Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC.
Citation: Trauma Surgery & Acute Care Open. 6(1):e000659, 2021.PMID: 34192164Institution: MedStar Washington Hospital CenterDepartment: Surgery/Surgical Critical Care | Surgery/Trauma SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021Abstract: Background: The COVID-19 pandemic has had far-reaching effects on healthcare systems and society with resultant impact on trauma systems worldwide. This study evaluates the impact the pandemic has had in the Washington, DC Metropolitan Region as compared with similar months in 2019.Conclusions and relevance: The overall incidence of trauma has decreased since the arrival of COVID-19. However, there has been a significant rise in penetrating trauma. Preparation for future pandemic response should include planning for an increase in trauma center resource utilization from penetrating trauma.Design: A retrospective multicenter study of all adult trauma centers in the Washington, DC region was conducted using trauma registry data between January 1, 2019 and May 31, 2020. March 1, 2020 through May 31, 2020 was defined as COVID-19, and January 1, 2019 through February 28, 2020 was defined as pre-COVID-19. Variables examined include number of trauma contacts, trauma admissions, mechanism of injury, Injury Severity Score, trauma center location (urban vs. suburban), and patient demographics.Level of evidence: Epidemiological, level III. Copyright (c) Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.Results: There was a 22.4% decrease in the overall incidence of trauma during COVID-19 compared with a 3.4% increase in trauma during pre-COVID-19. Blunt mechanism of injury decreased significantly during COVID-19 (77.4% vs. 84.9%, p<0.001). There was no change in the specific mechanisms of fall from standing, blunt assault, and motor vehicle crash. The proportion of trauma evaluations for penetrating trauma increased significantly during COVID-19 (22.6% vs. 15.1%, p<0.001). Firearm-related and stabbing injury mechanisms both increased significantly during COVID-19 (11.8% vs. 6.8%, p<0.001; 9.2%, 6.9%, p=0.002, respectively).Fiscal year: FY2021Digital Object Identifier: ORCID:- Haut, Elliott R Michetti, Christopher P Sarani, Babak:
- https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004 https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004 https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004 Haut, Elliott R Michetti, Christopher P Sarani, Babak:
- https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004 https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004 https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004 Haut, Elliott R Michetti, Christopher P Sarani, Babak:
- https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004 https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004 https://orcid.org/0000-0001-7075-771X https://orcid.org/0000-0002-3744-0603 https://orcid.org/0000-0001-6247-3004
| Item type | Current library | Collection | Call number | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
| Journal Article | MedStar Authors Catalog | Article | 34192164 | Available | 34192164 |
Background: The COVID-19 pandemic has had far-reaching effects on healthcare systems and society with resultant impact on trauma systems worldwide. This study evaluates the impact the pandemic has had in the Washington, DC Metropolitan Region as compared with similar months in 2019.
Conclusions and relevance: The overall incidence of trauma has decreased since the arrival of COVID-19. However, there has been a significant rise in penetrating trauma. Preparation for future pandemic response should include planning for an increase in trauma center resource utilization from penetrating trauma.
Design: A retrospective multicenter study of all adult trauma centers in the Washington, DC region was conducted using trauma registry data between January 1, 2019 and May 31, 2020. March 1, 2020 through May 31, 2020 was defined as COVID-19, and January 1, 2019 through February 28, 2020 was defined as pre-COVID-19. Variables examined include number of trauma contacts, trauma admissions, mechanism of injury, Injury Severity Score, trauma center location (urban vs. suburban), and patient demographics.
Level of evidence: Epidemiological, level III. Copyright (c) Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Results: There was a 22.4% decrease in the overall incidence of trauma during COVID-19 compared with a 3.4% increase in trauma during pre-COVID-19. Blunt mechanism of injury decreased significantly during COVID-19 (77.4% vs. 84.9%, p<0.001). There was no change in the specific mechanisms of fall from standing, blunt assault, and motor vehicle crash. The proportion of trauma evaluations for penetrating trauma increased significantly during COVID-19 (22.6% vs. 15.1%, p<0.001). Firearm-related and stabbing injury mechanisms both increased significantly during COVID-19 (11.8% vs. 6.8%, p<0.001; 9.2%, 6.9%, p=0.002, respectively).
English