COVID-19 in trauma: a propensity-matched analysis of COVID and non-COVID trauma patients
| العنوان: | COVID-19 in trauma: a propensity-matched analysis of COVID and non-COVID trauma patients |
|---|---|
| المؤلفون: | Morgan Schellenberg, Areti Tillou, Kent Garber, Walter L. Biffl, Galinos Barmparas, Graal Diaz, Georgi Mladenov, Jarrett Santorelli, Ryan Arthur Figueras, Terry Curry, Diane Wintz, Thomas K. Duncan, Sigrid Burruss, Natthida Owattanapanich, Arianne Johnson, Catherine Juillard, Justine Chinn, Ariana Naaseh, Daniel R. Margulies, Eric O. Yeates, Christopher Firek, Jeffry Nahmias, Amanda Leung, Megan Brenner, Christina Grabar, Areg Grigorian, Casey Barbaro, Henry Cryer, Kathryn B. Schaffer, Todd W. Costantini |
| المصدر: | European Journal of Trauma and Emergency Surgery European journal of trauma and emergency surgery : official publication of the European Trauma Society, vol 47, iss 5 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Clinical Sciences, Population, Critical Care and Intensive Care Medicine, Trauma, law.invention, 03 medical and health sciences, Injury Severity Score, 0302 clinical medicine, Trauma Centers, Clinical Research, law, Internal medicine, medicine, Humans, Orthopedics and Sports Medicine, 030212 general & internal medicine, Mortality, education, Lung, Retrospective Studies, education.field_of_study, SARS-CoV-2, business.industry, Glasgow Coma Scale, COVID-19, 030208 emergency & critical care medicine, Retrospective cohort study, Pneumonia, Length of Stay, Emergency & Critical Care Medicine, Intensive care unit, Coronavirus, Intensive Care Units, Orthopedics, Blood pressure, Propensity score matching, Cohort, Injury (total) Accidents/Adverse Effects, Emergency Medicine, Length of stay, Original Article, Surgery, Patient Safety, business |
| الوصف: | Purpose There is mounting evidence that surgical patients with COVID-19 have higher morbidity and mortality than patients without COVID-19. Infection is prevalent amongst the trauma population, but any effect of COVID-19 on trauma patients is unknown. We aimed to evaluate the effect of COVID-19 on a trauma population, hypothesizing increased mortality and pulmonary complications for COVID-19-positive (COVID) trauma patients compared to propensity-matched COVID-19-negative (non-COVID) patients. Methods A retrospective analysis of trauma patients presenting to 11 Level-I and II trauma centers in California between 1/1/2019–6/30/2019 and 1/1/2020–6/30/2020 was performed. A 1:2 propensity score model was used to match COVID to non-COVID trauma patients using age, blunt/penetrating mechanism, injury severity score, Glasgow Coma Scale score, systolic blood pressure, respiratory rate, and heart rate. Outcomes were compared between the two groups. Results A total of 20,448 trauma patients were identified during the study period. 53 COVID trauma patients were matched with 106 non-COVID trauma patients. COVID patients had higher rates of mortality (9.4% vs 1.9%, p = 0.029) and pneumonia (7.5% vs. 0.0%, p = 0.011), as well as a longer mean length of stay (LOS) (7.47 vs 3.28 days, p p = 0.008), compared to non-COVID patients. Conclusion This multicenter retrospective study found increased rates of mortality and pneumonia, as well as a longer LOS, for COVID trauma patients compared to a propensity-matched cohort of non-COVID patients. Further studies are warranted to validate these findings and to elucidate the underlying pathways responsible for higher mortality in COVID trauma patients. |
| وصف الملف: | application/pdf |
| تدمد: | 1863-9941 1863-9933 |
| DOI: | 10.1007/s00068-021-01699-9 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6eca896151db3eb03cff0812f914012d https://doi.org/10.1007/s00068-021-01699-9 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....6eca896151db3eb03cff0812f914012d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18639941 18639933 |
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| DOI: | 10.1007/s00068-021-01699-9 |