Community quarantine strategy against coronavirus disease 2019 in Anhui: An evaluation based on trauma center patients

Zhu, Wen; Li, Xinyuan; Wu, Yubao; Xu, Chang‐Qing; Li, Li; Yang, Jiazhao; Fang, Shiyuan

doi:10.1016/j.ijid.2020.04.016

Cited by 33 publications

(40 citation statements)

References 15 publications

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“…School closures have also increased the number of children with more unstructured time at home. However, our analysis did not reveal any difference in the number of school-aged children (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) years old) presenting with traumatic injuries to the ED as a consequence of SAH.…”

Section: A C C E P T E Dcontrasting

confidence: 63%

“…In a retrospective analysis of all trauma patients seen at 2 regional trauma centers, the authors noted a slight but insignificant decrease in injuries occurring outdoors, while the number of injuries occurring at home remained unchanged. 7 Another study from the same region examines changes to the mechanism of traumatic injuries. Comparing data from a 4-week period during the height of the pandemic to the same period over the past 5 years, authors note a significant decrease in traumatic traffic injuries and falls.…”

Section: A C C E P T E Dmentioning

confidence: 99%

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Evaluating the Effects of COVID-19 on Plastic Surgery Emergencies

et al. 2020

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Background The COVID-19 crisis has brought many unique challenges to the healthcare system. Across the United States, social distancing measures have been put in place, including stay-at-home orders (SAH), to combat the spread of this infection. This has impacted the type and volume of traumatic injuries sustained during this time. Meanwhile, steps have been taken in our healthcare system to assure that adequate resources are available to maintain a high standard of patient care while recognizing the importance of protecting healthcare providers. Using comparative data, we aim to describe the trends in traumatic injuries managed by our Plastic Surgery service and detail the changes in consultation policies made to minimize provider exposure. Methods A retrospective chart review was performed of all plastic surgery emergencies at our institution during the 3 weeks preceding the issuance of SAH orders in Chicago and the 3 weeks following. The electronic medical record was queried for patient age, type and mechanism of injury, location where injury was sustained, presence of domestic violence, length of inpatient hospital stays and treatment rendered. The two 3-week periods were then comparatively analyzed to determine differences and trends in these variables. and treatment rendered. The two periods were then comparatively analyzed to determine differences and trends in these variables. Results There was a significant decrease in trauma consults since issuance of SAH (88 pre-SAH vs 62 post-SAH) with a marked decrease in trauma related hand injuries. There was an increase in the percentage of assault-related injuries including those associated with domestic violence, while

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Section: A C C E P T E Dcontrasting

confidence: 63%

Section: A C C E P T E Dmentioning

confidence: 99%

Evaluating the Effects of COVID-19 on Plastic Surgery Emergencies

et al. 2020

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“…8 In Ainhui, China, there was a significant decrease in traffic and outdoor injuries during early stages of community lockdown, and multiple linear regression analysis demonstrated significant correlation between the number of COVID-19 cases and traffic and outdoor injuries. 9 In Barcelona, Spain, Hunez et al reported approximately one-fourth the number of usual emergency trauma visits in the first 20 days of Spain's State of Emergency. 10 Kamine et al also reported a 57.4% decrease in trauma admissions, with an 80.5% decrease in motor vehicle collisions during the lockdown period February-April 2020 in Portsmouth, USA.…”

Section: Discussionmentioning

confidence: 99%

Impact of societal restrictions and lockdown on trauma admissions during the COVID‐19 pandemic: a single‐centre cross‐sectional observational study

Jacob

Mwagiru

Thakur

et al. 2020

ANZ Journal of Surgery

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Background: Societal restrictions and lockdown during the coronavirus (COVID-19) pandemic have had a significant impact on the volume and nature of trauma admissions. We assessed the impact of COVID-19 related societal restrictions and lockdown on trauma admissions to single level 1 trauma centre in Westmead, Australia. We hypothesized that the number of trauma admissions would decrease and number of admissions due to selfharm and assault (specifically domestic violence) would increase. Methods: Data was collected from the prospectively maintained Westmead Hospital Trauma Registry. The primary outcome compared was the average number of trauma admissions during March and April during years 2016 to 2020. Analysis of variance was used to analyse means. Pairwise differences among group means were evaluated with Tukey's honestly significant difference test. Secondary outcomes compared were in-hospital interventions and patient outcomes. Results: There was a 23-34% decrease (P = 0.018) in the mean monthly average trauma admissions during March/April 2020 compared with previous years 2016-2019. In addition, there was a 40-52% decrease (P = 0.025) and 13-29% decrease (P = 0.020) in admissions due to road traffic collisions and falls respectively. Conclusion: There was a significant decrease in the overall number of trauma-related admissions during the COVID-19-related period of societal restrictions and lockdown. This was due to a decrease in minor traumas, falls and road traffic collisions. There was no difference in the number of admissions secondary to major traumas, self-harm or assault.

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“…While several hospitals found a decreasing trend in general trauma admissions from February to April 2020, none of these studies thoroughly evaluated the effects on emergent operative cases or changes in mechanisms of injury. 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18…”

Section: Discussionmentioning

confidence: 99%

The Effects of Lockdown During the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic on Neurotrauma-Related Hospital Admissions

et al. 2021

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Background The response to the global severe acute respiratory syndrome coronavirus 2 pandemic culminated in mandatory isolation throughout the world, with nationwide confinement orders issued to decrease viral spread. These drastic measures were successful in “flattening the curve” and maintaining the previous rate of coronavirus disease 2019 infections and deaths. To date, the effects of the coronavirus disease 2019 pandemic on neurotrauma has not been reported. Methods We retrospectively analyzed hospital admissions from Ryder Trauma Center at Jackson Memorial Hospital, during the months of March and April from 2016 to 2020. Specifically, we identified all patients who had cranial neurotrauma consisting of traumatic brain injury and/or skull fractures, as well as spinal neurotrauma consisting of vertebral fractures and/or spinal cord injury. We then performed chart review to determine mechanism of injury and if emergent surgical intervention was required. Results Compared with previous years, we saw a significant decline in the number of neurotraumas during the pandemic, with a 62% decline after the lockdown began. The number of emergent neurotrauma surgical cases also significantly decreased by 84% in the month of April. Interestingly, although the number of vehicular traumas decreased by 77%, there was a significant 100% increase in the number of gunshot wounds. Conclusions Population seclusion had a direct effect on the frequency of neurotrauma, whereas the change in relative proportion of certain mechanisms may be associated with the psychosocial effects of social distancing and quarantine.

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Community quarantine strategy against coronavirus disease 2019 in Anhui: An evaluation based on trauma center patients

Cited by 33 publications

References 15 publications

Evaluating the Effects of COVID-19 on Plastic Surgery Emergencies

Evaluating the Effects of COVID-19 on Plastic Surgery Emergencies

Impact of societal restrictions and lockdown on trauma admissions during the COVID‐19 pandemic: a single‐centre cross‐sectional observational study

The Effects of Lockdown During the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic on Neurotrauma-Related Hospital Admissions

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