Impact of lockdown measures implemented during the Covid-19 pandemic on the burden of trauma presentations to a regional emergency department in Kwa-Zulu Natal, South Africa
Impact of lockdown measures implemented during the Covid-19 pandemic on the burden of trauma presentations to a regional emergency department in Kwa-Zulu Natal, South Africa
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DOI：
10.1016/j.afjem.2020.06.005
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发表时间：
2020-12-01
影响因子：
1.3
通讯作者：
Dufourq, Nicholas
中科院分区：
文献类型：
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作者：
Morris, David;Rogers, Megan;Dufourq, Nicholas
引言：新型冠状病毒肺炎（COVID-19，即2019冠状病毒病）大流行引发了前所未有的全国性法规，主要旨在减缓病毒的传播。本研究的目的是描述这些规定的影响，创伤介绍的数量和严重程度，以区域急诊科在夸祖鲁纳塔尔。方法：在Edendale医院急诊科的分诊登记进行了回顾性队列研究，比较所有的创伤介绍，在2020年4月的一个月与前两年。结果：2020年4月，创伤病例数减少了47%。重症病例比例没有变化。下降幅度较大的类别是机动车辆事故、行人车辆事故、殴打和枪伤。狗咬伤和烧伤的发生率保持不变。结论：本研究表明，由于为应对Covid-19大流行而实施的法规，2020年4月急诊科的创伤负担有所减少。
Introduction: The Covid-19 pandemic triggered unprecedented nationwide regulations aimed primarily at slowing the spread of the virus. The objective of this study was to describe the effect of these regulations on the number and severity of trauma presentations to a regional emergency department in Kwa-Zulu Natal.Methods: A retrospective cohort study of the triage register at Edendale Hospital Emergency Department was conducted, comparing all trauma presentations in the month of April 2020 with those from the preceding two years. The number of patients, mechanism of trauma and severity of illness were recorded and compared.Results: A 47% reduction in the number of trauma cases was recorded for April 2020. The proportion of severe cases did not change. The categories showing a major decrease were motor vehicle accidents, pedestrian vehicle accidents, assault and gunshot wounds. The incidence of dog bite wounds and burns remained unchanged.Conclusion: This study shows that the burden of trauma presenting to the emergency department was decreased in the month of April 2020 by the regulations implemented in response to the Covid-19 pandemic.