Patterns of Adult and Paediatric Hand Trauma During the COVID-19 Lockdown

Garude, Kirti; Natalwala, Ibrahim; Hughes, Benedict; West, Christopher R.; Bhat, Waseem

doi:10.1016/j.bjps.2020.05.087

Cited by 35 publications

(51 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The advent of social isolation has the prospect to break down social support networks and have an impact on mental health. Likewise, a report published by Garude et al states an increase in hand-related traumas from DSH [9]. In contrast, our institution has noted an overall decrease in the numbers of serious traumatic injuries from DSH (including violent suicide and parasuicide attempts).…”

Section: Discussionsupporting

confidence: 62%

“…These resulted from a tendency of people to perform DIY activities at home during lockdown, especially with the advent of spring. A significant increase in hand injuries associated with using tools at home while performing DIY activities during lockdown have been noted in other studies [9]. An increase was also noted in the proportion of stabbings encountered during the COVID-19 lockdown compared to other mechanisms of injury.…”

Section: Discussionsupporting

confidence: 61%

See 1 more Smart Citation

Epidemiology of trauma presentations to a major trauma centre in the North West of England during the COVID-19 level 4 lockdown

Rajput

Sud

Rees

et al. 2020

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Purpose The COVID-19 pandemic has impacted healthcare systems globally, little is known about the trauma patterns during a national lockdown. The aim of this study is to delineate the trauma patterns and outcomes at Aintree University Teaching Hospital level 1 Major Trauma Centre (MTC) during the COVID-19 lockdown imposed by the U.K. government. Methods A retrospective cohort study data from the Merseyside and Cheshire Trauma Audit and Research Network database were analysed. The 7-week 'lockdown period' was compared to a 7-week period prior to the lockdown and also to an equivalent 7-week period corresponding to the previous year. Results A total of 488 patients were included in the study. Overall, there was 37.6% and 30.0% reduction in the number of traumatic injuries during lockdown. Road traffic collisions (RTC) reduced by 42.6% and 46.6%. RTC involving a car significantly reduced during lockdown, conversely, bike-related RTC significantly increased. No significant changes were noted in deliberate self-harm, trauma severity and crude mortality during lockdown. There was 1 mortality from COVID-19 infection in the lockdown cohort. Conclusion Trauma continues during lockdown, our MTC has continued to provide a full service during lockdown. However, trauma patterns have changed and departments should adapt to balance these alongside the COVID-19 pandemic. As the U.K. starts its cautious transition out of lockdown, trauma services are required to be flexible during changes in national social restrictions and changing trauma patterns. COVID-19 and lockdown state were found to have no significant impact on survival outcomes for trauma.

show abstract

Section: Discussionsupporting

confidence: 62%

Section: Discussionsupporting

confidence: 61%

Epidemiology of trauma presentations to a major trauma centre in the North West of England during the COVID-19 level 4 lockdown

Rajput

Sud

Rees

et al. 2020

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…Despite overall reductions in the number of adult and pediatric trauma cases during the COVID-19 pandemic, specific injury mechanisms have become more common. For example, injuries associated with using tools at home have significantly increased [5,8]. Since the beginning of the stay at home mandates, few studies have investigated specific types of trauma, those most likely to suffer from traumatic injury, and factors related to trauma such as substance abuse.…”

Section: Introductionmentioning

confidence: 99%

Trauma Trends During the Initial Peak of the COVID-19 Pandemic in the Midst of Lockdown: Experiences From a Rural Trauma Center

Rhodes¹,

Petersen²,

Biswas³

2020

Cureus

View full text Add to dashboard Cite

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.

show abstract

“…Injuries due to interpersonal violence reduced during lockdown but DIY-related injuries and cases of deliberate self-harm rose in the same period. 3 These patients were supported with access to mental health and support teams.…”

Section: Ambulatory Day Case Hand Traumamentioning

confidence: 99%

Plastic physicians: The surgical salamanders of the COVID-19 pandemic

Hughes

Hassan

Stallard

et al. 2021

Journal of Plastic, Reconstructive & Aesthetic Surgery

View full text Add to dashboard Cite

At the time of writing, coronavirus disease-2019 (COVID-19) has affected 6.42 million people globally and over 380,000 deaths, with the United Kingdom now having the highest death rate in Europe. The plastic surgery department at Leeds Teaching Hospitals put necessary steps in place to maintain an excellent urgent elective and acute service whilst also managing COVID-positive medical patients in the ward. We describe the structures and pathways implemented together with complex decision-making, which has allowed us to respond early and effectively. We hope these lessons will prove a useful tool as we look to open conversations around the recovery of normal activity.

show abstract

Patterns of Adult and Paediatric Hand Trauma During the COVID-19 Lockdown

Cited by 35 publications

References 1 publication

Epidemiology of trauma presentations to a major trauma centre in the North West of England during the COVID-19 level 4 lockdown

Epidemiology of trauma presentations to a major trauma centre in the North West of England during the COVID-19 level 4 lockdown

Trauma Trends During the Initial Peak of the COVID-19 Pandemic in the Midst of Lockdown: Experiences From a Rural Trauma Center

Plastic physicians: The surgical salamanders of the COVID-19 pandemic

Contact Info

Product

Resources

About