Trauma Trends During the Initial Peak of the COVID-19 Pandemic in the Midst of Lockdown: Experiences From a Rural Trauma Center.
Identifieur interne : 001636 ( Main/Corpus ); précédent : 001635; suivant : 001637Trauma Trends During the Initial Peak of the COVID-19 Pandemic in the Midst of Lockdown: Experiences From a Rural Trauma Center.
Auteurs : Heather X. Rhodes ; Kirklen Petersen ; Saptarshi BiswasSource :
- Cureus [ 2168-8184 ] ; 2020.
Abstract
Background As the early peak phase in the coronavirus outbreak has intensified, stay at home mandates were advised requiring individuals to remain home to prevent community transmission of the disease. Further mandates escalated isolated environments such as school closures, social distancing, travel restrictions, closure of public gathering spaces, and business closures. As citizens were forced to stay home during the pandemic, the crisis created unique trends in trauma referrals, which consisted of atypical trends in injuries related to trauma. Methods A retrospective review of all trauma registry patients presenting to a rural American College of Surgeons (ACS) verified Level I trauma center with associated trauma activation before and during the Coronavirus 2019 (COVID-19) pandemic, integral dates January 1, 2020, to May 1, 2020. A comparison was made regarding trauma trends based on the previous year (January 1, 2019, to May 1, 2019). The data collected included patient characteristics, grouping by trauma activation, injury type, injury severity score (ISS), alcohol screen, drug screen, and mode of injury. Results A statistically significant increase was found largely among males (p = 0.02) with positive alcohol screens (p < 0.001). The statistically significant mode of injury among this trauma population included falling, jumping, pushed (p = 0.02); self-harm-jump (p = 0.01); assault (p = 0.03); and assault with sharp object (p = 0.036). Conclusions Although overall trauma volume was reduced preceding and during the COVID-19 stay at home mandates, a significant increase in specific trauma trends were observed, such as falls, jumps, and pushed; self-harm-jumps; assaults; and assaults with sharp objects. Largely, the trauma trends were among men with higher levels of alcohol than previously reported.
DOI: 10.7759/cureus.9811
PubMed: 32953322
PubMed Central: PMC7494409
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Rhodes</name><affiliation><nlm:affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Petersen, Kirklen" sort="Petersen, Kirklen" uniqKey="Petersen K" first="Kirklen" last="Petersen">Kirklen Petersen</name><affiliation><nlm:affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Biswas, Saptarshi" sort="Biswas, Saptarshi" uniqKey="Biswas S" first="Saptarshi" last="Biswas">Saptarshi Biswas</name><affiliation><nlm:affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32953322</idno><idno type="pmid">32953322</idno><idno type="doi">10.7759/cureus.9811</idno><idno type="pmc">PMC7494409</idno><idno type="wicri:Area/Main/Corpus">001636</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001636</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Trauma Trends During the Initial Peak of the COVID-19 Pandemic in the Midst of Lockdown: Experiences From a Rural Trauma Center.</title><author><name sortKey="Rhodes, Heather X" sort="Rhodes, Heather X" uniqKey="Rhodes H" first="Heather X" last="Rhodes">Heather X. Rhodes</name><affiliation><nlm:affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Petersen, Kirklen" sort="Petersen, Kirklen" uniqKey="Petersen K" first="Kirklen" last="Petersen">Kirklen Petersen</name><affiliation><nlm:affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Biswas, Saptarshi" sort="Biswas, Saptarshi" uniqKey="Biswas S" first="Saptarshi" last="Biswas">Saptarshi Biswas</name><affiliation><nlm:affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Cureus</title><idno type="ISSN">2168-8184</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background As the early peak phase in the coronavirus outbreak has intensified, stay at home mandates were advised requiring individuals to remain home to prevent community transmission of the disease. Further mandates escalated isolated environments such as school closures, social distancing, travel restrictions, closure of public gathering spaces, and business closures. As citizens were forced to stay home during the pandemic, the crisis created unique trends in trauma referrals, which consisted of atypical trends in injuries related to trauma. Methods A retrospective review of all trauma registry patients presenting to a rural American College of Surgeons (ACS) verified Level I trauma center with associated trauma activation before and during the Coronavirus 2019 (COVID-19) pandemic, integral dates January 1, 2020, to May 1, 2020. A comparison was made regarding trauma trends based on the previous year (January 1, 2019, to May 1, 2019). The data collected included patient characteristics, grouping by trauma activation, injury type, injury severity score (ISS), alcohol screen, drug screen, and mode of injury. Results A statistically significant increase was found largely among males (p = 0.02) with positive alcohol screens (p < 0.001). The statistically significant mode of injury among this trauma population included falling, jumping, pushed (p = 0.02); self-harm-jump (p = 0.01); assault (p = 0.03); and assault with sharp object (p = 0.036). Conclusions Although overall trauma volume was reduced preceding and during the COVID-19 stay at home mandates, a significant increase in specific trauma trends were observed, such as falls, jumps, and pushed; self-harm-jumps; assaults; and assaults with sharp objects. Largely, the trauma trends were among men with higher levels of alcohol than previously reported.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32953322</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Print">2168-8184</ISSN><JournalIssue CitedMedium="Print"><Volume>12</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>Aug</Month><Day>17</Day></PubDate></JournalIssue><Title>Cureus</Title><ISOAbbreviation>Cureus</ISOAbbreviation></Journal><ArticleTitle>Trauma Trends During the Initial Peak of the COVID-19 Pandemic in the Midst of Lockdown: Experiences From a Rural Trauma Center.</ArticleTitle><Pagination><MedlinePgn>e9811</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.7759/cureus.9811</ELocationID><Abstract><AbstractText>Background As the early peak phase in the coronavirus outbreak has intensified, stay at home mandates were advised requiring individuals to remain home to prevent community transmission of the disease. Further mandates escalated isolated environments such as school closures, social distancing, travel restrictions, closure of public gathering spaces, and business closures. As citizens were forced to stay home during the pandemic, the crisis created unique trends in trauma referrals, which consisted of atypical trends in injuries related to trauma. Methods A retrospective review of all trauma registry patients presenting to a rural American College of Surgeons (ACS) verified Level I trauma center with associated trauma activation before and during the Coronavirus 2019 (COVID-19) pandemic, integral dates January 1, 2020, to May 1, 2020. A comparison was made regarding trauma trends based on the previous year (January 1, 2019, to May 1, 2019). The data collected included patient characteristics, grouping by trauma activation, injury type, injury severity score (ISS), alcohol screen, drug screen, and mode of injury. Results A statistically significant increase was found largely among males (p = 0.02) with positive alcohol screens (p < 0.001). The statistically significant mode of injury among this trauma population included falling, jumping, pushed (p = 0.02); self-harm-jump (p = 0.01); assault (p = 0.03); and assault with sharp object (p = 0.036). Conclusions Although overall trauma volume was reduced preceding and during the COVID-19 stay at home mandates, a significant increase in specific trauma trends were observed, such as falls, jumps, and pushed; self-harm-jumps; assaults; and assaults with sharp objects. Largely, the trauma trends were among men with higher levels of alcohol than previously reported.</AbstractText><CopyrightInformation>Copyright © 2020, Rhodes et al.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rhodes</LastName><ForeName>Heather X</ForeName><Initials>HX</Initials><AffiliationInfo><Affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Petersen</LastName><ForeName>Kirklen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Biswas</LastName><ForeName>Saptarshi</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Trauma, Grand Strand Medical Center, Myrtle Beach, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Cureus</MedlineTA><NlmUniqueID>101596737</NlmUniqueID><ISSNLinking>2168-8184</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">corona virus</Keyword><Keyword MajorTopicYN="N">covid-19</Keyword><Keyword MajorTopicYN="N">trauma</Keyword></KeywordList><CoiStatement>The authors have declared that no competing interests exist.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>12</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32953322</ArticleId><ArticleId IdType="doi">10.7759/cureus.9811</ArticleId><ArticleId IdType="pmc">PMC7494409</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Ann Emerg Med. 1984 Nov;13(11):1056-60</Citation><ArticleIdList><ArticleId IdType="pubmed">6148908</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Emerg Med. 2020 Jun 6;38(9):1710-1714</Citation><ArticleIdList><ArticleId IdType="pubmed">32721782</ArticleId></ArticleIdList></Reference><Reference><Citation>N Z Med J. 2020 Apr 24;133(1513):81-88</Citation><ArticleIdList><ArticleId IdType="pubmed">32325471</ArticleId></ArticleIdList></Reference><Reference><Citation>J Plast Reconstr Aesthet Surg. 2020 Aug;73(8):1575-1592</Citation><ArticleIdList><ArticleId IdType="pubmed">32527666</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>Trauma Surg Acute Care Open. 2020 May 7;5(1):e000505</Citation><ArticleIdList><ArticleId IdType="pubmed">32426529</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Orthop. 2020 Jun 23;:1-6</Citation><ArticleIdList><ArticleId IdType="pubmed">32573331</ArticleId></ArticleIdList></Reference><Reference><Citation>Afr J Emerg Med. 2020 Jun 16;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32837876</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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