COVID-19 impact on facial trauma: Insights from Mississippi's only level 1 trauma center.

Autor: Lee J; Department of Otolaryngology - Head and Neck Surgery, University of Mississippi Medical Center, United States of America. Electronic address: jlee14@umc.edu., Tayara A; School of Medicine, University of Mississippi Medical Center, United States of America. Electronic address: atayara@umc.edu., Warren JD; School of Medicine, University of Mississippi Medical Center, United States of America. Electronic address: jwarren6@umc.edu., Kuyeb B; School of Medicine, University of Mississippi Medical Center, United States of America. Electronic address: bkuyeb@umc.edu., McKee E; School of Medicine, University of Mississippi Medical Center, United States of America. Electronic address: emckee@umc.edu., Velazquez A; School of Medicine, University of Mississippi Medical Center, United States of America. Electronic address: avelazquez@umc.edu., Paul O; Department of Otolaryngology - Head and Neck Surgery, University of Mississippi Medical Center, United States of America. Electronic address: opaul@umc.edu., Lewis AF; Department of Otolaryngology - Head and Neck Surgery, University of Mississippi Medical Center, United States of America. Electronic address: aflewis@umc.edu.
Jazyk: angličtina
Zdroj: American journal of otolaryngology [Am J Otolaryngol] 2024 Jan-Feb; Vol. 45 (1), pp. 104086. Date of Electronic Publication: 2023 Oct 04.
DOI: 10.1016/j.amjoto.2023.104086
Abstrakt: Purpose: Our primary aim was to understand and describe the impact of COVID-19 on the incidence and etiology of facial trauma in the state of Mississippi.
Methods: Retrospective review of facial trauma-related Emergency Department encounters in Mississippi from March 11, 2019 to March 10, 2021, divided into three time periods using the state of Mississippi's Governor's Office Executive Orders. Chi-square tests and segmented linear regressions were used for analysis.
Results: Patients presenting with facial trauma were typically male, 18-44 years old, and lived in urban zip codes. Insurance payors significantly differed across time periods. There were no significant differences in self-inflicted assault or accidental injury between the 3 time periods, with pre- and pandemic patients more likely to be self-pay while patients during recovery being more likely to have private insurance. During the pandemic, facial trauma from a family member, partner or spouse, or other person in the household significantly increased.
Conclusion: Similar accidental facial trauma trends may reflect lower adherence to social distancing guidelines. The increase in facial trauma perpetrated by family members is consistent with reported increases in domestic violence during the pandemic. While overall facial trauma demographic patterns did not change significantly during the COVID-19 pandemic, there were notable changes in the etiology and insurance payor of facial trauma cases.
Lay Summary: The COVID-19 pandemic impacted healthcare systems worldwide, and our study seeks to understand how the pandemic affected incidence of facial trauma.
Competing Interests: Declaration of competing interest None.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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