Decreased adult trauma admission volumes and changing injury patterns during the COVID-19 pandemic at 85 trauma centers in a multistate healthcare system

Autor: Matthew M Carrick, Samir M Fakhry, Mark Lieser, David Acuna, Yan Shen, Gina M Berg, Ransom J Wyse, Jennifer L Morse, John Chipko, Jeneva M Garland, Andrea Slivinski, Saptarshi Biswas, Heather Rhodes, Dorraine D Watts, Nina Y Wilson, Shenequa Deas
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Trauma Surgery & Acute Care Open, Vol 6, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2397-5776
DOI: 10.1136/tsaco-2020-000642
Popis: Background Reports indicate social distancing guidelines and other effects of the COVID-19 pandemic impacted trauma patient volumes and injury patterns. This report is the first analysis of a large trauma network describing the extent of these impacts. The objective of this study was to describe the effects of the COVID-19 pandemic on patient volumes, demographics, injury characteristics, and outcomes.Methods For this descriptive, multicenter study from a large, multistate hospital network, data were collected from the system-wide centralized trauma registry and retrospectively reviewed to retrieve patient information including volume, demographics, and outcomes. For comparison, patient data from January through May of 2020 and January through May of 2019 were extracted.Results A total of 12 395 trauma patients (56% men, 79% white, mean age 59 years) from 85 trauma centers were included. The first 5 months of 2020 revealed a substantial decrease in volume, which began in February and continued into June. Further analysis revealed an absolute decrease of 32.5% in patient volume in April 2020 compared with April 2019 (4997 from 7398; p
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