Department of Biomedical and Clinical Sciences, Linköping University, 581 83, Linköping, Sweden.
Scand J Trauma Resusc Emerg Med. 2022 Feb 19;30(1):12. doi: 10.1186/s13049-022-01001-9.
Given that Swedish authorities have been widely viewed as having practiced an unusual approach to the COVID-19 pandemic and given that Sweden is notable for a low incidence of trauma, we wanted to learn how the pandemic may have affected the number of trauma admissions in Sweden.
We conducted a retrospective cohort study based on the Swedish trauma registry (Svenska Traumaregistret). The study period was March 1, 2020 to June 30, 2020. As a basis for comparison, the record for the same time during the previous year, 2019 was used.
During the four months of the first wave of COVID-19, 2020 there was a decline of 24.2% in the total number of trauma patients in Sweden. There was no significant change in 30-day mortality rates, 4.7% 2019 and 5.1% 2020, (p = 0.30). The number of injuries per patient was higher during the pandemic 3.8 injuries 2019 and 4.1 injuries 2020 (p = 0.02). The NISS 6, 2019 and 8, 2020 was higher during the pandemic.
As a consequence of what were seen by many as all too lenient actions taken to deal with COVID-19 in Sweden during spring 2020, there was still a reduction in trauma admissions most likely due to an adherence to the voluntary recommendations, the reduction was not as prominent as what was seen in many countries with harsher restrictions and lockdowns.
鉴于瑞典当局在 COVID-19 大流行期间被广泛认为采取了不同寻常的做法，而且瑞典因创伤发生率低而引人注目，我们想了解大流行如何影响瑞典创伤入院人数。
我们基于瑞典创伤登记处（Svenska Traumaregistret）进行了回顾性队列研究。研究期间为 2020 年 3 月 1 日至 2020 年 6 月 30 日。作为比较的基础，使用了前一年（2019 年）同期的记录。
在 2020 年 COVID-19 大流行的前四个月，瑞典创伤患者总数下降了 24.2%。30 天死亡率没有显著变化，分别为 2019 年的 4.7%和 2020 年的 5.1%（p=0.30）。大流行期间每位患者的受伤人数更高，分别为 2019 年的 3.8 次和 2020 年的 4.1 次（p=0.02）。NISS 在大流行期间更高，分别为 2019 年的 6 和 2020 年的 8。
由于许多人认为瑞典在 2020 年春季应对 COVID-19 的措施过于宽松，导致创伤入院人数减少，这很可能是由于自愿遵守建议所致，与实施更严厉限制和封锁的许多国家相比，减少幅度并不明显。
