COVID-19 and impact on trauma injuries. A Janus facing in opposite directions?

Sotiropoulou, Maria; Vailas, Michail; Kapiris, Stylianos

doi:10.1016/j.injury.2021.02.069

Cited by 3 publications

(3 citation statements)

References 7 publications

(7 reference statements)

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“…Similar to our reported observations, the authors experienced a significant decrease in trauma volume during the height of the COVID pandemic in 2020, but they saw a dramatic upsurge in penetrating trauma, often involving substance abuse and violent intent [1] . These changes are particularly striking given the generally much lower incidence of gunshot- and stab wounds seen at most European trauma centers as compared to the United States.…”

supporting

confidence: 88%

“…We enjoyed reading Drs. Sotiropoulou, Vailas, and Kapirisin's Letter to the Editor [1] in response to our article “The Influence of a Statewide “Stay-at-Home” Order on Trauma Volume and Patterns at a Level 1 Trauma Center in the United States” [2] and appreciated the opportunity to learn about their experience during the COVID pandemic at the Evangelismos General Hospital in Athens, Greece.…”

mentioning

confidence: 99%

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Response to “COVID-19 and impact on trauma injuries. A Janus facing in opposite directions?” by Drs. Sotiropoulou, Vailas, and Kapirisin, a Letter to the Editor regarding “The influence of a statewide stay-at-home order on trauma volume and patterns at a level 1 trauma center in the United States”

Leichtle¹,

Rodas²,

Procter³

et al. 2022

Injury

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supporting

confidence: 88%

mentioning

confidence: 99%

Response to “COVID-19 and impact on trauma injuries. A Janus facing in opposite directions?” by Drs. Sotiropoulou, Vailas, and Kapirisin, a Letter to the Editor regarding “The influence of a statewide stay-at-home order on trauma volume and patterns at a level 1 trauma center in the United States”

Leichtle¹,

Rodas²,

Procter³

et al. 2022

Injury

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“…While overall patient volumes declined in emergency departments (EDs) during the COVID-19 pandemic, incidences of stabbing trauma increased in both Europe (4,5) and the United States (6)(7)(8)(9). Although most stab injuries are not fatal, thoracoabdominal injuries often require surgery and are associated with postsurgical complications and hospital readmissions (10).…”

Section: Introductionmentioning

confidence: 99%

Routine laboratory parameters predict intensive care unit admission and hospitalization in patients suffering stab injuries

Maleitzke

Zhou²,

Zocholl³

et al. 2023

Front. Immunol.

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BackgroundKnife crime has increased considerably in recent years in Northern Europe. Affected patients often require immediate surgical care due to traumatic organ injury. Yet, little is known about clinically relevant routine laboratory parameters in stab injury patients and how these are associated with intensive care unit (ICU) admission, hospitalization and number of surgeries.MethodsWe retrospectively analyzed 258 stab injury cases between July 2015 and December 2021 at an urban Level I Trauma Center. Annual and seasonal incidences, injury site, injury mechanism, Injury Severity Score (ISS), and surgical management were evaluated. First, correlations between routine laboratory parameters for hematology, coagulation, and serum biochemistry (peak, and Δ (change from admission to peak within 3 days following admission)) and length of hospital stay, ICU stay, and number of surgeries were assessed using Spearman’s rank correlation coefficients. Second, multivariable Least Absolute Shrinkage and Selection Operator (LASSO) regression analyses were conducted to identify parameters predictive of clinical outcomes. Third, longitudinal developments of routine laboratory parameters were assessed during hospital admission.ResultsIn 2021, significantly more stab injuries were recorded compared with previous years and occurred less during winter compared with other seasons. Mean ISS was 8.3 ± 7.3, and ISS was positively correlated with length of hospital and ICU stay (r = 0.5–0.8, p < 0.001). Aspartate transaminase (AST) (Δ) (r = 0.690), peak C-reactive protein (CrP) (r = 0.573), and erythrocyte count (Δ) (r = 0.526) showed the strongest positive correlations for length of ICU stay for penetrating, thoracoabdominal, and organ injuries, respectively. No correlations were observed between routine laboratory parameters and number of surgeries. For patients with penetrating injuries, LASSO-selected predictors of ICU admission included ISS, pH and lactate at admission, and Δ values for activated partial thromboplastin time (aPTT), K+, and erythrocyte count. CrP levels on day 3 were significantly higher in patients with penetrating (p = 0.005), thoracoabdominal (p = 0.041), and organ injuries (p < 0.001) compared with those without.ConclusionOur data demonstrate an increase in stab injury cases in 2021 and an important link between changes in routine laboratory parameters and ICU admission and hospitalization. Monitoring ISS and changes in AST, CrP, erythrocyte count, pH, lactate, aPTT, and K+ may be useful to identify patients at risk and adjust surgical and ICU algorithms early on.

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Observed variation in the distribution of trauma following stay at home orders: Differences across facility type

Gascon

Sribnick

Kovach³

et al. 2022

Injury

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COVID-19 and impact on trauma injuries. A Janus facing in opposite directions?

Cited by 3 publications

References 7 publications

Routine laboratory parameters predict intensive care unit admission and hospitalization in patients suffering stab injuries

Observed variation in the distribution of trauma following stay at home orders: Differences across facility type

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