Effect of the COVID‐19 pandemic at a major Danish trauma center in 2020 compared with 2018–2019: A retrospective cohort study

Trier, Frederik; Fjølner, Jesper; Raaber, Nikolaj; Sørensen, Anders Høyer; Kirkegaard, Hans

doi:10.1111/aas.13997

Cited by 12 publications

(14 citation statements)

References 23 publications

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“…Due to the effect of these restrictions, the number of pedestrians and vehicles on the road decreased. Similar effects were observed globally [ 8 , 9 , 11 , 28 ]. The expected effect of the reduction in traffic was a reduction in traffic and vehicle-related accidents.…”

Section: Discussionsupporting

confidence: 83%

“…The expected effect of the reduction in traffic was a reduction in traffic and vehicle-related accidents. In some countries, such as the USA, Australia, England, Spain, and Denmark, it was observed that traffic accidents decreased in line with this expectation [ 8 , 9 , 11 ]. By contrast, Hakkenbrak et al reported an increased number of traffic-related accidents in the Netherlands; this may be because there was no stay-at-home order or curfew in the Netherlands [ 29 ].…”

Section: Discussionmentioning

confidence: 88%

“…These negative factors may lead to the worldwide increase of loneliness, anxiety, hopelessness, suicidal tendencies, and domestic violence [ 4 – 6 , 10 ]. In addition to these issues, a decrease in traffic accidents was expected as a result of the decrease in the number of pedestrians and vehicles on roads due to the measures taken [ 7 – 9 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

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The effect of the COVID-19 pandemic on forensic cases admitted to an emergency department

Doğan

Öztürk

2022

Forensic Sci Med Pathol

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Introduction: The COVID-19 disease has given rise to various negative effects on human life in terms of health and economic and social well-being. We believe that these negative effects may have led to increased forensic incidents such as violence and suicide. Therefore, in this study, we sought to examine the effects of COVID-19 in forensic cases admitted to an emergency department. Methods: This is a retrospective observational study, performed at the emergency department of Fatih Sultan Mehmet Education and Research Hospital. Forensic cases admitted between March and June 2020 (pandemic period) and forensic cases admitted between March and June 2019 (pre-pandemic period) were compared in the study. Results: A total of 4296 patients were included in the study, of which 3011 were admitted during the pre-pandemic period and 1285 during the time of the COVID-19 pandemic. While the percentages of suicide attempts (3.6%), motorcycle traffic accidents (7.4%), and violent incidents (29.4%) were higher during the pandemic period, the percentages of in-vehicle traffic accidents (5.4%) and pedestrian traffic accidents (2.2%) were lower (respectively, p = 0.035, p = 0.005, p < 0.001, p = 0.015, p = 0.008). At the time of the pandemic, the percentages of incidents of violence against women (44.2%) and traffic accidents with a motorcycle involving men (9.3%) were higher than during the time before the pandemic ( p < 0.001 and p < 0.001, respectively). Conclusions: The effects of the pandemic on our lifestyle are indisputable. This study reveals that the pandemic also affected patients who were admitted to the emergency department for forensic reasons. In addition, the increase in the percentages of suicide and violent events indicates that pandemics probably increase feelings of fear, loss, and hopelessness, and special precautions should be taken to maintain order in the society.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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The effect of the COVID-19 pandemic on forensic cases admitted to an emergency department

Doğan

Öztürk

2022

Forensic Sci Med Pathol

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“…Furthermore, the increasingly stringent measures of containment and the sense of civic responsibility of the population may have played a relevant role in reducing the utilization of EMS especially in the context of an overabundance of information-the so-called infodemic [27]-and conflicting messages from local and national authorities [7,9]. Lastly, restriction measures played a direct role in reducing risk factors-such as road traffic accidents, falls and injuries and air-borne infectious diseases-for the incidence of several acute conditions usually treated in the EMS context; this is confirmed by the fact that injuries and fractures were among the causes of admissions that showed the largest decline in our study [8,[28][29][30][31][32].…”

Section: Discussionsupporting

confidence: 68%

The indirect impact of COVID-19 pandemic on the utilization of the emergency medical services during the first pandemic wave: A system-wide study of Tuscany Region, Italy

et al. 2022

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Background Utilization of Emergency Medical Services (EMS) declined during COVID-19 pandemic, but most of the studies analyzed components of the EMS system individually. The study aimed to evaluate the indirect impact of COVID-19 pandemic on the utilization of all the components of the EMS system of Tuscany Region (Italy) during the first pandemic wave. Methods Administrative data from the health care system of Tuscany were used. Changes in utilization for out-of-hospital emergency calls and emergency vehicle dispatched, emergency department (ED) visits, and patients being admitted from the ED to an inpatient hospital bed (hospitalizations from ED) during the first pandemic wave were analyzed in relation with corresponding periods of the previous two years. Percentage changes and 95%CI were calculated with Poisson models. Standardized Ratios were calculated to evaluate changes in in-hospital mortality and hospitalizations requiring ICU. Results Significant declines were observed in the utilization of all the EMS considered starting from the week in which the first case of COVID-19 was diagnosed in Italy till the end of the first pandemic wave. During the epidemic peak, the maximum decreases were observed: -33% for the emergency calls, -45% for the dispatch of emergency vehicles, -71% for ED admissions. Furthermore, a decline of 37% for hospitalizations from ED was recorded. Significant decreases in ED admissions for life threatening medical conditions were observed: acute cerebrovascular disease (-36%, 95% CI: -43, -29), acute myocardial infarction (-42%, 95% CI: -52, -31) and renal failure (-42%, 95% CI: -52, -31). No significant differences were found between the observed and the expected in-hospital mortality and hospitalizations requiring ICU during the epidemic peak. Conclusion All the components of the EMS showed large declines in their utilization during COVID-19 pandemic; furthermore, major reductions were observed for admissions for time-dependent and life-threatening conditions. Efforts should be made to ensure access to safe and high-quality emergency care during pandemic.

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“…The results showed a decrease in the rates of road, work, and leisure accidents and an increase in domestic accidents and undefined “aggressions.” The increase in “aggressions” was not statistically significant. Data from a single hospital in Denmark show no difference in risk ratio for violence comparing the number of patients admitted in 2020 with the average of the previous 2 years (Trier et al, 2022 ). An increase in the incidence of minor injuries was found but there was no change in the severe injuries when not distinguishing the cause and reduction in traffic‐related injuries.…”

Section: Introductionmentioning

confidence: 99%

Changes in ambulance departures for assault calls during COVID‐19 pandemic restrictions

Pisl

Vevera

Štěpánek

et al. 2022

Aggressive Behavior

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Restrictions related to COVID‐19 changed the daily behavior of people, including the expression of violence. Although an increased incidence of violent behavior, especially domestic violence, was expected during the pandemic, retrospective analyses have yielded mixed results. Records of ambulance departures to address injuries caused by assaults in the Pilsen region, Czech Republic, during the restrictive measures during the national state of emergency were compared to data from 3 previous years using general linear models. The number and severity of assaults were analyzed for the whole sample and separately for patients of either sex, for residential or nonresidential locations, and for domestic violence. Controlling for the seasonal effects, the number of assaults decreased by 39% during the pandemic restrictions compared to the 3 previous years. No difference was found between the effects of restrictions on assaults resulting in an injury of a male or female patient. The decrease was specifically pronounced in the sample of assaults in nonresidential locations, while no effect of restrictions was observed in assaults in residential locations and domestic assaults. Pandemic restrictions were associated with a decreased incidence of violent assaults that required ambulance services. Although the incidence decreased especially in those assaulted outside of their homes, we found no support for an increase in domestic violence or violence against women. Pandemic restrictions may have served as a protective rather than a risk factor for assaults severe enough to warrant a call for ambulance services.

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Effect of the COVID‐19 pandemic at a major Danish trauma center in 2020 compared with 2018–2019: A retrospective cohort study

Cited by 12 publications

References 23 publications

The effect of the COVID-19 pandemic on forensic cases admitted to an emergency department

The effect of the COVID-19 pandemic on forensic cases admitted to an emergency department

The indirect impact of COVID-19 pandemic on the utilization of the emergency medical services during the first pandemic wave: A system-wide study of Tuscany Region, Italy

Changes in ambulance departures for assault calls during COVID‐19 pandemic restrictions

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