在新冠疫情警戒级别限制期间因受伤入院。

Admission to hospital for injury during COVID-19 alert level restrictions.

作者信息

Christey Grant, Amey Janet, Singh Neerja, Denize Bronwyn, Campbell Alaina

机构信息

Midland Trauma System, Waikato District Health Board, Hamilton; Waikato Clinical School, University of Auckland; Waikato Hospital Trauma Service, Waikato District Health Board, Hamilton.

Midland Trauma System, Waikato District Health Board, Hamilton.

出版信息

N Z Med J. 2021 Mar 26;134(1531):50-58.

PMID:33767476

Abstract

AIM

To assess the effects of the community lockdown phases on trauma-related admissions to Midland region hospitals over the period 15 February to 10 July 2020, and to compare volume variation with the same period in the previous three years.

METHODS

A retrospective, descriptive study of prospectively collected data from the Midland Trauma Registry in New Zealand.

RESULTS

There was a 36.7% (p<.00001) reduction in injury admissions during Alert Level 4 ('Lockdown') compared with the same period in 2017, 2018 and 2019. This was in the context of volume increases during the pre-lockdown period (17.8%, p<.00001) and a 'rebound' as restrictions eased. There was an increase in injuries occurring at home (28.3%, p<.00001) and on footpaths (37.9%, p=0.00076), while there was a decline in events on roads (33.0%, p=0.017), at schools (75.0%, p<.00001) and in sports areas (79.7%, p<.00001). Falls remained the dominant mechanism of injury in 2020, contributing 39.9% of all hospitalisations.

CONCLUSIONS

The reduction in hospital admissions during alert levels 4 and 3 was short lived, with a rebound evident when restrictions eased. Hospital resources have been strained because this rebound coincided with a planned 'catch up' on healthcare that was delayed during the higher community restriction levels.

摘要

目的

评估2020年2月15日至7月10日期间社区封锁阶段对米德兰地区医院创伤相关入院人数的影响，并将数量变化与前三年同期进行比较。

方法

对新西兰米德兰创伤登记处前瞻性收集的数据进行回顾性描述性研究。

结果

与2017年、2018年和2019年同期相比，4级警戒水平（“封锁”）期间受伤入院人数减少了36.7%（p<0.00001）。这是在封锁前时期数量增加（17.8%，p<0.00001）以及随着限制放宽出现“反弹”的背景下发生的。在家中发生的伤害有所增加（28.3%，p<0.00001），在人行道上发生的伤害也有所增加（37.9%，p = 0.00076），而道路上的事件（33.0%，p = 0.017）、学校里的事件（75.0%，p<0.00001）以及体育场所中的事件（79.7%，p<0.00001）有所减少。跌倒仍然是2020年受伤的主要原因，占所有住院病例的39.9%。