Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study

Badach, Jeremy; Platoff, Rebecca; Rattigan, Deviney; Butts, Christopher A.; Shea, Lisa; Gaughan, John; Hunter, Krystal; Sifri, Ziad C.; Porter, John; Egodage, Tanya

doi:10.1016/j.jss.2022.11.049

Cited by 4 publications

(11 citation statements)

References 9 publications

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“…In summary, our study shows the reduced activities related to industry, and transportation of young people and the relatively increased daily activities of the elderly. The severity of trauma increased, which is consistent with previous studies in Korea and abroad [ 11 , 12 , 21 , 22 ]. This suggests that the number and characteristics of trauma patients did not change during the COVID-19 outbreak, but their severity increased, and that medical personnel working in trauma centers may have experienced increased workloads and physical and mental stress due to the COVID-19 outbreak, while treating a similar number of severe trauma patients as that before the COVID-19 outbreak.…”

Section: Discussionsupporting

confidence: 91%

Changes in Injury Pattern and Outcomes of Trauma Patients after COVID-19 Pandemic: A Retrospective Cohort Study

Jang

Lee

et al. 2023

Healthcare

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The COVID-19 pandemic, starting in 2020, changed the daily activities of people in the world and it might also affect patterns of major trauma. This study aimed to compare the epidemiology and outcomes of trauma patients before and after the COVID-19 outbreak. This was a retrospective study, conducted in a single regional trauma center in Korea, and patients were grouped as pre- and post-COVID-19 and compared in terms of demographics, clinical characteristics, and clinical outcomes. A total of 4585 patients were included in the study and the mean age was 57.60 ± 18.55 and 59.06 ± 18.73 years in the pre- and post-COVID-19 groups, respectively. The rate of elderly patients (age ≥ 65) significantly increased in the post-COVID-19 group. In terms of injury patterns, self-harm was significantly increased after COVID-19 (2.6% vs. 3.5%, p = 0.021). Mortality, hospital length of stay, 24 h, and transfusion volume were not significantly different. Among the major complications, acute kidney injury, surgical wound infection, pneumonia, and sepsis were significantly different between the groups. This study revealed changes in the age of patients, injury patterns and severity, and major complication rates after the COVID-19 outbreak.

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Section: Discussionsupporting

confidence: 91%

Changes in Injury Pattern and Outcomes of Trauma Patients after COVID-19 Pandemic: A Retrospective Cohort Study

Jang

Lee

et al. 2023

Healthcare

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“…According to the findings, there was generally a consistent or slight decrease in the ISS score in trauma patients during the pandemic, which was in tandem with hospital length of stay. Additionally, there was a reduced global need for ICU care during the pandemic, and the mean length of ICU stay was shorter ( 24 , 26 , 29 , 32 , 36 , 37 , 39 , 41 ). This could be attributed to the urgent demand for medical infrastructure for COVID-19 positive patients or a lower number of trauma admissions.…”

Section: Discussionmentioning

confidence: 99%

“…Falls from the ground level were frequently associated with the place of residence or nearby and recreational activities (44), while falls from height were associated with the workplace, various activities and self-harm. In the USA, the most common mechanism of injury, falls from the ground level (44), showed a slight decrease, while falls from height remained almost unchanged (35.9 and 31.4% vs. 36.33 and 31.04%) (23,(26)(27)(28)(29)31,33,34,35,37,39,41). In Europe, decreases were observed only in falls from height (23 and 20.45% vs. 23 and 24.25%) (25,42), while in the Middle East, there was a decrease in falls on the ground level and a slight increase in falls from height (20.40 and 24.93% vs. 23.05 and 23.24%) (25,32,34,39).…”

Section: Injury Mechanisms and Their Impact On Presentationsmentioning

confidence: 99%

Effect of the COVID‑19 pandemic on the management and outcomes of patients with traumatic injuries (Review)

Boldea,

Caragea,

Nicolcescu

et al. 2023

Biomed Rep

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During the COVID-19 pandemic, ~10% of the global population was officially affected, resulting in diverse changes, ranging from shopping habits to stringent hospital protocols. This article sought to provide a concise summary of relevant data concerning the interplay between COVID-19 and trauma, encompassing the entire trajectory from presentation to hospital discharge. Throughout the pandemic, there was a noticeable reduction in trauma presentations, while the ranking of injury mechanisms remained largely unchanged. To ensure essential surgical support, protocols were adjusted accordingly. Although there were some less significant changes in injury severity score, hospital length of stay, intensive care unit stay and mortality, the overall patient outcomes appeared to improve. In conclusion, the COVID-19 pandemic led to a decline in trauma cases and an enhancement in patient outcomes. However, regrettably, certain mechanisms of injury saw an increase in frequency. To cope with the epidemiological context, management strategies were adapted, and unutilized resources were redirected to cater to the care of COVID-19 patients.

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“…What is important for the analysis of this study is a study conducted in one trauma center in Nottingham, United Kingdom (UK). Badach et al reported a trend toward elderly patients but without statistical significance in a multicenter study in New Jersey trauma centers [7]. An increase in mean age was observed in a study of major trauma admissions in four hospitals in Finland presented by Riuttanen et al [47].…”

Section: Median Agementioning

confidence: 95%

“…Previous studies reported a change in trauma epidemiology influenced by the imposed restrictions. A significant decrease in trauma admissions during the COVID-19 lockdown was found [5][6][7][8]. Differences in the most common injury mechanism and mean age were observed during COVID-19 compared to the same period in previous years [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness

Jojczuk,

Pawlikowski,

Kamiński

et al. 2023

Healthcare

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The COVID-19 pandemic demanded changes in healthcare systems worldwide. The lockdown brought about difficulties in healthcare access. However, trauma still required further attention considering its modifications. The presented study aims to investigate the variances in epidemiological patterns of trauma during the lockdown and the previous year, with a view to better understand the modifications in healthcare provision. The authors analyzed data from the first lockdown in 2020 (12 March–30 May) and the same period in 2019 from 35 hospitals in Lublin Province. A total of 10,806 patients in 2019 and 5212 patients in 2020 were included in the research. The uncovered changes adhered to the total admissions and mortality rate, the frequency of injuries in particular body regions, and injury mechanisms. The lockdown period resulted in a reduction in trauma, requiring an altered approach to healthcare provision. Our research indicates that the altered approach facilitated during such periods is essential for delivering tailored help to trauma patients.

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Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study

Cited by 4 publications

References 9 publications

Changes in Injury Pattern and Outcomes of Trauma Patients after COVID-19 Pandemic: A Retrospective Cohort Study

Changes in Injury Pattern and Outcomes of Trauma Patients after COVID-19 Pandemic: A Retrospective Cohort Study

Effect of the COVID‑19 pandemic on the management and outcomes of patients with traumatic injuries (Review)

Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness

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