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2019冠状病毒病大流行对创伤患者管理及预后的影响(综述)

Effect of the COVID‑19 pandemic on the management and outcomes of patients with traumatic injuries (Review).

作者信息

Boldea Gheorghe-Jean, Caragea Daniel Cosmin, Nicolcescu Pantelie, Pădureanu Vlad, Rădulescu Dumitru, Boldea Ana Maria, Georgescu Ion, Georgescu Eugen Florin

机构信息

UMF Craiova Doctoral School, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania.

Department of Nephrology, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania.

出版信息

Biomed Rep. 2023 Sep 5;19(4):76. doi: 10.3892/br.2023.1658. eCollection 2023 Oct.

DOI:10.3892/br.2023.1658
PMID:37746590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10511947/
Abstract

During the COVID-19 pandemic, ~10% of the global population was officially affected, resulting in diverse changes, ranging from shopping habits to stringent hospital protocols. This article sought to provide a concise summary of relevant data concerning the interplay between COVID-19 and trauma, encompassing the entire trajectory from presentation to hospital discharge. Throughout the pandemic, there was a noticeable reduction in trauma presentations, while the ranking of injury mechanisms remained largely unchanged. To ensure essential surgical support, protocols were adjusted accordingly. Although there were some less significant changes in injury severity score, hospital length of stay, intensive care unit stay and mortality, the overall patient outcomes appeared to improve. In conclusion, the COVID-19 pandemic led to a decline in trauma cases and an enhancement in patient outcomes. However, regrettably, certain mechanisms of injury saw an increase in frequency. To cope with the epidemiological context, management strategies were adapted, and unutilized resources were redirected to cater to the care of COVID-19 patients.

摘要

在新冠疫情期间,全球约10%的人口受到官方确认的影响,引发了从购物习惯到医院严格规程等多方面的变化。本文旨在简要总结新冠病毒与创伤之间相互作用的相关数据,涵盖从就诊到出院的整个过程。在整个疫情期间,创伤就诊人数显著减少,而损伤机制的排名基本保持不变。为确保基本的外科支持,相应地调整了规程。虽然损伤严重程度评分、住院时间、重症监护病房停留时间和死亡率有一些不太显著的变化,但总体患者预后似乎有所改善。总之,新冠疫情导致创伤病例减少,患者预后得到改善。然而,遗憾的是,某些损伤机制的发生频率有所增加。为应对疫情背景,调整了管理策略,并将未使用的资源重新分配以照顾新冠患者。

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