Effect of the COVID-19 pandemic during the first lockdown in the Netherlands on the number of trauma-related admissions, trauma severity and treatment: the results of a retrospective cohort study in a level 2 trauma centre.
Identifieur interne : 000027 ( Main/Exploration ); précédent : 000026; suivant : 000028Effect of the COVID-19 pandemic during the first lockdown in the Netherlands on the number of trauma-related admissions, trauma severity and treatment: the results of a retrospective cohort study in a level 2 trauma centre.
Auteurs : Gijs J J. Van Aert [Oman] ; Lijckle Van Der Laan [Pays-Bas, Belgique] ; Leandra J M. Boonman-De Winter [Pays-Bas] ; Cornelis A S. Berende [Pays-Bas] ; Hans G W. De Groot [Pays-Bas] ; Pieter Boele Van Hensbroek [Pays-Bas] ; Philip M J. Schormans [Pays-Bas] ; Michiel B. Winkes [Pays-Bas] ; Dagmar I. Vos [Pays-Bas]Source :
- BMJ open [ 2044-6055 ] ; 2021.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Centres de traumatologie (statistiques et données numériques), Comportement auto-agressif (épidémiologie), Contrôle des maladies transmissibles (MeSH), Enfant (MeSH), Femelle (MeSH), Hospitalisation (statistiques et données numériques), Humains (MeSH), Isolement social (MeSH), Pandémies (MeSH), Pays-Bas (épidémiologie), Plaies et blessures (épidémiologie), Service hospitalier d'urgences (MeSH), Études rétrospectives (MeSH).
- MESH :
- statistiques et données numériques : Centres de traumatologie, Hospitalisation.
- épidémiologie : Comportement auto-agressif, Pays-Bas, Plaies et blessures.
- Adolescent, Adulte, Adulte d'âge moyen, Contrôle des maladies transmissibles, Enfant, Femelle, Humains, Isolement social, Pandémies, Service hospitalier d'urgences, Études rétrospectives.
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), COVID-19 (psychology), Child (MeSH), Communicable Disease Control (MeSH), Emergency Service, Hospital (MeSH), Female (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Middle Aged (MeSH), Netherlands (epidemiology), Pandemics (MeSH), Retrospective Studies (MeSH), SARS-CoV-2 (MeSH), Self-Injurious Behavior (epidemiology), Social Isolation (MeSH), Trauma Centers (statistics & numerical data), Wounds and Injuries (epidemiology).
- MESH :
- geographic , epidemiology : Netherlands.
- epidemiology : Self-Injurious Behavior, Wounds and Injuries.
- psychology : COVID-19.
- statistics & numerical data : Hospitalization, Trauma Centers.
- Adolescent, Adult, Child, Communicable Disease Control, Emergency Service, Hospital, Female, Humans, Middle Aged, Pandemics, Retrospective Studies, SARS-CoV-2, Social Isolation.
Abstract
OBJECTIVES
To determine the impact of the first lockdown in the Netherlands' measures during the COVID-19 pandemic on the number and type of trauma-related injuries presenting to the emergency department (ED).
DESIGN
A single-centre retrospective cohort study.
SETTING
A level 2 trauma centre in Breda, The Netherlands.
PARTICIPANTS
All patients with trauma seen at the ED between 11 March and 10 May 2020 (the first Dutch lockdown period) were included in this study. Comparable groups were generated for 2019 and 2018.
MAIN OUTCOME MEASURES
Primary outcomes were the total number of patients with trauma admitted to the ED and the trauma mechanism. Secondary outcomes were triage categories, time of ED visit, trauma severity (Injury Severity Score (ISS) >12), anatomical region of injury and treatment.
RESULTS
A total of 4674 patients were included in this study. During the first months of the COVID-19 pandemic, there was a decrease of 32% in traumatic injuries at the ED (n=1182) compared with the previous years 2019 (n=1717) and 2018 (n=1775) (p<0.001). Sports-related injuries decreased most during the lockdown (n=164) compared with 2019 (n=386) and 2018 (n=367) (p<0.001). We observed more frequent injuries due to a fall from standing height (p<0.001) and work-related injuries (p<0.05). The mean age was significantly higher (mean 48 years vs 42 and 43 years). There was no difference in anatomical place of injury or ISS >12. The amount of patients admitted for emergency surgery was significantly higher (14.6% vs 9.4%; 8.6%, p<0.001). Seven patients (0.6%) tested positive for COVID-19.
CONCLUSIONS
Measures taken in the COVID-19 outbreak result in a predictable decrease in the total number of patients with trauma, especially sports-related trauma. Although the trauma burden on the emergency room appears to be lower, more people have been admitted for trauma surgery, possibly due to increased throughput in the operating theatres.
DOI: 10.1136/bmjopen-2020-045015
PubMed: 33608406
PubMed Central: PMC7898225
Affiliations:
Links toward previous steps (curation, corpus...)
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Schormans</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="Winkes, Michiel B" sort="Winkes, Michiel B" uniqKey="Winkes M" first="Michiel B" last="Winkes">Michiel B. Winkes</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="Vos, Dagmar I" sort="Vos, Dagmar I" uniqKey="Vos D" first="Dagmar I" last="Vos">Dagmar I. 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Van Aert</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands gijsvanaert@hotmail.com.</nlm:affiliation><country wicri:rule="url">Oman</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Laan, Lijckle" sort="Van Der Laan, Lijckle" uniqKey="Van Der Laan L" first="Lijckle" last="Van Der Laan">Lijckle Van Der Laan</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Cardiovascular science, University of Leuven, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Cardiovascular science, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Boonman De Winter, Leandra J M" sort="Boonman De Winter, Leandra J M" uniqKey="Boonman De Winter L" first="Leandra J M" last="Boonman-De Winter">Leandra J M. Boonman-De Winter</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Science and Statistics, Amphia Hospital, Breda, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Science and Statistics, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="Berende, Cornelis A S" sort="Berende, Cornelis A S" uniqKey="Berende C" first="Cornelis A S" last="Berende">Cornelis A S. Berende</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="De Groot, Hans G W" sort="De Groot, Hans G W" uniqKey="De Groot H" first="Hans G W" last="De Groot">Hans G W. De Groot</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="Boele Van Hensbroek, Pieter" sort="Boele Van Hensbroek, Pieter" uniqKey="Boele Van Hensbroek P" first="Pieter" last="Boele Van Hensbroek">Pieter Boele Van Hensbroek</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="Schormans, Philip M J" sort="Schormans, Philip M J" uniqKey="Schormans P" first="Philip M J" last="Schormans">Philip M J. Schormans</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="Winkes, Michiel B" sort="Winkes, Michiel B" uniqKey="Winkes M" first="Michiel B" last="Winkes">Michiel B. Winkes</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author><author><name sortKey="Vos, Dagmar I" sort="Vos, Dagmar I" uniqKey="Vos D" first="Dagmar I" last="Vos">Dagmar I. Vos</name><affiliation wicri:level="1"><nlm:affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Surgery, Amphia Hospital, Breda</wicri:regionArea><wicri:noRegion>Breda</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMJ open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>COVID-19 (psychology)</term><term>Child (MeSH)</term><term>Communicable Disease Control (MeSH)</term><term>Emergency Service, Hospital (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Middle Aged (MeSH)</term><term>Netherlands (epidemiology)</term><term>Pandemics (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Self-Injurious Behavior (epidemiology)</term><term>Social Isolation (MeSH)</term><term>Trauma Centers (statistics & numerical data)</term><term>Wounds and Injuries (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Centres de traumatologie (statistiques et données numériques)</term><term>Comportement auto-agressif (épidémiologie)</term><term>Contrôle des maladies transmissibles (MeSH)</term><term>Enfant (MeSH)</term><term>Femelle (MeSH)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Isolement social (MeSH)</term><term>Pandémies (MeSH)</term><term>Pays-Bas (épidémiologie)</term><term>Plaies et blessures (épidémiologie)</term><term>Service hospitalier d'urgences (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Netherlands</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Self-Injurious Behavior</term><term>Wounds and Injuries</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>COVID-19</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term><term>Trauma Centers</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Centres de traumatologie</term><term>Hospitalisation</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Comportement auto-agressif</term><term>Pays-Bas</term><term>Plaies et blessures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Child</term><term>Communicable Disease Control</term><term>Emergency Service, Hospital</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Pandemics</term><term>Retrospective Studies</term><term>SARS-CoV-2</term><term>Social Isolation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Contrôle des maladies transmissibles</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Isolement social</term><term>Pandémies</term><term>Service hospitalier d'urgences</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Pays-Bas</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To determine the impact of the first lockdown in the Netherlands' measures during the COVID-19 pandemic on the number and type of trauma-related injuries presenting to the emergency department (ED).</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A single-centre retrospective cohort study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>A level 2 trauma centre in Breda, The Netherlands.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>All patients with trauma seen at the ED between 11 March and 10 May 2020 (the first Dutch lockdown period) were included in this study. Comparable groups were generated for 2019 and 2018.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Primary outcomes were the total number of patients with trauma admitted to the ED and the trauma mechanism. Secondary outcomes were triage categories, time of ED visit, trauma severity (Injury Severity Score (ISS) >12), anatomical region of injury and treatment.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 4674 patients were included in this study. During the first months of the COVID-19 pandemic, there was a decrease of 32% in traumatic injuries at the ED (n=1182) compared with the previous years 2019 (n=1717) and 2018 (n=1775) (p<0.001). Sports-related injuries decreased most during the lockdown (n=164) compared with 2019 (n=386) and 2018 (n=367) (p<0.001). We observed more frequent injuries due to a fall from standing height (p<0.001) and work-related injuries (p<0.05). The mean age was significantly higher (mean 48 years vs 42 and 43 years). There was no difference in anatomical place of injury or ISS >12. The amount of patients admitted for emergency surgery was significantly higher (14.6% vs 9.4%; 8.6%, p<0.001). Seven patients (0.6%) tested positive for COVID-19.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Measures taken in the COVID-19 outbreak result in a predictable decrease in the total number of patients with trauma, especially sports-related trauma. Although the trauma burden on the emergency room appears to be lower, more people have been admitted for trauma surgery, possibly due to increased throughput in the operating theatres.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">33608406</PMID><DateCompleted><Year>2021</Year><Month>03</Month><Day>02</Day></DateCompleted><DateRevised><Year>2021</Year><Month>03</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2044-6055</ISSN><JournalIssue CitedMedium="Internet"><Volume>11</Volume><Issue>2</Issue><PubDate><Year>2021</Year><Month>02</Month><Day>19</Day></PubDate></JournalIssue><Title>BMJ open</Title><ISOAbbreviation>BMJ Open</ISOAbbreviation></Journal><ArticleTitle>Effect of the COVID-19 pandemic during the first lockdown in the Netherlands on the number of trauma-related admissions, trauma severity and treatment: the results of a retrospective cohort study in a level 2 trauma centre.</ArticleTitle><Pagination><MedlinePgn>e045015</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjopen-2020-045015</ELocationID><Abstract><AbstractText Label="OBJECTIVES">To determine the impact of the first lockdown in the Netherlands' measures during the COVID-19 pandemic on the number and type of trauma-related injuries presenting to the emergency department (ED).</AbstractText><AbstractText Label="DESIGN">A single-centre retrospective cohort study.</AbstractText><AbstractText Label="SETTING">A level 2 trauma centre in Breda, The Netherlands.</AbstractText><AbstractText Label="PARTICIPANTS">All patients with trauma seen at the ED between 11 March and 10 May 2020 (the first Dutch lockdown period) were included in this study. Comparable groups were generated for 2019 and 2018.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES">Primary outcomes were the total number of patients with trauma admitted to the ED and the trauma mechanism. Secondary outcomes were triage categories, time of ED visit, trauma severity (Injury Severity Score (ISS) >12), anatomical region of injury and treatment.</AbstractText><AbstractText Label="RESULTS">A total of 4674 patients were included in this study. During the first months of the COVID-19 pandemic, there was a decrease of 32% in traumatic injuries at the ED (n=1182) compared with the previous years 2019 (n=1717) and 2018 (n=1775) (p<0.001). Sports-related injuries decreased most during the lockdown (n=164) compared with 2019 (n=386) and 2018 (n=367) (p<0.001). We observed more frequent injuries due to a fall from standing height (p<0.001) and work-related injuries (p<0.05). The mean age was significantly higher (mean 48 years vs 42 and 43 years). There was no difference in anatomical place of injury or ISS >12. The amount of patients admitted for emergency surgery was significantly higher (14.6% vs 9.4%; 8.6%, p<0.001). Seven patients (0.6%) tested positive for COVID-19.</AbstractText><AbstractText Label="CONCLUSIONS">Measures taken in the COVID-19 outbreak result in a predictable decrease in the total number of patients with trauma, especially sports-related trauma. Although the trauma burden on the emergency room appears to be lower, more people have been admitted for trauma surgery, possibly due to increased throughput in the operating theatres.</AbstractText><CopyrightInformation>© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van Aert</LastName><ForeName>Gijs J J</ForeName><Initials>GJJ</Initials><Identifier Source="ORCID">0000-0003-3357-3799</Identifier><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands gijsvanaert@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Laan</LastName><ForeName>Lijckle</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Cardiovascular science, University of Leuven, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boonman-de Winter</LastName><ForeName>Leandra J M</ForeName><Initials>LJM</Initials><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Science and Statistics, Amphia Hospital, Breda, Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berende</LastName><ForeName>Cornelis A S</ForeName><Initials>CAS</Initials><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Groot</LastName><ForeName>Hans G W</ForeName><Initials>HGW</Initials><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boele van Hensbroek</LastName><ForeName>Pieter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schormans</LastName><ForeName>Philip M J</ForeName><Initials>PMJ</Initials><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Winkes</LastName><ForeName>Michiel B</ForeName><Initials>MB</Initials><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vos</LastName><ForeName>Dagmar I</ForeName><Initials>DI</Initials><AffiliationInfo><Affiliation>Surgery, Amphia Hospital, Breda, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>02</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Open</MedlineTA><NlmUniqueID>101552874</NlmUniqueID><ISSNLinking>2044-6055</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003140" MajorTopicYN="N">Communicable Disease Control</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009426" MajorTopicYN="N" Type="Geographic">Netherlands</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016728" MajorTopicYN="N">Self-Injurious Behavior</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012934" MajorTopicYN="Y">Social Isolation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014193" MajorTopicYN="N">Trauma Centers</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014947" MajorTopicYN="N">Wounds and Injuries</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">accident & emergency medicine</Keyword><Keyword MajorTopicYN="Y">quality in health care</Keyword><Keyword MajorTopicYN="Y">surgery</Keyword></KeywordList><CoiStatement>Competing interests: None declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>2</Month><Day>20</Day><Hour>5</Hour><Minute>30</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>2</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>3</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33608406</ArticleId><ArticleId IdType="pii">bmjopen-2020-045015</ArticleId><ArticleId IdType="doi">10.1136/bmjopen-2020-045015</ArticleId><ArticleId IdType="pmc">PMC7898225</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Geriatr Orthop Surg Rehabil. 2020 Nov 11;11:2151459320972673</Citation><ArticleIdList><ArticleId IdType="pubmed">33240557</ArticleId></ArticleIdList></Reference><Reference><Citation>J Clin Orthop Trauma. 2021 Jan;12(1):200-207</Citation><ArticleIdList><ArticleId IdType="pubmed">33223749</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Orthop. 2020 Oct;91(5):556-561</Citation><ArticleIdList><ArticleId IdType="pubmed">32573331</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ. 2020 Apr 6;369:m1401</Citation><ArticleIdList><ArticleId IdType="pubmed">32253175</ArticleId></ArticleIdList></Reference><Reference><Citation>Eur J Orthop Surg Traumatol. 2020 Aug;30(6):951-954</Citation><ArticleIdList><ArticleId IdType="pubmed">32591913</ArticleId></ArticleIdList></Reference><Reference><Citation>J Emerg Nurs. 2005 Aug;31(4):357-62</Citation><ArticleIdList><ArticleId IdType="pubmed">16126100</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Biomed. 2020 May 11;91(2):45-49</Citation><ArticleIdList><ArticleId IdType="pubmed">32420924</ArticleId></ArticleIdList></Reference><Reference><Citation>Int Orthop. 2020 Aug;44(8):1453-1459</Citation><ArticleIdList><ArticleId IdType="pubmed">32591960</ArticleId></ArticleIdList></Reference><Reference><Citation>West J Emerg Med. 2020 May 22;21(4):819-822</Citation><ArticleIdList><ArticleId IdType="pubmed">32726250</ArticleId></ArticleIdList></Reference><Reference><Citation>ANZ J Surg. 2020 Nov;90(11):2227-2231</Citation><ArticleIdList><ArticleId IdType="pubmed">32894624</ArticleId></ArticleIdList></Reference><Reference><Citation>Int Orthop. 2020 Aug;44(8):1591-1598</Citation><ArticleIdList><ArticleId IdType="pubmed">32449043</ArticleId></ArticleIdList></Reference><Reference><Citation>J Shoulder Elbow Surg. 2020 Sep;29(9):1737-1742</Citation><ArticleIdList><ArticleId IdType="pubmed">32713663</ArticleId></ArticleIdList></Reference><Reference><Citation>J Trauma Acute Care Surg. 2013 May;74(5):1363-6</Citation><ArticleIdList><ArticleId IdType="pubmed">23609291</ArticleId></ArticleIdList></Reference><Reference><Citation>J Pediatr Orthop. 2020 Sep;40(8):373-379</Citation><ArticleIdList><ArticleId IdType="pubmed">32433260</ArticleId></ArticleIdList></Reference><Reference><Citation>Injury. 2020 Oct;51(10):2142-2147</Citation><ArticleIdList><ArticleId IdType="pubmed">32654849</ArticleId></ArticleIdList></Reference><Reference><Citation>Radiology. 2021 Feb;298(2):E98-E106</Citation><ArticleIdList><ArticleId IdType="pubmed">33201791</ArticleId></ArticleIdList></Reference><Reference><Citation>Injury. 2020 Jul;51(7):1414-1418</Citation><ArticleIdList><ArticleId IdType="pubmed">32405089</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li><li>Oman</li><li>Pays-Bas</li></country></list><tree><country name="Oman"><noRegion><name sortKey="Van Aert, Gijs J J" sort="Van Aert, Gijs J J" uniqKey="Van Aert G" first="Gijs J J" last="Van Aert">Gijs J J. Van Aert</name></noRegion></country><country name="Pays-Bas"><noRegion><name sortKey="Van Der Laan, Lijckle" sort="Van Der Laan, Lijckle" uniqKey="Van Der Laan L" first="Lijckle" last="Van Der Laan">Lijckle Van Der Laan</name></noRegion><name sortKey="Berende, Cornelis A S" sort="Berende, Cornelis A S" uniqKey="Berende C" first="Cornelis A S" last="Berende">Cornelis A S. Berende</name><name sortKey="Boele Van Hensbroek, Pieter" sort="Boele Van Hensbroek, Pieter" uniqKey="Boele Van Hensbroek P" first="Pieter" last="Boele Van Hensbroek">Pieter Boele Van Hensbroek</name><name sortKey="Boonman De Winter, Leandra J M" sort="Boonman De Winter, Leandra J M" uniqKey="Boonman De Winter L" first="Leandra J M" last="Boonman-De Winter">Leandra J M. Boonman-De Winter</name><name sortKey="Boonman De Winter, Leandra J M" sort="Boonman De Winter, Leandra J M" uniqKey="Boonman De Winter L" first="Leandra J M" last="Boonman-De Winter">Leandra J M. Boonman-De Winter</name><name sortKey="De Groot, Hans G W" sort="De Groot, Hans G W" uniqKey="De Groot H" first="Hans G W" last="De Groot">Hans G W. De Groot</name><name sortKey="Schormans, Philip M J" sort="Schormans, Philip M J" uniqKey="Schormans P" first="Philip M J" last="Schormans">Philip M J. Schormans</name><name sortKey="Vos, Dagmar I" sort="Vos, Dagmar I" uniqKey="Vos D" first="Dagmar I" last="Vos">Dagmar I. Vos</name><name sortKey="Winkes, Michiel B" sort="Winkes, Michiel B" uniqKey="Winkes M" first="Michiel B" last="Winkes">Michiel B. Winkes</name></country><country name="Belgique"><noRegion><name sortKey="Van Der Laan, Lijckle" sort="Van Der Laan, Lijckle" uniqKey="Van Der Laan L" first="Lijckle" last="Van Der Laan">Lijckle Van Der Laan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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