Impact of <scp>COVID</scp>‐19 social restrictions on trauma presentations in South Australia

Harris, Daniel; Ellis, Daniel Y; Gorman, David; Foo, Ngee; Haustead, Daniel

doi:10.1111/1742-6723.13680

Cited by 28 publications

(46 citation statements)

References 2 publications

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“…As expected, home‐related injuries formed the majority of plastic surgery emergency workload during the lockdown period at Peninsula Health. Similar findings have been reported in South Australia, where a 20% increase in injuries occurring at home was observed 21 . A surge in home‐related paediatric trauma have also been described in other centres during the pandemic 22 .…”

Section: Discussionsupporting

confidence: 85%

Effects of COVID‐19 lockdown measures on emergency plastic and reconstructive surgery presentations

Cordova

Savage

Ram

et al. 2021

ANZ Journal of Surgery

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Background In Australia, the COVID‐19 pandemic has caused severe social disruptions, including restrictions to the movement of people. Healthcare centres around the world have seen changes in the nature of injuries acquired during the COVID‐19 pandemic; we therefore hypothesize that social isolation measures have changed the pattern of plastic and reconstructive surgery presentations. Methods A prospective cohort study was designed comparing patient presentations during the enforced COVID‐19 lockdown to two previous periods. All emergency referrals requiring operative intervention by the plastic and reconstructive surgery unit of our institution were included. Patient demographics, place and mechanism of injury, drug and alcohol involvement, delays to presentation, length of admission and complication rates were collected. Results Demographics and complication rates were similar across all groups. A 31.8% reduction in total number of emergency cases was seen during the lockdown period. Increase in do‐it‐yourself injuries ( P = 0.001), bicycle injuries ( P = 0.001) and injuries acquired via substance abuse ( P = 0.041) was observed. Head and neck injuries, mostly due to animal bites and falls, were also more prevalent compared to the same period the previous year ( P = 0.007). As expected, over 80% of plastic surgery operations during the COVID‐19 period were due to injuries acquired at home, a significant increase compared to previous periods. Conclusion Despite changes in the pattern of presentations requiring plastic and reconstructive emergency surgery, traumatic injuries continued to occur during the pandemic. Thus, planning will be essential to ensure resource allocation for emergency procedures is sustained as second and third waves of COVID‐19 cases emerge worldwide.

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Section: Discussionsupporting

confidence: 85%

Effects of COVID‐19 lockdown measures on emergency plastic and reconstructive surgery presentations

Cordova

Savage

Ram

et al. 2021

ANZ Journal of Surgery

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“…In contrast Harris et al . reported a 33% reduction in major trauma presentations compared to 7‐week period prior to lockdown 21 . The differences in part may be explained by the fact these two studies are from different Australian states with varying public health restrictions and different endemic levels of COVID‐19.…”

Section: Discussionmentioning

confidence: 93%

“…Since the onset of public health interventions to control the COVID‐19 pandemic there have been many reports outlining the effect of these interventions on general surgical trauma admissions from around the world 1,6–21 . Various methodologies have been employed with commonly short periods of time used and a time period before the interventions used as a comparator.…”

Section: Discussionmentioning

confidence: 99%

Association between COVID‐19 public health interventions and major trauma presentation in the northern region of New Zealand

McGuinness

Harmston

2021

ANZ Journal of Surgery

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Background The New Zealand government implemented restrictive public health interventions to eradicate Covid‐19. Early reports suggest that one downstream ramification is a change in trauma presentations. The aim of this study is to evaluate the effect these public health measures had on major trauma admissions in the Northern Region, New Zealand. Methods A retrospective comparative cohort study was performed. Two cohorts were identified: 16 March to 8 June 2020 and the same period in 2019. Data was extracted from the New Zealand Major Trauma Registry which prospectively collects data on all major trauma in New Zealand. All patients who presented to a hospital in the Northern Region with major trauma and met the Registry inclusion criteria were included. Results There were 163 major trauma admissions in 2019 and 123 in 2020, a reduction of 25% (rate ratio 0.75, 95% confidence interval 0.6–0.95; P = 0.018). There was no significant difference in mechanism of injury ( P = 0.442), type of injury ( P = 0.062) or intent of injury ( P = 0.971). There was a significant difference in place of injury ( P = 0.004) with 20% of injuries happening at home in 2019 compared with 35% in 2020. Conclusion This study has shown that public health interventions to prevent the spread of COVID‐19 reduced major trauma admissions in the Northern Region of New Zealand. There was a variation in effect a between institutions within the region and a change in pattern of injury.

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“…For instance, the World Health Organization reported that more than half of the countries surveyed had partially or completely disrupted services for the treatment or clinical management of hypertension, diabetes and diabetes-related complications, cancer, and cardiovascular emergencies [ 18 ]. A similar situation exists in Australia, where there have been marked reductions in a wide range of health services, including breast and prostate cancer screenings [ 19 , 20 ], pediatric orthopedic hospital services [ 21 ], trauma care in Emergency Departments [ 22 , 23 ], and initiation of cardiopulmonary resuscitation by Emergency Medical Services in public areas [ 24 ]. It is important to note that our findings encompass only the initial disruption caused by the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 94%

Impact of the COVID-19 Pandemic on Manual Therapy Service Utilization within the Australian Private Healthcare Setting

et al. 2020

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The COVID-19 pandemic has impacted a wide range of health services. This study aimed to quantify the impact of the COVID-19 pandemic on manual therapy service utilization within the Australian private healthcare setting during the first half of 2020. Quarterly data regarding the number and total cost of services provided were extracted for each manual therapy profession (i.e., chiropractic, osteopathy, and physiotherapy) for the period January 2015 to June 2020 from the Australian Prudential Regulation Authority. Time series forecasting methods were used to estimate absolute and relative differences between the forecasted and observed values of service utilization. An estimated 1.3 million (13.2%) fewer manual therapy services, with a total cost of AUD 84 million, were provided within the Australian private healthcare setting during the first half of 2020. Reduction in service utilization was considerably larger in the second quarter (21.7%) than in the first quarter (5.7%), and was larger in physiotherapy (20.6%) and osteopathy (12.7%) than in chiropractic (5.2%). The impact varied across states and territories, with the largest reductions in service utilization observed in New South Wales (17.5%), Australian Capital Territory (16.3%), and Victoria (16.2%). The COVID-19 pandemic has had a profound impact on manual therapy service utilization in Australia. The magnitude of the decline in service utilization varied considerably across professions and locations. The long-term consequences of this decline in manual therapy utilization remain to be determined.

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Impact of COVID‐19 social restrictions on trauma presentations in South Australia

Cited by 28 publications

References 2 publications

Effects of COVID‐19 lockdown measures on emergency plastic and reconstructive surgery presentations

Effects of COVID‐19 lockdown measures on emergency plastic and reconstructive surgery presentations

Association between COVID‐19 public health interventions and major trauma presentation in the northern region of New Zealand

Impact of the COVID-19 Pandemic on Manual Therapy Service Utilization within the Australian Private Healthcare Setting

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