years, = 0.712), male was higher in percentage to experience the injury (131/157 (83.4%) vs 67/106 (63.2%), < 0.001). During the pandemic era, road traffic injury (97/157 (61.8%) vs 56/106 (52.8%), = 0.149) as well as moderate-to-severe brain injury tended to increase (30/157 (19.1%) vs 17/106 (16.0%) = 0.524) albeit statistically insignificant. Although the mortality rate was similar (12/157 (7.6%) vs 9/106 (8.5%), = 0.804), higher hospitalization rate was observed in the pandemic era (81/157 (51.2%) vs 37/106 (34.9%) = 0.008).
TBI incidence remained increasing despite entering the COVID-19 era. These phenomena required further investigation and analysis that may possibly be unrelated with the COVID-19, but due to the change of the government policy and its impact, such as the more quiet road after national social distancing.
评估 COVID-19 大流行期间与前一年同期相比的脑外伤（TBI）发生率。
SARS-CoV2 的出现影响了全球政府和医院政策的演变，这可能最终会影响许多方面。急诊科（ED）许多疾病的发生率，尤其是创伤性脑损伤（TBI），一直是人们关注的一个领域。
设计/方法：这是一项回顾性研究，比较了从国家大流行宣布日（2020 年 3 月 16 日）到 2020 年 6 月 14 日 COVID-19 大流行期间与前一年同期 TBI 发生率。
与前一年相比，COVID-19 大流行期间因 TBI 而入院的人数有所增加（157/752（20.9%）vs 106/766（13.8%），<0.001）。虽然 COVID-19 大流行和非 COVID-19 大流行时期的年龄范围相似（37.9±14.8 岁 vs 38.6±15.4 岁，=0.712），但男性受伤比例更高（131/157（83.4%）vs 67/106（63.2%），<0.001）。在大流行期间，道路交通伤害（97/157（61.8%）vs 56/106（52.8%），=0.149）以及中重度脑损伤的比例也有上升趋势（30/157（19.1%）vs 17/106（16.0%），=0.524），尽管统计学上无显著差异。尽管死亡率相似（12/157（7.6%）vs 9/106（8.5%），=0.804），但大流行期间的住院率更高（81/157（51.2%）vs 37/106（34.9%），=0.008）。
尽管进入了 COVID-19 时代，但 TBI 的发病率仍在持续上升。这些现象需要进一步调查和分析，这可能与 COVID-19 无关，但由于政府政策的变化及其影响，如全国社会隔离后道路更加安静。
