Impacts of Social Distancing During the COVID-19 Outbreaks in Korea: Level 1 Trauma Center Data of Domestic Incidents and Intentional Injury

Chang, Young Soo; Kim, Kyoung Min; Kim, Hyo Joung; Kim, Dong Hun; Kim, Jeonsang; Noh, Dongsub; Sung, Dae; Yun, Jeongseok; Yun, Jung-Ho; Lee, Seok Won; Choi, Seok Ho; Heo, Yoonjung; Chang, Sung Wook

doi:10.24171/j.phrp.2020.11.6.02

Cited by 16 publications

(20 citation statements)

References 27 publications

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“…Interestingly enough, there was an increase of 1.8% in people in- volved in penetrating trauma cases, who started taking antidepressant medications after the outbreak. This observation along with accompanied rise in domestic violence cases during the pandemic [4] , could possibly explain violence-induced traumatic injuries we have seen in our department. Among additional factors that might show etiological relationship, with the escalation of penetrating trauma and criminal assaults-related injuries, is the outlaw nature of people with past criminal records, who continue their illegal activities, taking advantage of allocation of the police forces to every day's checks for adaptation of restriction measures [5] .…”

mentioning

confidence: 61%

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

Sotiropoulou

Vailas

Kapiris

2022

Injury

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mentioning

confidence: 61%

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

Sotiropoulou

Vailas

Kapiris

2022

Injury

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“…Similar studies have found increased self‐harm and violence during COVID‐related lockdowns in France, Ireland, Korea, and the United Kingdom. 8 , 22 , 23 , 25 Long‐term consequences of societal restrictions and isolation may be prevalent.…”

Section: Discussionmentioning

confidence: 99%

Effect of the COVID‐19 pandemic at a major Danish trauma center in 2020 compared with 2018–2019: A retrospective cohort study

Trier

Fjølner

Raaber

et al. 2021

Acta Anaesthesiol Scand

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Background The COVID‐19 pandemic demanded changes in societal behavior and health care worldwide. Previous studies have compared trauma patient admissions in COVID‐19‐related lockdowns to prior years. This study describes the COVID‐19 impact on trauma patient admissions during entire 2020 at a major trauma center in Denmark. Methods We retrospectively analyzed trauma patients received by a trauma team and admitted at Aarhus University Hospital in 2020 compared with 2018–2019. The incidence of injuries, mechanism of injury, 30‐day mortality, and Injury Severity Score (ISS) were investigated. Results The incidence of minor injuries (ISS 1–15) increased by 24% in 2020 compared with 2018–2019 (incidence rate ratio 1.24 [95% CI: 1.11–1.39]). The incidence of severe injuries (ISS >15) in 2020 did not change compared with 2018–2019 (incidence rate ratio 0.97 [95% CI: 0.80–1.17]). The 30‐day mortality was similar in 2020 compared with 2018–2019. Comparing 2020 with 2018–2019, the risk ratio of traffic injuries decreased (0.90 [95% CI: 0.82–0.99]), risk ratio for fall injuries was 1.13 (95% CI: 0.97–1.30), for violence 1.13 (95% CI: 0.51–2.50), and for self‐harm 1.94 (95% CI: 0.95–3.94). During the first lockdown of 2020, trauma team activations declined from 49.5 to 42 and the risk ratio for traffic injuries was 0.74 (95% CI: 0.50–1.10) compared with the same period in 2018–2019. Conclusion The incidence of minor injuries increased, but the incidence of severe injuries was similar in 2020 compared with 2018–2019. Societal restrictions might alter the mechanism of injuries. The first lockdown indicated an association with reduced traffic injuries.

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“…supports our data demonstrating an increase in trauma severity. [ 10 23 ] Despite increased trauma severity, the LOS, ICU LOS, and mortality were not significantly differ between the study periods. We hypothesize that the moral and system pressure to have free space in the wards, just in case the pandemic situation escalates, forced the entire hospital system to function more quickly and more efficiently.…”

Section: Discussionmentioning

confidence: 98%

Impact of the COVID-19 lockdown on trauma team activations in a single major Lithuanian trauma center

Aukštakalnis

Blaziene

Cėpla

et al. 2022

International Journal of Critical Illness and Injury Science

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Background: As a result of the coronavirus disease 2019 (COVID-19) pandemic and national quarantine, different levels of social and movement restrictions, and stay-at-home requests, trauma trends have changed. The aim of the present study was to determine the impact of lockdown on patients treated by the trauma team (TT) at a single major Lithuanian trauma center during the COVID-19 pandemic. Methods: This is a retrospective, descriptive study of adult (≥18 years old) trauma patients (for whom the TT was activated). Consequently, we analyzed the national lockdown periods from 16 March to 15 May 2020 and from 16 December 2020 to 28 February 2021, compared with the corresponding period of the previous year. Results: There was a 10% reduction in TT activations during the national lockdown period. No significant differences were noted in patient demographics. In the COVID-19 cohort, patients had higher Injury Severity Score (14 [IQR 6−21] vs. 9 [IQR 3−18], P = 0.025) and longer time to computed tomography scan (33 [IQR 25−43] vs. 23 [IQR 20−31] min, P < 0.001). Moreover, in the COVID-19 cohort, three times more patients were transferred from the emergency department (ED) straight to the operating room ( n = 12 [19%] vs. n = 4 [5.7%], P = 0.018, Cramer's V = 0.21). Conclusion: Patients were more severely injured, and more patients required emergent surgery during the lockdown. In addition, it took longer to transfer patients to the ED and to perform a computed tomography scan.

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Impacts of Social Distancing During the COVID-19 Outbreaks in Korea: Level 1 Trauma Center Data of Domestic Incidents and Intentional Injury

Cited by 16 publications

References 27 publications

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

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

Effect of the COVID‐19 pandemic at a major Danish trauma center in 2020 compared with 2018–2019: A retrospective cohort study

Impact of the COVID-19 lockdown on trauma team activations in a single major Lithuanian trauma center

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