The Effects of the COVID-19 Pandemic on Trauma Presentations in a Level One Trauma Center

Devarakonda, Aditya K.; Wehrle, Chase J.; Chibane, Fairouz L.; Drevets, Peter; Fox, Elizabeth D.; Lawson, Andrew

doi:10.1177/0003134820973715

Cited by 27 publications

(52 citation statements)

References 12 publications

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“…Despite the designation of the SEMC, ED LOS increased in patients with AMI and stroke, probably due to the rapid increase in the number of COVID-19 confirmed patients with severe illness leading to a shortage of ICU beds. The mortality rates of emergency patients with clinically important diagnoses increased during the COVID-19 pandemic 19 20 21 22 and the length of hospital stay for patients with the diseases increased 23 24 25 26 in several countries with no relevant health policies. The in-hospital mortality rates of AMI and severe trauma, which increased during the early phase of COVID-19 outbreak, could be reduced by implementing the emergency care-related health policies.…”

Section: Discussionmentioning

confidence: 99%

Effects of Emergency Care-related Health Policies during the COVID-19 Pandemic in Korea: a Quasi-Experimental Study

Pak

Kim

et al. 2021

J Korean Med Sci

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Background The purpose of this study was to review the nationwide emergency care-related health policies during the coronavirus disease 2019 (COVID-19) pandemic disaster in Korea and to analyze the effects of the policies on the safety of patients who visit emergency departments (EDs) during this period. Methods This study is a quasi-experiment study. The study population was patients who visited all 402 EDs in Korea between December 31, 2019 and May 13, 2020, using the National Emergency Department Information System (NEDIS) database. The study period was classified into 5 phases according to the level of national crisis warning of infectious disease and the implementation of emergency care-related health policies, and all study phases were 27 days. The primary outcome was in-hospital mortality, and the secondary outcome was length of stay (LOS) in the ED during the COVID-19 outbreak. Results The number of ED visits during the study period was 2,636,341, and the in-hospital mortality rate was 1.4%. The number of ED visits decreased from 803,160 in phase 1 to 496,619 in phase 5 during the study period. For in-hospital mortality, the adjusted odds ratio (OR) (95% confidence interval) was 0.77 (0.74–0.79) in phase 5 compared to phase 3. Additionally, by subgroup, the ORs were 0.69 (0.57–0.83) for the patients with acute myocardial infarction and 0.76 (0.67–0.87) for severe trauma in phase 5 compared to phase 3. The ED LOS increased while the number of ED visits decreased as the COVID-19 pandemic progressed, and the ED LOS declined after policy implementation (beta coefficient: −5.3 [−6.5 to −4.2] minutes in phase 5 compared to phase 3). Conclusion Implementing appropriate emergency care policies in the COVID-19 pandemic would have contributed to improving the safety of all emergency patients and reducing in-hospital mortality by preventing excessive deaths.

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Section: Discussionmentioning

confidence: 99%

Effects of Emergency Care-related Health Policies during the COVID-19 Pandemic in Korea: a Quasi-Experimental Study

Pak

Kim

et al. 2021

J Korean Med Sci

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“…frequent hand washing or using an alcohol-based rub frequently, social distancing, staying self-isolated at home, avoiding crowded places, adhering to respiratory etiquette, and not touching eyes, nose, or mouth and face with unwashed hands have been implemented to limit the transmission. [3][4][5][6][7]…”

Section: Behavioral Changementioning

confidence: 99%

“…The reorganization of the hospital system to limit the risk of exposure to the disease in patients as well as the attending staff, while retaining enough resources for managing both COVID and non-COVID patients was a daunting task. [7][8][9] The significant restructuring is called for to maximize the number of beds available for the overwhelming number of patients needing hospital admission. Furthermore, COVID-19 essentially swapped the demands with relatively higher pressure on medical and critical care specialties compared to surgical disciplines.…”

Section: Health Carementioning

confidence: 99%

“…The aim is to preserve emergency medical or surgical services with stringent control measures to check the disease transmission amongst healthcare workers. [1][2][3][4][5][6][7][8][9][10] All elective surgeries are being canceled and other disciplines are necessitated to curtail routine admissions. Surgical emergencies, oncologic surgeries, and vital organ transplantations were continued unabated.…”

Section: Health Carementioning

confidence: 99%

“…People tend to recognize hospitals as a major potential source of the virus, and as such, almost all hospital services, including emergency department traffic, experienced a significant decline. [5][6][7] Private-public partnerships are being ratified to enhance the preparedness capacity. Community centres, recreational establishments, hotels and lodges are being upgraded such that they may be easily converted into screening centers or community isolation facilities.…”

Section: Health Carementioning

confidence: 99%

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COVID-19 pandemic: Continuum of adjustments and reorganizations justified

Baba¹,

Nissar²,

Kulkarni³

et al. 2021

JSAS

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The year 2020 came with one of the biggest challenges of the century to mankind in the form of the COVID-19 Pandemic. Reorganization of the institutional facilities with the reallocation of resources and continuous reshuffles in the manpower became the need of the hour to cater to the onslaught of the pandemic. We at the SKIMS are proud of having handled the pandemic very efficiently on scientific lines. The biggest challenge was to handle the load of COVID-19 patients and simultaneously prevent its spread in the hospital and ensure that non-COVID patients don't suffer. COVID-19 has changed a lot of things in the recent past. It has affected not only the social aspect of our lives but has put a lot of burden with changes on our day-to-day work culture and pattern. Reorganization of the hospital infrastructure with adjustments on the demand of the situation is vital for combating the overwhelming number. Most of the hospitals have stopped elective admissions and are catering to only emergencies and semi-emergencies, including malignancies. So, the patients who have disorders or deformities who can wait have been put on abeyance. Hospital staff is also hugely burdened. On one hand, they have to cater to their own duties plus the duties of those who turned positive. They are most vulnerable to infection and run a high risk of developing psychological symptoms. There has been a change in the pattern of the emergencies. There have been more cases of domestic trauma as well as agricultural trauma with a fall in road traffic accidents.

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The impact of COVID‐19 pandemic on pediatric traumatic injury and demographic presentations to a university emergency department

Arikan,

Oktay

2024

Hong Kong j. emerg. med.

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IntroductionThe objective of this study is to investigate how lifestyle changes affect the emergency department (ED) presentations of pediatric patients with acute traumatic injuries during the COVID‐19 pandemic.MethodsThis retrospective cohort study was conducted in the ED of Akdeniz University Hospital. We analyzed the medical records of pediatric patients who presented to our ED with acute traumatic injury during the 52‐week period after March 16, 2020, which marks the official date when in‐person education was suspended in Turkey due to COVID‐19. These records were compared with those from the 52‐week period prior to March 16, 2020 (pre‐COVID). Patients with nontraumatic presentations or follow‐up visits (e.g., dressing, suture removal, injection, etc.) were excluded from the study. The data was obtained through the Hospital Information System.ResultsThe total number of ED pediatric trauma visits declined by 46%. The overall presentation rates of patients between the ages of 1 and 4 years, home injuries, falls, burns, hospitalizations, and costs per patient increased during COVID‐19. In contrast, the rate of motor vehicle accidents, sports injuries, and injuries that occurred at schools and playgrounds decreased.ConclusionsIt should be expected that the decrease in the number of acute trauma presentations due to the implementation of distance education and lockdown restrictions will increase after the pandemic. As a result, it is necessary to pay attention to the safety of children in streets, playgrounds, and schools as the pandemic ends, as much as it will continue to be important to create safe environments for children at home. In order to reduce mortality and morbidity due to pediatric traumatic injuries, all authorized people, including the relevant ministries, should take precautions to protect children from injuries, and pediatric trauma should be addressed as a preventable public health problem.

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The Effects of the COVID-19 Pandemic on Trauma Presentations in a Level One Trauma Center

Cited by 27 publications

References 12 publications

Effects of Emergency Care-related Health Policies during the COVID-19 Pandemic in Korea: a Quasi-Experimental Study

Effects of Emergency Care-related Health Policies during the COVID-19 Pandemic in Korea: a Quasi-Experimental Study

COVID-19 pandemic: Continuum of adjustments and reorganizations justified

The impact of COVID‐19 pandemic on pediatric traumatic injury and demographic presentations to a university emergency department

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