Objective: To determine the impact of Covid-19 healthcare emergency on trauma-related outcomes.
Study Design: Cross-sectional observational study
Duration and Place of Study: Emergency department of surgery and allied of –removed for blind review----and from 1st March 2021 to 30th May 2021 for three months.
Patients and Methods: A comparison was made between the number of trauma patients admitted to the emergency department during the pandemic and the patients admitted during the same period of the previous year in the same center (data extracted from hospital records). Furthermore, we compared trauma-related disorders, patterns of injuries, and clinical characteristics of trauma patients in our hospital during a pandemic with those in a non-pandemic.
Results: The number of trauma patients in the pandemic was significantly lower than it was before Covid. Before Covid, 1520 (64.5%) were admitted to the emergency room (non-Covid group), whereas only 835 (35.5%) were admitted to the emergency room during the pandemic (Covid group). There was a 48 % reduction in total. Gender and age ratios did not differ much between the two groups. Between cohorts, there was a significant association between mechanism of injury and type of trauma (p<0.03). Mortality rates decreased during the Covid-19 era (1.3% vs. 3.4%).
Conclusion: As a result of the Covid-19 outbreak, there was a 48% decrease in trauma patients admitted to hospitals and a decrease in their mortality as well. The findings of this study may open the new door to new ways of managing surgical emergencies without engulfing the already busy hospitals.
Chesser TJS, Handley R, Kloos J, De Wachter G, Putzeys G, Gómez-Vallejo J, et. al. International trauma care: initial European approaches during the COVID 19 pandemic. OTA Int. 2021;4(1 Suppl):e112. doi: 10.1097/OI9.0000000000000112.
Huang CC, Yen DH, Huang HH, Kao WF, Wang LM, Huang CI, et. al. Impact of severe acute respiratory syndrome (SARS) outbreaks on the use of emergency department medical resources. J Chin Med Assoc. 2005;68(6):254-9. doi: 10.1016/S1726-4901(09)70146-7.
Barten DG, Latten GHP, van Osch FHM. Reduced Emergency Department Utilization During the Early Phase of the COVID-19 Pandemic: Viral Fear or Lockdown Effect? Disaster Med Public Health Prep. 2022;16(1):36-39. doi: 10.1017/dmp.2020.303.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495-9. doi: 10.1016/j.ijsu.2014.07.013.
Grasselli G, Pesenti A, Cecconi M. Critical Care Utilization for the COVID-19 Outbreak in Lombardy, Italy: Early Experience and Forecast During an Emergency Response. JAMA. 2020;323(16):1545-1546. doi: 10.1001/jama.2020.4031.
Chiara O, Mazzali C, Lelli S, Mariani A, Cimbanassi S. A population based study of hospitalised seriously injured in a region of Northern Italy. World J Emerg Surg. 2013;8(1):1-0.doi: 10.1186/1749-7922-8-32.
Bouzat P, Ageron FX, Brun J, Levrat A, Berthet M, Rancurel E, et. al. TRENAU group. A regional trauma system to optimize the pre-hospital triage of trauma patients. Crit Care. 2015;19(1):111. doi: 10.1186/s13054-015-0835-7.
Cozza V, Fransvea P, La Greca A, De Paolis P, Marini P, Zago M, et.al. I.-ACTSS.-COVID19 Collaborative Study Group. I-ACTSS-COVID-19-the Italian acute care and trauma surgery survey for COVID-19 pandemic outbreak. Updates Surg. 2020;72(2):297-304. doi: 10.1007/s13304-020-00832-4.
Hernigou J, Morel X, Callewier A, Bath O, Hernigou P. Staying home during "COVID-19" decreased fractures, but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the "tsunami of recommendations" could not lockdown twelve elective operations. Int Orthop. 2020;44(8):1473-1480. doi: 10.1007/s00264-020-04619-5.
Haut ER, Leeds IL, Livingston DH. The Effect on Trauma Care Secondary to the COVID-19 Pandemic: Collateral Damage From Diversion of Resources. Ann Surg. 2020;272(3):e204-e207. doi: 10.1097/SLA.0000000000004105.
Sheets NW, Fawibe OS, Mahmoud A, Chawla-Kondal B, Ayutyanont N, Plurad DS. Impact of the COVID-19 Pandemic on Trauma Encounters. Am Surg. 2021:31348211029858. doi: 10.1177/00031348211029858.
Qasim Z, Sjoholm LO, Volgraf J, Sailes S, Nance ML, Perks DH, et. al. Trauma center activity and surge response during the early phase of the COVID-19 pandemic-the Philadelphia story. J Trauma Acute Care Surg. 2020;89(4):821-828. doi: 10.1097/TA.0000000000002859.
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