COVID-19: A national rise in penetrating trauma cared for by a prepared trauma system

Autor: Mallory Jebbia, Jeffry Nahmias, Matthew Dolich, Sebastian Schubl, Michael Lekawa, Lourdes Swentek, Areg Grigorian
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Surgery Open Science, Vol 20, Iss , Pp 131-135 (2024)
Druh dokumentu: article
ISSN: 2589-8450
DOI: 10.1016/j.sopen.2024.06.007
Popis: Background: The COVID-19 pandemic negatively impacted the collective American psyche. Socioeconomic hardships including social isolation led to an increase in firearm sales. Previous regional studies demonstrated increased penetrating trauma during the pandemic but it is unclear if trauma systems were prepared for this influx of penetrating injuries. This study aimed to confirm this increased penetrating trauma trend nationally and hypothesized penetrating trauma patients treated during the pandemic had a higher risk of complications and death, compared to pre-pandemic patients. Methods: The 2017–2020 Trauma Quality Improvement Program database was divided into pre-pandemic (2017–2019) and pandemic years (2020). Bivariate analyses and a multivariable logistic regression analyses were performed controlling for age, comorbidities, injuries, and vitals on arrival. Results: From 3,525,132 patients, 936,890 (26.6 %) presented during the pandemic. The pandemic patients had a higher rate of stab-wounds (4.8 % vs. 4.5 %, p > 0.001) and gunshot wounds (5.8 % vs. 4.6 %, p
Databáze: Directory of Open Access Journals