Changing pattern of trauma during the COVID-19 Pandemic

Abhilash, Kundavaram Paul Prabhakar; Paul, Arun; Hazra, Darpanarayan; Jain, Shriyans; Arelly, Samuel Paul Dhinakar

doi:10.1016/j.mjafi.2021.05.010

Cited by 11 publications

(8 citation statements)

References 11 publications

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“…To be more precise, when compared with the period prior to COVID-19, the total number of neurosurgical traumas more than doubled (138 prior to the COVID-19 pandemic and 288 during). Although most studies reporting a decrease in traumas during the pandemic conducted their research during shorter time periods compared with ours [ 20 , 29 , 30 , 31 ], this does not sufficiently explain our findings. If this was the case, we would have observed less trauma in the initial few weeks after the lockdown onset, which was not the case, as presented in Figure A1 .…”

Section: Discussioncontrasting

confidence: 72%

Telemedicine in Neurosurgical Trauma during the COVID-19 Pandemic: A Single-Center Experience

Koruga

Rončević

et al. 2022

Diagnostics

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Telemedicine is a rapid tool that reduces the time until treatment for patients, which is especially useful for neurosurgical trauma. The aim of our study was to evaluate the use of telemedicine in neurosurgery during the COVID-19 pandemic compared with the pre-pandemic era. We assessed the utilization of telemedicine at the Department of Neurosurgery at University Hospital Center Osijek in Croatia over a timespan of one year prior to the COVID-19 pandemic and the first year of the pandemic, starting with the date of first lockdown in Croatia. For each time period, the total number of consults and specific clinical inquiries were recorded and adequately grouped as well as comprehensive patient characteristics. There were 336 consults in the pre-pandemic period and 504 in the pandemic period. The number of trauma-related consults during COVID-19 measures was significantly higher than the pre-pandemic era (288 and 138, respectively, p < 0.0001). Neurosurgical trauma patients requiring consults in the pandemic period were significantly older than before the pandemic (64.9 ± 18.5 and 60.6 ± 19.1, respectively, p = 0.03). Significantly, the number of admissions to our center and urgent surgeries did not significantly differ between these periods. Telemedicine is a cost-effective tool in the neurosurgical evaluation of patients, especially for trauma. The COVID-19 pandemic accelerated telemedicine implementation and improved neurosurgical trauma treatments.

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Section: Discussioncontrasting

confidence: 72%

Telemedicine in Neurosurgical Trauma during the COVID-19 Pandemic: A Single-Center Experience

Koruga

Rončević

et al. 2022

Diagnostics

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“…A recent study notified that social isolation implemented within the scope of COVID-19 measures resulted in a significant reduction in geriatric trauma cases (Abhilash et al, 2021). Another study found a decrease in multiple trauma cases admitted to geriatric trauma centers during curfew periods (Schoeneberg et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Trends in Geriatric Trauma Emergency Department Admissions During COVID-19

Sultanoğlu

Demir

Boğan

2022

Journal of Trauma Nursing

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BACKGROUND: The impact of coronavirus disease-2019 (COVID-19) on geriatric trauma presenting to the emergency department is unknown. OBJECTIVE: To examine geriatric trauma emergency department admission trends during the COVID-19 pandemic. METHODS: This retrospective, observational, comparison study was conducted in an academic emergency department in Turkey. Trauma patients 65 years and older who presented to the emergency department within 1 year of March 12, 2020, were included. Patients admitted in the same date range in the previous year were included as the control group. The characteristics of the patients, injured area, and injury mechanisms were compared. RESULTS: Geriatric trauma admissions decreased (relative risk = 0.71, odds ratio [OR] = 0.69 [95% confidence interval, CI: 0.62, 0.77], p < .001). According to the type of injury, there was no significant difference in admissions to the emergency department (p = .318). During the pandemic, there was an increase in falls and a decrease in stab wounds and gunshot wounds (p = .001). Multiple trauma (OR = 5.56 [95% CI: 3.75, 8.23], p < .001), fall (OR = 2.41 [95% CI: 1.6, 3.73], p < .001), and-assault related injuries (OR = 4.43 [95% CI: 2.06, 9.56], p < .001) were determined as factors that increased the admissions to the emergency department compared with the prepandemic. CONCLUSION: Although geriatric trauma emergency department admissions decreased during the pandemic, those due to falls and assaults increased. Although curfews and social isolation resulted in a decrease in penetrating injuries, assault-related trauma has increased.

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“…The current Corona Virus Disease 19 (COVID-19) pandemic lockdown restriction imposed in most countries have resulted in a significant reduction in trauma victims with a positive blood alcohol content which perhaps is the silver lining of the ongoing pandemic. [ 25 - 27 ]…”

Section: Discussionmentioning

confidence: 99%

A Retrospective analysis of the profile of trauma victims presenting to an emergency department in South India

Kundavaram

Jindal

Hazra

et al. 2022

J Family Med Prim Care

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Background: Trauma is a leading cause of morbidity and mortality in both developed and developing countries. Methodology: This retrospective observational study was done in the Emergency Department (ED) of a tertiary care trauma center in Southern India in 2018 (January to December). Results: During the study period of 1 year, the ED attended 74,466 patients which included 7675 (10.3%) trauma patients. The mean age was 35.3 (SD: 18.5) years with three-fourth (76.6%) being males. Pediatric/adolescents (age ≤18 years) and geriatric age groups (age ≥60 years) comprised 16.7% and 11.8% cases, respectively. Road traffic accidents (RTA) (66%) were the predominant mode of injury followed by falls (fall from height: 8.6% and fall on level ground: 7.8%). Among the RTAs, the majority were two-wheelers related (73.8%), followed by pedestrian injuries (9.4%) and four-wheelers injuries (7.2%). Bivariate and multivariate logistic regression analysis showed pedestrian injuries, low Glasgow Coma Scale (GCS), and hypotension at arrival as independent predictors of hospital mortality. The in-hospital mortality rate was 0.7%. A quarter (24%; n = 1841) of the patient’s population was solely managed by the ED team and discharged stable, while 2179 (28.4%) victims required hospital admission. Conclusion: Trauma is a major cause of mortality especially among the breadwinners of families in India with almost half being due to two-wheeler accidents. Efficient ED professionals and a multispecialty team of trauma surgeons, neurosurgeons, and orthopedics handle the major load of acute trauma. Pedestrian injuries, low GCS, and hypotension at arrival are independent predictors of in-hospital mortality.

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Changing pattern of trauma during the COVID-19 Pandemic

Cited by 11 publications

References 11 publications

Telemedicine in Neurosurgical Trauma during the COVID-19 Pandemic: A Single-Center Experience

Telemedicine in Neurosurgical Trauma during the COVID-19 Pandemic: A Single-Center Experience

Trends in Geriatric Trauma Emergency Department Admissions During COVID-19

A Retrospective analysis of the profile of trauma victims presenting to an emergency department in South India

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