Planning for the Next Pandemic: Trauma Injuries Require Pre-COVID-19 Levels of High-Intensity Resources.
Planning for the Next Pandemic: Trauma Injuries Require Pre-COVID-19 Levels of High-Intensity Resources.
复制标题
规划下一次大流行：创伤需要 COVID-19 之前水平的高强度资源。
DOI：
10.1177/00031348221087414
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Kaafara
中科院分区：
文献类型：
--
作者：
Mokhtari,AvaK;Maurer,LydiaR;Wong,YeeM;Hardman,Claire;Hafiz,Shabnam;Sharrah,Mark;Soe-Lin,Hahn;Peralta,Rafael;Parks,JonathanJ;Rattan,Rishi;Butler,Caroline;Hwabejire,JohnO;Fawley,Jason;Fagenholz,PeterJ;King,DavidR;Kaafara
随着医院系统医疗保健利用计划的激增和压力，了解创伤系统的必要资源对于规划能力至关重要。我们的目的是描述在 COVID-19 大流行的最初几个月中创伤护理的高强度资源利用（手术室 [OR] 使用和重症监护病房 [ICU] 入院）的趋势。创伤登记数据（2019 年 COVID-19 之前和 2020 年 COVID-19）是从 4 个一级创伤中心回顾性收集的。急诊科 (ED) 直接处置 OR 或 ICU 被用作高强度资源利用的代表。没有观察到直接 ED 转入 ICU 或 ED 转入手术室的发生率发生变化（分别为 2019 年：24%，2020 年 23%；P = 0.62；2019 年：11%，2020 年 10%；P = 0.71）。这些结果表明，在国家突发卫生事件期间，即使创伤程度似乎有所下降，也需要继续进入 ICU 空间和手术室治疗创伤性损伤。
As hospital systems plan for health care utilization surges and stress, understanding the necessary resources of a trauma system is essential for planning capacity. We aimed to describe trends in high-intensity resource utilization (operating room [OR] usage and intensive care unit [ICU] admissions) for trauma care during the initial months of the COVID-19 pandemic. Trauma registry data (2019 pre-COVID-19 and 2020 COVID-19) were collected retrospectively from 4 level I trauma centers. Direct emergency department (ED) disposition to the OR or ICU was used as a proxy for high-intensity resource utilization. No change in the incidence of direct ED to ICU or ED to OR utilization was observed (2019: 24%, 2020 23%; P = .62 and 2019: 11%, 2020 10%; P = .71, respectively). These results suggest the need for continued access to ICU space and OR theaters for traumatic injury during national health emergencies, even when levels of trauma appear to be decreasing.