作为新冠疫情间接影响的暴力创伤：对医院报告创伤的系统评价
Violent trauma as an indirect impact of the COVID-19 pandemic: A systematic review of hospital reported trauma.
作者信息
Beiter Kaylin, Hayden Ellery, Phillippi Stephen, Conrad Erich, Hunt John
机构信息
Louisiana State University Health Sciences Center, United States.
Louisiana State University Health Sciences Center, United States.
出版信息
Am J Surg. 2021 Nov;222(5):922-932. doi: 10.1016/j.amjsurg.2021.05.004. Epub 2021 May 18.
INTRODUCTION
The COVID-19 pandemic has exacerbated many social conditions associated with violence. The objective of this systematic review was to examine trends in hospital reported violent trauma associated with the pandemic.
METHODS
Databases were searched in using terms "trauma" or "violence" and "COVID-19," yielding 4,473 records (2,194 de-duplicated). Exclusion criteria included non-hospital based studies and studies not reporting on violent trauma. 44 studies were included in the final review.
RESULTS
Most studies reported no change in violent trauma incidence. Studies predominately assessed trends with violent trauma as a proportion of all trauma. All studies demonstrating an increase in violent trauma were located in the United States.
CONCLUSIONS
A disproportionate rise in violence has been reported within the US. However, most studies examined violent trauma as a proportion of all trauma; results may reflect relative changes from lockdowns. Future studies should examine rates of violent trauma to provide additional context.
引言
新冠疫情加剧了许多与暴力相关的社会状况。本系统综述的目的是研究医院报告的与该疫情相关的暴力创伤趋势。
方法
使用“创伤”或“暴力”以及“新冠病毒-19”等术语在数据库中进行检索，得到4473条记录（2194条去重后）。排除标准包括非基于医院的研究以及未报告暴力创伤的研究。最终综述纳入了44项研究。
结果
大多数研究报告暴力创伤发生率没有变化。研究主要评估暴力创伤占所有创伤的比例趋势。所有显示暴力创伤增加的研究都来自美国。
结论
美国报告了暴力事件不成比例的上升。然而，大多数研究将暴力创伤作为所有创伤的比例进行考察；结果可能反映了封锁措施带来的相对变化。未来的研究应考察暴力创伤发生率以提供更多背景信息。
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