The effect of lockdown on intentional and non-intentional injury during the COVID-19 pandemic in Cape Town, South Africa: A preliminary report
The effect of lockdown on intentional and non-intentional injury during the COVID-19 pandemic in Cape Town, South Africa: A preliminary report
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DOI：
10.7196/samj.2021v111i2.15318
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发表时间：
2021-02-01
影响因子：
2.2
通讯作者：
Gaudin, R.
中科院分区：
文献类型：
--
作者：
Navsaria, P. H.;Nicol, A. J.;Gaudin, R.
背景为应对冠状病毒大流行，南非实施了封锁限制和酒类销售禁令。调查封锁措施对访问三级城市创伤中心的患者数量的影响。调查期间为2020年2月1日至6月30日，分为三个时间段：封城前（2020年2月及3月）、严格封城（2020年4月及5月）及封城后（2020年6月）。询问电子HECTIS健康记录登记处每月就诊的患者总数。根据受伤机制（刺伤、枪击、钝器攻击和道路交通伤害）对这些伤害进行了进一步分类。穿透（刺伤和枪击）和钝性攻击受害者被集体归类为暴力创伤。在严格封锁期间，平均就诊患者总数减少了53%。在严格封锁阶段，枪伤患者的比例适度减少（15%），但在封锁后时期增加了80%。在封锁前、严格封锁和封锁后立即发生的道路交通碰撞中受伤的患者比例分别为16.4%、8.9%和11.1%。在道路交通碰撞中受伤的病人在严格封锁期间减少了74%，并在封锁后立即保持了32%的减少。到创伤科就诊的平均总人数在6月恢复到封锁前的水平。在严格封锁期间，到创伤科就诊的患者人数总体呈减少趋势;然而，这些人数在封锁后立即恢复到封锁前的水平。在封锁的所有三个阶段，道路交通伤入院人数仍然减少，而在封锁后期间，枪击受害者人数大幅增加。
Background. In response to the coronavirus pandemic, lockdown restrictions and a ban on alcohol sales were introduced in South Africa.Objectives. To investigate the impact of lockdown measures on the number of patients who visited a tertiary urban trauma centre.Methods. The period of investigation was from 1 February to 30 June 2020 and was segmented into three intervals: pre-lockdown (February and March 2020), hard lockdown (April and May 2020) and immediately post lockdown (June 2020). The electronic HECTIS health record registry was interrogated for the total number of patients that were seen per month. These were further categorised according to mechanism of injury (stab, gunshot, blunt assault and road traffic injuries). Penetrating (stab and gunshot) and blunt assault victims were collectively grouped as violent trauma.Results. The mean total number of patients seen decreased by 53% during the hard lockdown period. There was a moderate reduction (15%) in patients with gunshot injuries seen during the hard lockdown phase, but there was an 80% increase in the post-lockdown period. The proportion of patients injured in road traffic collisions pre lockdown, hard lockdown and immediate post lockdown was 16.4%, 8.9% and 11.1%, respectively. Patients injured in road traffic collisions decreased by 74% during the hard lockdown period and maintained a reduction of 32% during the immediate post-lockdown period. The mean total number of patients who visited the trauma unit returned to pre-lockdown levels in June.Conclusion. There was an overall trend of reduced number of patients who visited the trauma unit during the hard lockdown period; however, these numbers returned to pre-lockdown levels during the immediate post-lockdown period. The number of road traffic injury admissions remained reduced during all three phases of lockdown, while the number of gunshot victims increased substantially during the post-lockdown period.