Israel National Centre for Trauma and Emergency Research, Gertner Institute, Tel Hashomer, Israel.
Tel-Aviv University, Faculty of Medicine, School of Public Health, Tel-Aviv, Israel.
Prehosp Disaster Med. 2021 Jun;36(3):251-259. doi: 10.1017/S1049023X21000285. Epub 2021 Mar 1.
Injury patterns are closely related to changes in behavior. Pandemics and measures undertaken against them may cause changes in behavior; therefore, changes in injury patterns during the coronavirus disease 2019 (COVID-19) outbreak can be expected when compared to the parallel period in previous years.
The aim of this study was to compare injury-related hospitalization patterns during the overall national lockdown period with parallel periods of previous years.
A retrospective study was completed of all patients hospitalized from March 15 through April 30, for years 2016-2020. Data were obtained from 21 hospitals included in the national trauma registry during the study years. Clinical, demographic, and circumstantial parameters were compared amongst the years of the study.
The overall volume of injured patients significantly decreased during the lockdown period of the COVID-19 outbreak, with the greatest decrease registered for road traffic collisions (RTCs). Patients' sex and ethnic compositions did not change, but a smaller proportion of children were hospitalized during the outbreak. Many more injuries were sustained at home during the outbreak, with proportions of injuries in all other localities significantly decreased. Injuries sustained during the COVID-19 outbreak were more severe, specifically due to an increase in severe injuries in RTCs and falls. The proportion of intensive care unit (ICU) hospitalizations did not change, however more surgeries were performed; patients stayed less days in hospital.
The lockdown period of the COVID-19 outbreak led to a significant decrease in number of patients hospitalized due to trauma as compared to parallel periods of previous years. Nevertheless, trauma remains a major health care concern even during periods of high-impact disease outbreaks, in particular due to increased proportion of severe injuries and surgeries.
损伤模式与行为变化密切相关。大流行及其采取的措施可能导致行为发生变化；因此，与前几年的同期相比，预计在 2019 年冠状病毒病（COVID-19）爆发期间，损伤模式会发生变化。
本研究旨在比较全国封锁期间与前几年同期相关的损伤住院模式。
对 2016 年至 2020 年期间，3 月 15 日至 4 月 30 日所有因伤住院的患者进行了回顾性研究。数据来自研究期间纳入国家创伤登记处的 21 家医院。比较了各年的临床、人口统计学和环境参数。
COVID-19 爆发期间的封锁期间，受伤患者的总数明显减少，道路交通碰撞（RTC）的减少幅度最大。患者的性别和种族构成没有改变，但在疫情期间住院的儿童比例较小。更多的伤害是在疫情期间在家里发生的，其他所有地方的伤害比例显著下降。在疫情期间发生的伤害更严重，特别是由于 RTC 和跌倒导致严重伤害的增加。重症监护病房（ICU）住院的比例没有变化，但手术数量增加；患者在医院停留的天数减少。
与前几年的同期相比，COVID-19 爆发期间的封锁期导致因创伤而住院的患者人数明显减少。尽管如此，即使在高影响疾病爆发期间，创伤仍然是一个主要的医疗保健问题，特别是由于严重伤害和手术的比例增加。
