伴有 COVID-19 感染的创伤患者的表现、临床过程和并发症。
Presentation, clinical course and complications in trauma patients with concomitant COVID-19 infection.
机构信息
Grady Health System, Atlanta, GA, USA; Emory University School of Medicine, Atlanta, GA, USA; Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Grady Health System, Atlanta, GA, USA; Emory University School of Medicine, Atlanta, GA, USA.
出版信息
Am J Surg. 2022 Jul;224(1 Pt B):607-611. doi: 10.1016/j.amjsurg.2022.03.040. Epub 2022 Apr 4.
BACKGROUND
This study investigated the impact of COVID-19 infection on hospitalized trauma patients.
METHODS
A retrospective review of hospitalized trauma patients at a level I trauma center was performed from March-December 2020. Data pertaining to patient demographics, presentation and hospital course was compared between COVID positive and negative trauma patients.
RESULTS
There were 4,912 patients and 179 (3.64%) were COVID-19 positive. Demographics and clinical presentation did not differ significantly between those with and without concomitant COVID-19. However, COVID positive trauma patients had higher rates of acute kidney injury (p = 0.016), sepsis (p = 0.016), unplanned intubation (p = 0.002) and unplanned return to the ICU (p = 0.01). The COVID positive cohort also had longer hospital stays (p < 0.01) with no significant difference in mortality.
CONCLUSIONS
In the setting of an ongoing pandemic, awareness of the complications COVID positive trauma patients are predisposed to is important for providers.
背景
本研究调查了 COVID-19 感染对住院创伤患者的影响。
方法
对 2020 年 3 月至 12 月期间在一级创伤中心住院的创伤患者进行了回顾性研究。比较了 COVID 阳性和阴性创伤患者的患者人口统计学、表现和住院过程数据。
结果
共有 4912 名患者，其中 179 名（3.64%）COVID-19 阳性。具有和不具有合并 COVID-19 的患者在人口统计学和临床表现方面没有显著差异。然而，COVID 阳性创伤患者的急性肾损伤发生率更高（p=0.016）、脓毒症发生率更高（p=0.016）、计划性插管率更高（p=0.002）、计划性返回 ICU 率更高（p=0.01）。COVID 阳性组的住院时间也更长（p<0.01），但死亡率无显著差异。
结论
在持续大流行的背景下，了解 COVID 阳性创伤患者易患的并发症对于医务人员非常重要。
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