Sistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Red de Investigación Emergencias Prehospitalarias (RINVEMER), Madrid, Spain.
Eur J Trauma Emerg Surg. 2021 Oct;47(5):1351-1358. doi: 10.1007/s00068-021-01748-3. Epub 2021 Jul 30.
The extraordinary situation caused by the onset of COVID-19 has meant that at prehospital level, the number of treatments, profile and time taken to respond for treating time-dependent pathologies has been greatly affected. However, it is not known whether the prehospital profile of polytrauma patients (PTP) has been affected.
To determine differences in the epidemiological characteristics and the clinical variables of prehospital polytrauma patients during the first wave of the COVID-19 pandemic in Catalonia.
Analytical cross-sectional study. The number of prehospital activations and the clinical and epidemiological characteristics of polytrauma patients attended by the Emergency Medical System (EMS) of Catalonia, were compared for the period between 15 February and 15 May 2020 and the same period in the previous year. Priorities 0 and 1 are assigned to the most severely injured patients. An analysis was conducted using logistic regression and nonparametric tests.
3023 patients were included. During the 2019 study period, 2045 (67.6%) patients were treated; however, during the pandemic period, 978 (32.4%) patients were treated, representing a 52% decrease (p = 0.002). The percentage of patients presenting priority 1 was higher during the pandemic period [240 (11.7%) vs 146 (14.9%), p = 0.032]. The percentage of priority 0 and 1 patients attended by a basic life support unit increased [201 (9.8%) vs 133 (13.6%), p = 0.006]. The number of traffic accidents decreased from 1211 (59.2%) to 522 (53.4%) and pedestrian-vehicle collisions fell from 249 (12.2%) to 92 (9.4%). Regarding weapon-related injuries and burns, there was an increase in the number of cases [43 (2.1%) vs 41 (4.2%), and 15 (0.7%) vs 22 (2.2%), p = 0.002 and p < 0.001, respectively]. Hospital mortality remained unchanged (3.9%).
During the first wave of the pandemic, the number of polytrauma patients decreased and there was a change in the profile of severity and type of accident.
COVID-19 疫情的爆发导致在院前阶段，治疗时间依赖性疾病的治疗次数、患者特征和反应时间受到了极大的影响。但是，目前还不清楚创伤患者（PTP）的院前特征是否受到了影响。
确定 COVID-19 大流行第一波期间加泰罗尼亚院前多发创伤患者的流行病学特征和临床变量的差异。
这是一项分析性的横断面研究。比较了 2020 年 2 月 15 日至 5 月 15 日期间和前一年同期加泰罗尼亚紧急医疗服务（EMS）接诊的创伤患者的院前激活次数和多发创伤患者的临床和流行病学特征。优先 0 和 1 分配给受伤最严重的患者。采用逻辑回归和非参数检验进行分析。
共纳入 3023 例患者。在 2019 年的研究期间，有 2045 例（67.6%）患者接受了治疗；然而，在疫情期间，有 978 例（32.4%）患者接受了治疗，减少了 52%（p=0.002）。在疫情期间，出现优先级 1 的患者比例更高[240 例（11.7%）比 146 例（14.9%），p=0.032]。接受基础生命支持单位治疗的优先级 0 和 1 患者的比例增加[201 例（9.8%）比 133 例（13.6%），p=0.006]。交通事故从 1211 例（59.2%）降至 522 例（53.4%），行人-车辆碰撞从 249 例（12.2%）降至 92 例（9.4%）。关于与武器相关的伤害和烧伤，病例数量有所增加[43 例（2.1%）比 41 例（4.2%），15 例（0.7%）比 22 例（2.2%），p=0.002 和 p<0.001]。医院死亡率保持不变（3.9%）。
在疫情的第一波期间，多发创伤患者的数量减少，严重程度和事故类型的特征发生了变化。
