Trauma trends during COVID-19 alcohol prohibition at a South African regional hospital
Trauma trends during COVID-19 alcohol prohibition at a South African regional hospital
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DOI：
10.1111/dar.13310
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发表时间：
2021-05-17
影响因子：
3.8
通讯作者：
Parry, Charles D. H.
中科院分区：
文献类型：
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作者：
Chu, Kathryn M.;Marco, Jenna-Lee;Parry, Charles D. H.
导论.这项研究的目的是检查南非COVID-19封锁期间创伤量与禁酒之间的关系。方法.这是对南非伍斯特地区医院2020年1月1日至12月28日创伤量的回顾性分析。我们比较了五个日历期间的总数量和发病率;一个是允许正常销售酒精的时期，四个是完全或部分禁止销售酒精的时期。泊松回归被用来模拟禁酒令和非禁酒令时期之间的差异。结果在第一阶段（COVID-19前，无禁令），创伤入院率为每100天95人，而第二阶段（完全禁令1）为39人，第三阶段（部分禁令1）为74人，第四阶段（完全禁令2）为40人，第五阶段（部分禁令2）为105人。在没有禁令和完全禁令1期间，创伤体积减少了59-69%。当酒精销售部分恢复时，创伤量显着增加了83-90%，然后在完全禁令2下再次下降了39-46%。到2020年下半年，当酒精销售再次被部分允许（部分禁令2）时，创伤量增加了163- 250%，从而恢复到COVID-19前的水平。讨论和结论。我们的研究表明，与非酒精禁令和部分酒精禁令相比，完全酒精禁令期间的创伤量明显减少。这一发现表明，在国家紧急情况下，临时禁酒可以用来减少卫生设施的交通。
Introduction. The objective of this study was to examine the relationship between trauma volume and alcohol prohibition during the COVID-19 lockdown in South Africa. Methods. This was a retrospective analysis of trauma volume from Worcester Regional Hospital in South Africa from 1 January to 28 December 2020. We compared total volume and incidence rates during five calendar periods; one when alcohol sales were allowed as per normal and four when alcohol sales were completely or partially banned. Poisson regression was used to model differences between alcohol ban and non-ban periods. Results. During the first period (pre-COVID-19, no ban), the trauma admission rate was 95 per 100 days, compared to 39 during the second period (complete ban 1), 74 during the third period (partial ban 1), 40 during the fourth period (complete ban 2) and 105 during the fifth period (partial ban 2). There was a 59-69% decrease in trauma volume between the no ban and complete ban 1 periods. When alcohol sales were partially reinstated, trauma volume significantly increased by 83-90% then dropped again by 39-46% with complete ban 2. By the second half of 2020, when alcohol sales were partially allowed again (partial ban 2), trauma volume increased by 163-250%, thus returning to pre-COVID-19 levels. Discussion and Conclusions. Our study demonstrates a clear trend of decreased trauma volume during periods of complete alcohol prohibition compared to non- and partial alcohol bans. This finding suggests that temporary alcohol bans can be used to decrease health facility traffic during national emergencies.