Chang Haifeng, Li Siyuan, Ke Xijie, Zhou Zhenyu, Zhang Lijun, Yang Baisong, Ji Bilei, Jiang Liming, Yang Yang, Huang Ting, Zhang Gengwei
Department of Emergency Medicine, Shenzhen Third People's Hospital, Second Hospital Affiliated to Southern University of Science and Technology, Shenzhen, China.
Shenzhen Key Laboratory of Pathogen and Immunity, National Clinical Research Center for Infectious Disease, State Key Discipline of Infectious Disease, Shenzhen Third People's Hospital, Second Hospital Affiliated to Southern University of Science and Technology, Shenzhen, China.
PLoS One. 2024 Dec 18;19(12):e0315416. doi: 10.1371/journal.pone.0315416. eCollection 2024.
The spread of COVID-19 has a huge impact on the medical system, affecting the normal order of routine patients, especially obvious effect on the Shenzhen Third People's Hospital as the designated hospital for COVID-19 patients. After the epidemic was loosened in early December 2022, the normal medical order gradually restored in China. How much was the impact on the admission and treatment of emergency trauma patients during and after the epidemic? This study aims to compare the differences between trauma patients admitted to the emergency department during and after the COVID-19 pandemic.
The study included all trauma patients admitted through the emergency department from January 2020 to March 2024. Clinical data were collected, and a retrospective comparative analysis was performed on the characteristics of the two groups of trauma patients during and after the pandemic, including gender, age, average length of hospital stay, proportions of admissions to various departments, proportions of severe cases, proportions of surgical patients, and mortality rates, using statistical methods for analysis. The proportion of male patients during the pandemic (69.98%) was higher than after the pandemic (67.01%). The proportion of patients under 60 years of age during the pandemic was higher than that after the pandemic. There was no significant difference in the average hospital stay between patients during and after the pandemic (P>0.05). Comparisons between the two groups in terms of admissions to departments such as otolaryngology, hepatobiliary surgery, hepatic surgery, orthopedics, urology, neurosurgery, gastroenterology surgery, thoracic surgery, ophthalmology and intensive care unit showed no significant differences (P>0.05). The proportion of surgical patients during the pandemic (75.09%) was higher than after the pandemic (69.53%). The mortality rate during the pandemic (0.13%) was lower than after the pandemic (2.45%).
The COVID-19 pandemic has impacted trauma patients admitted through the emergency department, with increases in the proportion of male and younger patients, surgical cases, and a decrease in mortality rates during the pandemic.
新型冠状病毒肺炎（COVID-19）的传播对医疗系统产生了巨大影响，影响了常规患者的正常就医秩序，对作为COVID-19患者定点医院的深圳市第三人民医院影响尤为明显。2022年12月初疫情防控政策放开后，我国正常医疗秩序逐渐恢复。疫情期间及之后，对急诊创伤患者的收治和治疗产生了多大影响？本研究旨在比较COVID-19大流行期间和之后急诊科收治的创伤患者之间的差异。
本研究纳入了2020年1月至2024年3月通过急诊科收治的所有创伤患者。收集临床资料，并对大流行期间和之后两组创伤患者的特征进行回顾性对比分析，包括性别、年龄、平均住院时间、各科室收治比例、重症比例、手术患者比例及死亡率，采用统计学方法进行分析。大流行期间男性患者比例（69.98%）高于大流行之后（67.01%）。大流行期间60岁以下患者比例高于大流行之后。大流行期间和之后患者的平均住院时间差异无统计学意义（P>0.05）。两组在耳鼻喉科、肝胆外科、肝脏外科、骨科、泌尿外科、神经外科、胃肠外科、胸外科、眼科和重症监护病房等科室的收治情况比较，差异无统计学意义（P>0.05）。大流行期间手术患者比例（75.09%）高于大流行之后（69.53%）。大流行期间死亡率（0.13%）低于大流行之后（2.45%）。
COVID-19大流行对通过急诊科收治的创伤患者产生了影响，表现为大流行期间男性和年轻患者比例增加、手术病例增加以及死亡率降低。
