Lee Jason, Tayara Alia, Warren James D, Kuyeb Boris, McKee Elizabeth, Velazquez Alexander, Paul Oishika, Lewis Andrea F
Department of Otolaryngology - Head and Neck Surgery, University of Mississippi Medical Center, United States of America.
School of Medicine, University of Mississippi Medical Center, United States of America.
Am J Otolaryngol. 2024 Jan-Feb;45(1):104086. doi: 10.1016/j.amjoto.2023.104086. Epub 2023 Oct 4.
Our primary aim was to understand and describe the impact of COVID-19 on the incidence and etiology of facial trauma in the state of Mississippi.
Retrospective review of facial trauma-related Emergency Department encounters in Mississippi from March 11, 2019 to March 10, 2021, divided into three time periods using the state of Mississippi's Governor's Office Executive Orders. Chi-square tests and segmented linear regressions were used for analysis.
Patients presenting with facial trauma were typically male, 18-44 years old, and lived in urban zip codes. Insurance payors significantly differed across time periods. There were no significant differences in self-inflicted assault or accidental injury between the 3 time periods, with pre- and pandemic patients more likely to be self-pay while patients during recovery being more likely to have private insurance. During the pandemic, facial trauma from a family member, partner or spouse, or other person in the household significantly increased.
Similar accidental facial trauma trends may reflect lower adherence to social distancing guidelines. The increase in facial trauma perpetrated by family members is consistent with reported increases in domestic violence during the pandemic. While overall facial trauma demographic patterns did not change significantly during the COVID-19 pandemic, there were notable changes in the etiology and insurance payor of facial trauma cases.
The COVID-19 pandemic impacted healthcare systems worldwide, and our study seeks to understand how the pandemic affected incidence of facial trauma.
我们的主要目标是了解并描述新型冠状病毒肺炎（COVID-19）对密西西比州面部创伤的发病率和病因的影响。
回顾性分析2019年3月11日至2021年3月10日期间密西西比州急诊科与面部创伤相关的就诊情况，根据密西西比州州长办公室的行政命令将其分为三个时间段。采用卡方检验和分段线性回归进行分析。
出现面部创伤的患者通常为18 - 44岁的男性，居住在城市邮政编码区域。不同时间段的保险支付方有显著差异。三个时间段内自我伤害性攻击或意外伤害无显著差异，疫情前和疫情期间的患者更可能是自费，而恢复期的患者更可能拥有私人保险。在疫情期间，家庭成员、伴侣或配偶或家庭中的其他人员造成的面部创伤显著增加。
类似的意外面部创伤趋势可能反映出对社交距离指导方针的遵守程度较低。家庭成员造成的面部创伤增加与疫情期间报告的家庭暴力增加相一致。虽然在COVID-19大流行期间面部创伤的总体人口统计学模式没有显著变化，但面部创伤病例的病因和保险支付方有显著变化。
COVID-19大流行影响了全球医疗系统，我们的研究旨在了解该大流行如何影响面部创伤的发病率。
