Impact of COVID-19 and Shelter in Place on Volume and Type of Traumatic Injuries

التفاصيل البيبلوغرافية
العنوان: Impact of COVID-19 and Shelter in Place on Volume and Type of Traumatic Injuries
المؤلفون: Kraftin E. Schreyer, Zoe Maher, James Murrett, Wayne A. Satz, Emily Fu, Crystal Bae
المصدر: Western Journal of Emergency Medicine, Vol 22, Iss 5 (2021)
Western Journal of Emergency Medicine
بيانات النشر: eScholarship Publishing, University of California, 2021.
سنة النشر: 2021
مصطلحات موضوعية: medicine.medical_specialty, Urban Population, Trauma Centers, Medicine, Humans, Endemic Infections, Pandemics, Original Research, Retrospective Studies, Shelter in place, business.industry, SARS-CoV-2, RC86-88.9, Social distance, Public health, Trauma center, COVID-19, Retrospective cohort study, Medical emergencies. Critical care. Intensive care. First aid, General Medicine, Emergency department, medicine.disease, Blunt trauma, Emergency medicine, Quarantine, Emergency Medicine, Wounds and Injuries, business, Emergency Service, Hospital, Penetrating trauma
الوصف: Introduction: Very little is known about the effects of the novel coronavirus (COVID-19) pandemic and its associated social distancing practices on trauma presentations to the emergency department (ED). This study aims to assess the impact of a city-wide stay at home order on the volume, type, and outcomes of traumatic injuries at urban EDs. Methods: The study was a retrospective chart review of all patients who presented to the ED of an urban Level I Trauma Center and its urban community affiliate in the time period during the 30 days before the institution of city-wide shelter-in-place (preSIP) order and 60 days after the shelter-in-place (SIP) order and the date-matched time periods in the preceding year. Volume and mechanism of traumatic injuries were compared using paired T-tests. Results: There was a significant decrease in overall ED volume. The volume of certain blunt trauma presentations (motor vehicle collisions) during the first 60 days of SIP compared to the same period from the year prior also significantly decreased. Importantly, the volume of penetrating injuries, including gunshot wounds and stab wounds, did not differ for the preSIP and SIP periods when compared to the prior year. The mortality of traumatic injuries was also unchanged during the SIP comparison period. Conclusion: While there were significant decreases in visits to the ED and overall trauma volume, penetrating trauma, including gun violence, and other severe traumatic injuries remain a public health crisis that affects urban communities despite social distancing recommendations enacted during the COVID-19 pandemic.
اللغة: English
تدمد: 1936-9018
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d393edd914e599896d4072fde4ad61e9
https://escholarship.org/uc/item/2ck392s1
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....d393edd914e599896d4072fde4ad61e9
قاعدة البيانات: OpenAIRE