Stanisce Luke, Fisher Alec H, Choi Bo Young, Newman Andrew, Wang Ju Lin, Koshkareva Yekaterina
Division of Otolaryngology-Head and Neck Surgery, Cooper University Health Care, Camden, NJ, USA.
Division of Plastic and Reconstructive Surgery, Cooper University Health Care, Camden, NJ, USA.
Craniomaxillofac Trauma Reconstr. 2022 Jun;15(2):132-138. doi: 10.1177/19433875211022574. Epub 2021 Jun 10.
Retrospective cohort analysis.
To examine the impact the COVID-19 pandemic and its accompanying societal measures had on the incidence, characteristics, and management of maxillofacial traumatic injuries.
This cohort analysis compared facial trauma injuries presenting to the highest-volume Level I Trauma Center in New Jersey, USA from January 1 to July 31 in 2020 and 2019. Differences in demographics, mechanisms, and interventions were compared between the pandemic period (March 16-July 31, 2020) and the equivalent pre-pandemic date period in 2019 using , Fishers Exact, and Mann-Whitney U testing.
In total, 616 subjects were included. The daily incidence of facial trauma consults during the 2020 pandemic (1.81 ± 1.1) decreased compared to 2019 (2.15 ± 1.3) ( 0.042). During the outbreak, there was an increase in the proportion of subjects with positive urine drug screens (21.5% vs. 12.2%; 0.011) and injuries related to domestic violence (10.2% vs. 4.5%; 0.023). Patients were 30% less likely to be transferred from local hospitals (RR, 0.70 [0.53-0.93]; = 0.014). Although subjects had a 25% increased risk of presenting with injuries deemed procedural (RR, 1.25 [95% CI, 1.05-1.56]; = 0.048), a greater proportion were discharged with operative procedures scheduled as outpatients (16.0% vs. 4.9%; 0.005).
The COVID-19 pandemic has impacted both the epidemiology and management of maxillofacial traumatic injuries, perhaps secondary to modifications in personal and community behaviors or the effects on healthcare systems in our region.
回顾性队列分析。
探讨2019冠状病毒病疫情及其相关社会措施对颌面创伤性损伤的发病率、特征及治疗的影响。
本队列分析比较了2020年1月1日至7月31日和2019年期间，美国新泽西州接诊量最大的一级创伤中心收治的面部创伤病例。采用卡方检验、Fisher精确检验和Mann-Whitney U检验，比较了疫情期间（2020年3月16日至7月31日）和2019年同期疫情前时间段的人口统计学、损伤机制和干预措施的差异。
共纳入616名受试者。2020年疫情期间面部创伤会诊的每日发病率（1.81±1.1）较2019年（2.15±1.3）有所下降（P=0.042）。疫情期间，尿毒品筛查阳性的受试者比例增加（21.5%对12.2%；P=0.011），与家庭暴力相关的损伤比例增加（10.2%对4.5%；P=0.023）。患者从当地医院转诊的可能性降低了30%（相对危险度，0.70[0.53-0.93]；P=0.014）。尽管受试者出现被认为是医源性损伤的风险增加了25%（相对危险度，1.25[95%可信区间，1.05-1.56]；P=0.048），但安排门诊手术的出院患者比例更高（16.0%对4.9%；P=0.005）。
2019冠状病毒病疫情影响了颌面创伤性损伤的流行病学和治疗，这可能是个人和社区行为改变或对本地区医疗系统影响的结果。
