Division of Orthopaedic and Trauma Surgery, University Hospitals of Geneva, 4 Rue Gabrielle-Perret-Gentil, CH-1205, Geneva, Switzerland.
Division of Emergency Medicine, University Hospitals of Geneva, 4 Rue Gabrielle-Perret-Gentil, CH-1205, Geneva, Switzerland.
Eur J Med Res. 2023 Sep 8;28(1):325. doi: 10.1186/s40001-023-01313-1.
Pelvic ring injuries are potentially lethal lesions associated with polytrauma patients and need an efficient trauma team for their management. The purpose of this study was to evaluate the incidence of high-energy blunt pelvic ring injuries and the absolute number of polytrauma patients in a single level I trauma center during the 2020 pseudo-lockdown period related to the Coronavirus pandemic, and to compare it with corresponding periods in 2014-2019 in order to better understand the need of organized and dedicated personnel and infrastructures.
This retrospective cohort study was based on data prospectively recorded into the institutional Severely Injured Patients' Registry. Data were obtained for each year period (January 1st to December 31st) and corresponding pseudo-lockdown period (March 16th to June 19th). High-energy blunt pelvic ring injuries inclusion criteria were: (1) Registry entry between January 1st, 2014 and December 31st, 2020; (2) age ≥ 16 years old; and (3) pelvic ring injury presence. Corresponding exclusion criteria were: (1) death before admission; (2) transfer from another institution > 24 h after trauma; (3) penetrating, blast, burn and electrical injuries, drownings; (4) patients living outside the defined institution's catchment area; and (5) any document attesting the patient's will to not participate in any study. Polytrauma patients inclusion criteria were: (1) Registry entry between January 1st, 2014 and December 31st, 2020; (2) age ≥ 16 years old; and (3) Injury Severity Score ≥ 16. Corresponding exclusion criteria were: (1) death before admission; (2) transfer from another institution > 24 h after trauma; and (3) any document attesting the patient's will to not participate in any study. Categorical variables were reported using proportions and continuous variables using medians and interquartile ranges. Because data were exhaustive for the authors' level I trauma center, no inferential statistics were computed.
The incidence of high-energy blunt pelvic ring injuries and the absolute number of polytrauma patients remained within range of previous years despite pseudo-lockdown measures.
These observations bring better knowledge about pseudo-lockdown's impact on trauma and may help for future health strategy planning by pointing out the importance of maintaining the activity of level I trauma centers in terms of personnel and infrastructures.
骨盆环损伤是与多发伤患者相关的潜在致命性损伤，需要有高效的创伤团队来进行管理。本研究的目的是评估在与冠状病毒大流行相关的 2020 年伪封锁期间，在单一一级创伤中心高能钝性骨盆环损伤的发生率和多发伤患者的绝对数量，并将其与 2014-2019 年相应时期进行比较，以便更好地了解有组织的、专门的人员和基础设施的需求。
本回顾性队列研究基于前瞻性记录在机构严重创伤患者登记处的数据。每年（1 月 1 日至 12 月 31 日）和相应的伪封锁期（3 月 16 日至 6 月 19 日）都获得了数据。高能钝性骨盆环损伤的纳入标准为：（1）2014 年 1 月 1 日至 2020 年 12 月 31 日登记入院；（2）年龄≥16 岁；（3）存在骨盆环损伤。相应的排除标准为：（1）入院前死亡；（2）创伤后 24 小时以上从其他机构转来；（3）穿透伤、爆炸伤、烧伤和电击伤、溺水；（4）患者居住在定义的机构收容区之外；（5）任何证明患者不愿参加任何研究的文件。多发伤患者的纳入标准为：（1）2014 年 1 月 1 日至 2020 年 12 月 31 日登记入院；（2）年龄≥16 岁；（3）损伤严重程度评分≥16。相应的排除标准为：（1）入院前死亡；（2）创伤后 24 小时以上从其他机构转来；（3）任何证明患者不愿参加任何研究的文件。分类变量用比例表示，连续变量用中位数和四分位数间距表示。由于数据对作者的一级创伤中心来说是详尽的，因此没有进行推论统计。
尽管采取了伪封锁措施，但高能钝性骨盆环损伤的发生率和多发伤患者的绝对数量仍在往年范围内。
这些观察结果使我们更好地了解了封锁对创伤的影响，并可能通过指出在人员和基础设施方面维持一级创伤中心活动的重要性，为未来的卫生战略规划提供帮助。
