328: Pandemic Paradox: Patterns of Traumatic Injuries During COVID-19 Despite the Safe Haven of Home

Biswas, Saptarshi; Rhodes, Heather; Petersen, Kirklen

doi:10.1097/01.ccm.0000727200.78097.7d

Cited by 1 publication

(2 citation statements)

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“…Multiple studies examining trauma during COVID‐19 have reported a drop in the number of minor injuries and a reduction in MVAs. 40 , 41 , 42 , 43 , 44 , 45 Despite this, studies focusing on patients with more severe injuries have reported that severe injury mechanisms in the COVID‐19 era remain similar to pre‐COVID‐19 era; our study includes only mortality patients, a population who naturally had sustained more severe injuries and its findings are consistent with previously published studies focusing on severe trauma. 15 , 46 , 47 …”

Section: Discussionsupporting

confidence: 89%

“…39 Multiple studies examining trauma during COVID-19 have reported a drop in the number of minor injuries and a reduction in MVAs. [40][41][42][43][44][45] Despite this, studies focusing on patients with more severe injuries have reported that severe injury mechanisms in the COVID-19 era remain similar to pre-COVID-19 era; our study includes only mortality patients, a population who naturally had sustained more severe injuries and its findings are consistent with previously published studies focusing on severe trauma. 15,46,47 The arrival mode of patients to our center showed significant changes in the pandemic period, with a higher number being transported by EMS/HEMS and transferred from other facilities, and a lower number period.…”

Section: Matched Period Subgroup Analysissupporting

confidence: 87%

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Impact of COVID‐19 pandemic on trauma mortality patients: A retrospective observational study in an Iranian level 1 trauma center

Ayatizadeh,

Borazjani,

Fereidooni

et al. 2024

Health Science Reports

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Background and AimsThe COVID‐19 pandemic has reshaped the epidemiology of various clinical conditions, including trauma which is closely tied to social policies. This study examines and compares the characteristics of trauma mortality patients, and their initial prognostic trauma scores, in the pre‐pandemic and pandemic periods.MethodsWe conducted a retrospective observational study involving patients who passed away at a level 1 trauma center from July 23, 2018, to February 19, 2020 (prepandemic), and from February 20, 2020, to September 22, 2021 (pandemic). A subgroup analysis that matched 12 of the same months of the year in the two periods was also done. Patients who arrived deceased or passed away immediately upon arrival were excluded from data analysis. We collected and analyzed demographic and clinical data, employing the Abbreviated Injury Score (AIS), Injury Severity Score (ISS), Revised Trauma Score (RTS), and Trauma and ISS (TRISS) to compare initial prognoses.ResultsOur study encompassed 1128 patients, with 529 in the prepandemic group and 599 in the pandemic group. Demographic characteristics showed no significant differences in the number of patients in the two periods. Motor vehicle accidents remained the predominant injury mechanism in both periods. While the mean ISS increased insignificantly (22.80 vs. 22.91, p = 0.902), the mean RTS decreased (6.32 vs. 5.82), and TRISS increased (23.97% vs. 28.93%) during the pandemic (p < 0.05). Hospital length of stay decreased in the pandemic period (15.57 vs. 12.54 days, p < 0.05). Subgroup analysis revealed increased ISS, decreased RTS, and increased TRISS during the pandemic (p < 0.05).ConclusionIn conclusion, while overall demographics and injury mechanisms remained virtually unchanged, trauma patients during the pandemic displayed worse estimated clinical prognoses, particularly in physiological trauma scores. The heightened mortality rate was attributed to poorer clinical conditions of patients.

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