Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC.
Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC.
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DOI：
10.1136/tsaco-2020-000659
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发表时间：
2021
影响因子：
2
通讯作者：
Estroff J
中科院分区：
文献类型：
--
作者：
Chodos M;Sarani B;Sparks A;Bruns B;Gupta S;Michetti CP;Crane J;Hall E;Trankiem CT;Abouassaly C;Haut ER;Etchill E;Kovler ML;Williams M;Zeineddin A;Estroff J
COVID-19疫情对医疗系统及社会产生深远影响，并对全球创伤系统造成影响。这项研究评估了与2019年类似月份相比，大流行对华盛顿大都会地区的影响。使用2019年1月1日至2020年5月31日期间的创伤登记数据，对华盛顿地区的所有成人创伤中心进行了一项回顾性多中心研究。2020年3月1日至2020年5月31日定义为COVID-19，2019年1月1日至2020年2月28日定义为COVID-19前。检查的变量包括创伤接触次数、创伤入院、损伤机制、损伤严重程度评分、创伤中心位置（城市与郊区）和患者人口统计学。2019冠状病毒病期间创伤的总体发生率下降了22. 4%，而2019冠状病毒病前创伤的发生率增加了3. 4%。在COVID-19期间，损伤的钝性机制显着减少（77.4%比84.9%，p<0.001）。站立跌倒、钝器攻击和机动车碰撞的具体机制没有变化。在COVID-19期间，穿透性创伤的创伤评估比例显著增加（22.6% vs. 15.1%，p<0.001）。在COVID-19期间，火器相关和刺伤机制均显著增加（分别为11.8%和6.8%，p<0.001; 9.2%和6.9%，p=0.002）。自COVID-19到来以来，创伤的总体发生率有所下降。然而，穿透性创伤的发生率显著上升。未来大流行应对的准备工作应包括计划增加创伤中心对穿透性创伤的资源利用。流行病学，三级。
The COVID-19 pandemic has had far-reaching effects on healthcare systems and society with resultant impact on trauma systems worldwide. This study evaluates the impact the pandemic has had in the Washington, DC Metropolitan Region as compared with similar months in 2019. A retrospective multicenter study of all adult trauma centers in the Washington, DC region was conducted using trauma registry data between January 1, 2019 and May 31, 2020. March 1, 2020 through May 31, 2020 was defined as COVID-19, and January 1, 2019 through February 28, 2020 was defined as pre-COVID-19. Variables examined include number of trauma contacts, trauma admissions, mechanism of injury, Injury Severity Score, trauma center location (urban vs. suburban), and patient demographics. There was a 22.4% decrease in the overall incidence of trauma during COVID-19 compared with a 3.4% increase in trauma during pre-COVID-19. Blunt mechanism of injury decreased significantly during COVID-19 (77.4% vs. 84.9%, p<0.001). There was no change in the specific mechanisms of fall from standing, blunt assault, and motor vehicle crash. The proportion of trauma evaluations for penetrating trauma increased significantly during COVID-19 (22.6% vs. 15.1%, p<0.001). Firearm-related and stabbing injury mechanisms both increased significantly during COVID-19 (11.8% vs. 6.8%, p<0.001; 9.2%, 6.9%, p=0.002, respectively). The overall incidence of trauma has decreased since the arrival of COVID-19. However, there has been a significant rise in penetrating trauma. Preparation for future pandemic response should include planning for an increase in trauma center resource utilization from penetrating trauma. Epidemiological, level III.