Aukstakalnis Vytautas, Blaziene Kristina, Cepla Juozas, Vileitaite Greta, Stasaitis Kestutis, Vaitkaitis Dinas
Department of Emergency Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Department of Disaster Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Int J Crit Illn Inj Sci. 2022 Jan-Mar;12(1):17-21. doi: 10.4103/ijciis.ijciis_66_21. Epub 2022 Mar 24.
As a result of the coronavirus disease 2019 (COVID-19) pandemic and national quarantine, different levels of social and movement restrictions, and stay-at-home requests, trauma trends have changed. The aim of the present study was to determine the impact of lockdown on patients treated by the trauma team (TT) at a single major Lithuanian trauma center during the COVID-19 pandemic.
This is a retrospective, descriptive study of adult (≥18 years old) trauma patients (for whom the TT was activated). Consequently, we analyzed the national lockdown periods from 16 March to 15 May 2020 and from 16 December 2020 to 28 February 2021, compared with the corresponding period of the previous year.
There was a 10% reduction in TT activations during the national lockdown period. No significant differences were noted in patient demographics. In the COVID-19 cohort, patients had higher Injury Severity Score (14 [IQR 6-21] vs. 9 [IQR 3-18], = 0.025) and longer time to computed tomography scan (33 [IQR 25-43] vs. 23 [IQR 20-31] min, < 0.001). Moreover, in the COVID-19 cohort, three times more patients were transferred from the emergency department (ED) straight to the operating room ( = 12 [19%] vs. = 4 [5.7%], = 0.018, Cramer's = 0.21).
Patients were more severely injured, and more patients required emergent surgery during the lockdown. In addition, it took longer to transfer patients to the ED and to perform a computed tomography scan.
由于2019年冠状病毒病（COVID-19）大流行和国家检疫措施、不同程度的社会和行动限制以及居家要求，创伤趋势发生了变化。本研究的目的是确定在COVID-19大流行期间，封锁对立陶宛一家主要创伤中心的创伤团队（TT）所治疗患者的影响。
这是一项对成年（≥18岁）创伤患者（TT被启动治疗的患者）的回顾性描述性研究。因此，我们分析了2020年3月16日至5月15日以及2020年12月16日至2021年2月28日的全国封锁期，并与上一年的相应时期进行比较。
在全国封锁期间，TT启动治疗的次数减少了10%。患者人口统计学特征方面未发现显著差异。在COVID-19队列中，患者的损伤严重程度评分更高（14[四分位间距6-21]对9[四分位间距3-18]，P=0.025），且进行计算机断层扫描的时间更长（33[四分位间距25-43]对23[四分位间距20-31]分钟，P<0.001）。此外，在COVID-19队列中，从急诊科（ED）直接转入手术室的患者人数是原来的三倍（n=12[19%]对n=4[5.7%]，P=0.018，克莱默V=0.21）。
在封锁期间，患者受伤更严重，更多患者需要紧急手术。此外，将患者转运至ED以及进行计算机断层扫描所需的时间更长。
