新冠疫情对一级创伤中心创伤就诊的影响。
The Effects of the COVID-19 Pandemic on Trauma Presentations in a Level One Trauma Center.
机构信息
1421Medical College of Georgia at Augusta University, Augusta, GA, USA.
Department of Surgery, 1421Medical College of Georgia, Augusta, GA, USA.
出版信息
Am Surg. 2021 May;87(5):686-689. doi: 10.1177/0003134820973715. Epub 2020 Nov 24.
BACKGROUND
Over 28 million confirmed cases of COVID-19 have been reported to date, resulting in over 900 000 deaths. With an increase in awareness regarding the virus, the behavior of general population has changed dramatically. As activities such as driving and hospital presentation patterns have changed, our study aimed to assess the differences in trauma case variables before and during the COVID-19 pandemic.
METHODS
Trauma data for the period of March 1st-June 15th were compared for the years 2015-2019 (pre-COVID) and 2020 (COVID). The data were analyzed across the following categories: injury severity score, injury mechanism, motor vehicle crashes (MVCs) vs. other blunt injuries, alcohol involvement, and length of hospital stay.
RESULTS
The median injury severity score pre-COVID and during COVID was 9, representing no change. There was no difference in overall distribution of mechanism of injury; however, there was a significant decrease in the percentage of MVCs pre-COVID (36.39%) vs. COVID (29.6%, < .05). Alcohol was significantly more likely to be involved in trauma during COVID-19 ( < .05). The mean hospital stay increased from 3.87-5.4 days during COVID-19 ( < .05).
DISCUSSION
We saw similar results to prior studies in terms of there being no change in trauma severity. Our observation that motor vehicle collisions have decreased is consistent with current data showing decreased use of motor vehicles during the pandemic. We also observed an increase in alcohol-related cases which are consistent with the reported changes in alcohol consumption since the pandemic began.
背景
迄今为止,已报告超过 2800 万例 COVID-19 确诊病例,导致超过 90 万人死亡。随着人们对该病毒认识的提高,普通人群的行为发生了巨大变化。随着驾驶和医院就诊模式的改变,我们的研究旨在评估 COVID-19 大流行前后创伤病例变量的差异。
方法
将 2015 年至 2019 年(COVID-19 前)和 2020 年(COVID-19)3 月 1 日至 6 月 15 日期间的创伤数据进行比较。数据在以下类别中进行分析:损伤严重程度评分、损伤机制、机动车碰撞(MVC)与其他钝性损伤、酒精参与情况和住院时间。
结果
COVID-19 前和 COVID-19 期间的中位数损伤严重程度评分为 9,代表没有变化。损伤机制的总体分布没有差异;然而,MVC 的百分比明显下降COVID-19 前(36.39%)vs. COVID-19(29.6%,<0.05)。COVID-19 期间,酒精更有可能参与创伤(<0.05)。COVID-19 期间的平均住院时间从 3.87-5.4 天增加(<0.05)。
讨论
我们看到了与之前研究相似的结果,即创伤严重程度没有变化。我们观察到机动车碰撞减少的结果与目前显示大流行期间机动车使用减少的数据一致。我们还观察到与酒精相关的病例增加,这与大流行开始以来报告的酒精消耗变化一致。