Jang Myungjin, Lee Mina, Lee Giljae, Lee Jungnam, Choi Kangkook, Yu Byungchul
Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon 21556, Republic of Korea.
Department of Traumatology, Gachon University, Incheon 21565, Republic of Korea.
Healthcare (Basel). 2023 Apr 10;11(8):1074. doi: 10.3390/healthcare11081074.
The COVID-19 pandemic, starting in 2020, changed the daily activities of people in the world and it might also affect patterns of major trauma. This study aimed to compare the epidemiology and outcomes of trauma patients before and after the COVID-19 outbreak. This was a retrospective study, conducted in a single regional trauma center in Korea, and patients were grouped as pre- and post-COVID-19 and compared in terms of demographics, clinical characteristics, and clinical outcomes. A total of 4585 patients were included in the study and the mean age was 57.60 ± 18.55 and 59.06 ± 18.73 years in the pre- and post-COVID-19 groups, respectively. The rate of elderly patients (age ≥ 65) significantly increased in the post-COVID-19 group. In terms of injury patterns, self-harm was significantly increased after COVID-19 (2.6% vs. 3.5%, = 0.021). Mortality, hospital length of stay, 24 h, and transfusion volume were not significantly different. Among the major complications, acute kidney injury, surgical wound infection, pneumonia, and sepsis were significantly different between the groups. This study revealed changes in the age of patients, injury patterns and severity, and major complication rates after the COVID-19 outbreak.
始于2020年的新冠疫情改变了全球人们的日常活动，也可能影响重大创伤的模式。本研究旨在比较新冠疫情爆发前后创伤患者的流行病学特征和治疗结果。这是一项回顾性研究，在韩国的一个地区创伤中心进行，患者被分为新冠疫情前和疫情后两组，并在人口统计学、临床特征和临床结果方面进行比较。共有4585名患者纳入研究，新冠疫情前和疫情后两组的平均年龄分别为57.60±18.55岁和59.06±18.73岁。新冠疫情后组老年患者（年龄≥65岁）的比例显著增加。在损伤模式方面，新冠疫情后自残显著增加（2.6%对3.5%，P=0.021）。死亡率、住院时间、24小时和输血量无显著差异。在主要并发症方面，两组之间急性肾损伤、手术伤口感染、肺炎和败血症有显著差异。本研究揭示了新冠疫情爆发后患者年龄、损伤模式和严重程度以及主要并发症发生率的变化。
