The impact of COVID-19 on trauma referrals to a National Neurosurgical Centre.

Autor: Horan J; Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland. jackhoran27@gmail.com., Duddy JC; Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland., Gilmartin B; Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland., Amoo M; Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland., Nolan D; Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland., Corr P; Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland., Husien MB; Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland., Bolger C; Department of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.
Jazyk: angličtina
Zdroj: Irish journal of medical science [Ir J Med Sci] 2021 Nov; Vol. 190 (4), pp. 1281-1293. Date of Electronic Publication: 2021 Jan 07.
DOI: 10.1007/s11845-021-02504-7
Abstrakt: Background: To investigate the impact of COVID-19 on trauma referrals to a National Neurosurgical Centre during the first wave of COVID-19 in Ireland.
Methods: Retrospective analysis of a prospectively maintained database of all trauma referrals to the National Neurosurgical Centre at Beaumont Hospital, Dublin, during the period March 1-May 31, 2019 and 2020. Patient characteristics including age, sex, alcohol use, anticoagulant/antiplatelet use and initial Glasgow Coma Scale (GCS) were recorded. Patients were grouped based on trauma aetiology and diagnosis.
Results: There were 527 and 437 trauma referrals in 2019 and 2020 respectively. Overall, there was a 17.1% reduction in trauma referrals between 2019 and 2020. Traumatic brain injury, spinal injury and cranial fractures referrals reduced 25% (375 vs 283), 59% (32 vs 13) and 18% (39 vs 32) respectively from 2019 to 2020. Low-energy falls below 2 m was the most common mechanism of injury and accounted for 60 and 61% of referrals in 2019 and 2020. No reduction in road traffic collision (33 vs 34) and assault (40 vs 40) referrals were observed between years.
Conclusions: COVID-19 has had a significant impact on both the volume and mechanism of trauma referrals to the National Neurosurgical Centre in Ireland, with falls below 2 m the most common mechanism of trauma referral across both years. The workload remains substantial and a fully resourced neurosurgical department is essential in any future COVID-19 waves.
(© 2021. Royal Academy of Medicine in Ireland.)
Databáze: MEDLINE
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