Singh Veena, Haq Ansarul, Sharma Sarsij, Kumar Sanjeev, Kumar Aditya, Kumar Amarjeet, Kumar Neeraj, Kumar Anil
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Patna, India.
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Patna, India.
J Trauma Inj. 2022 Jun;35(2):108-114. doi: 10.20408/jti.2021.0015. Epub 2022 May 11.
The coronavirus disease 2019 (COVID-19) pandemic has had major effects worldwide, including sudden and forceful setbacks to the healthcare system. The COVID-19 pandemic has also led to changes in the plastic and reconstructive management of emergency cases, including those due to road traffic accidents. This study analyzed changes in patterns of plastic surgery emergencies and modifications in consultation policies to minimize the exposure of healthcare workers.
Data on plastic surgery emergency calls received from the trauma and emergency department were collected for a period of 2 months before and during lockdown. The data were then analyzed with respect to the cause, mechanism, and site of the injury, as well as other variables.
During lockdown, there was a 40.4% overall decrease in the plastic surgery emergency case volume (168 vs. 100). The average daily number of consultations before lockdown was 2.8 as compared to 1.6 during lockdown. Road traffic accidents remained the most common mechanism of injury in both groups (45.8% vs. 39.0%) but decreased in number during the lockdown (77 vs. 39). Household accidents, including burns, were the second most common cause of injury in both phases (7.7% vs. 20.0%), but their proportion increased significantly from 7.7.% to 20.0% in the lockdown phase (P=0.003). The percentage of minor procedures done in the emergency department increased from 53.5% to 72.0% during lockdown (P=0.002). Procedures in the operating room decreased by 73.1% during lockdown (67 vs. 18, P=0.001).
The COVID-19 pandemic and lockdown orders in India greatly influenced trends in traumatic emergencies as observed by the plastic surgery team at our tertiary care center. Amidst all the chaos and limitations of the pandemic period, providing safe and prompt care to the patients presenting to the emergency room was our foremost priority.
2019年冠状病毒病（COVID-19）大流行在全球产生了重大影响，包括对医疗系统造成突然且严重的挫折。COVID-19大流行还导致了急诊病例整形与重建治疗管理的变化，包括因道路交通事故导致的病例。本研究分析了整形手术急诊模式的变化以及会诊政策的调整，以尽量减少医护人员的暴露风险。
收集封锁前2个月及封锁期间从创伤和急诊科接到的整形手术急诊呼叫数据。然后对这些数据在损伤原因、机制、部位以及其他变量方面进行分析。
在封锁期间，整形手术急诊病例总量总体下降了40.4%（168例对100例）。封锁前平均每日会诊次数为2.8次，而封锁期间为1.6次。道路交通事故在两组中仍然是最常见的受伤机制（45.8%对39.0%），但在封锁期间数量减少（77例对39例）。家庭事故，包括烧伤，在两个阶段都是第二常见的受伤原因（7.7%对20.0%），但其比例在封锁阶段从7.7%显著增加到20.0%（P=0.003）。在急诊科进行的小手术百分比在封锁期间从53.5%增加到74.0%（P=0.002）。手术室手术在封锁期间减少了73.1%（67例对18例，P=0.001）。
印度的COVID-19大流行和封锁令极大地影响了我们三级医疗中心整形手术团队观察到的创伤急诊趋势。在大流行时期所有的混乱和限制中，为前往急诊室的患者提供安全及时的护理是我们的首要任务。
