Influence of Sars-Cov 2 lockdown on the incidence of facial trauma in a tertiary care hospital in Rome, Italy

Saponaro, Gianmarco; Gasparini, Giulio; Pelo, Sandro; Todaro, Mattia; Soverina, Davide; Barbera, Giorgio; Doneddu, Piero; Moro, Alessandro

doi:10.23736/s0026-4970.20.04446-5

Cited by 3 publications

(3 citation statements)

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“…These findings parallel the results of other investigations to date. [8][9][10][11][12] Perhaps more significant than the changes in epidemiology were the alterations in management paradigms and systems-based practices and brought forth by the pandemic. Not only was there a difference in the proportion of those who presented as traumas and EMS arrivals, there was a precipitous drop off in transfers from locoregional hospitals.…”

Section: Discussionmentioning

confidence: 99%

“… 6 , 7 Limited evidence has suggested changes in facial trauma epidemiology and injury paradigms during the COVID pandemic. 8 – 12 …”

Section: Introductionmentioning

confidence: 99%

“…6,7 Limited evidence has suggested changes in facial trauma epidemiology and injury paradigms during the COVID pandemic. [8][9][10][11][12] Serving as the transfer center for over 30 hospitals in the area, our academic Level I Adult and Pediatric Trauma Center admits over 3,500 patients for traumatic injuries annually. As the only regional institution for maxillofacial trauma, our facility represents a model setting to examine epidemiological changes in patient, injury, and management trends.…”

Section: Introductionmentioning

confidence: 99%

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How Did the COVID-19 Pandemic Affect Trends in Facial Trauma?

Stanisce

Fisher

Choi

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Study Design: Retrospective cohort analysis. Objective: To examine the impact the COVID-19 pandemic and its accompanying societal measures had on the incidence, characteristics, and management of maxillofacial traumatic injuries. Methods: This cohort analysis compared facial trauma injuries presenting to the highest-volume Level I Trauma Center in New Jersey, USA from January 1 to July 31 in 2020 and 2019. Differences in demographics, mechanisms, and interventions were compared between the pandemic period (March 16–July 31, 2020) and the equivalent pre-pandemic date period in 2019 using X 2, Fishers Exact, and Mann–Whitney U testing. Results: In total, 616 subjects were included. The daily incidence of facial trauma consults during the 2020 pandemic (1.81 ± 1.1) decreased compared to 2019 (2.15 ± 1.3) ( p = 0.042). During the outbreak, there was an increase in the proportion of subjects with positive urine drug screens (21.5% vs. 12.2%; p = 0.011) and injuries related to domestic violence (10.2% vs. 4.5%; p = 0.023). Patients were 30% less likely to be transferred from local hospitals (RR, 0.70 [0.53–0.93]; p = 0.014). Although subjects had a 25% increased risk of presenting with injuries deemed procedural (RR, 1.25 [95% CI, 1.05–1.56]; p = 0.048), a greater proportion were discharged with operative procedures scheduled as outpatients (16.0% vs. 4.9%; p = 0.005). Conclusions: The COVID-19 pandemic has impacted both the epidemiology and management of maxillofacial traumatic injuries, perhaps secondary to modifications in personal and community behaviors or the effects on healthcare systems in our region.

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Section: Discussionmentioning

confidence: 99%

“… 6 , 7 Limited evidence has suggested changes in facial trauma epidemiology and injury paradigms during the COVID pandemic. 8 – 12 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

How Did the COVID-19 Pandemic Affect Trends in Facial Trauma?

Stanisce

Fisher

Choi

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Violent trauma as an indirect impact of the COVID-19 pandemic: A systematic review of hospital reported trauma

Beiter

Hayden

Phillippi

et al. 2021

The American Journal of Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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What was the impact of COVID-19 restrictions on unintentional injuries, in Canada and globally? A scoping review investigating how lockdown measures impacted the global burden of unintentional injury

Karmali,

Saxena,

Richards

et al. 2024

Front. Public Health

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BackgroundInjuries are among the leading causes for hospitalizations and emergency department (ED) visits. COVID-19 restrictions ensured safety to Canadians, but also negatively impacted health outcomes, including increasing rates of certain injuries. These differences in trends have been reported internationally however the evidence is scattered and needs to be better understood to identify opportunities for public education and to prepare for future outbreaks.ObjectiveA scoping review was conducted to synthesize evidence regarding the impact of COVID-19 restrictions on unintentional injuries in Canada, compared to other countries.MethodsStudies investigating unintentional injuries among all ages during COVID-19 from any country, published in English between December 2019 and July 2021, were included. Intentional injuries and/or previous pandemics were excluded. Four databases were searched (MEDLINE, Embase, Web of Science, SPORTDiscus), and a gray literature search was also conducted.ResultsThe search yielded 3,041 results, and 189 articles were selected for extraction. A total of 41 reports were included from the gray literature search. Final studies included research from: Europe (n = 85); North America (n = 44); Asia (n = 32); Oceania (n = 12); Africa (n = 8); South America (n = 4); and multi-country (n = 4). Most studies reported higher occurrence of injuries/trauma among males, and the average age across studies was 46 years. The following mechanisms of injury were reported on most frequently: motor vehicle collisions (MVCs; n = 134), falls (n = 104), sports/recreation (n = 65), non-motorized vehicle (n = 31), and occupational (n = 24). Injuries occurring at home (e.g., gardening, home improvement projects) increased, and injuries occurring at schools, workplaces, and public spaces decreased. Overall, decreases were observed in occupational injuries and those resulting from sport/recreation, pedestrian-related, and crush/trap incidents. Decreases were also seen in MVCs and burns, however the severity of injury from these causes increased during the pandemic period. Increases were observed in poisonings, non-motorized vehicle collisions, lacerations, drownings, trampoline injuries; and, foreign body ingestions.ImplicationsFindings from this review can inform interventions and policies to identify gaps in public education, promote safety within the home, and decrease the negative impact of future stay-at-home measures on unintentional injury among Canadians and populations worldwide.

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Influence of Sars-Cov 2 lockdown on the incidence of facial trauma in a tertiary care hospital in Rome, Italy

Cited by 3 publications

References 0 publications

How Did the COVID-19 Pandemic Affect Trends in Facial Trauma?

How Did the COVID-19 Pandemic Affect Trends in Facial Trauma?

Violent trauma as an indirect impact of the COVID-19 pandemic: A systematic review of hospital reported trauma

What was the impact of COVID-19 restrictions on unintentional injuries, in Canada and globally? A scoping review investigating how lockdown measures impacted the global burden of unintentional injury

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