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The effect of lockdown on intentional and nonintentional injury during the COVID-19 pandemic in Cape Town, South Africa: A preliminary report

机译:南非开普敦Covid-19大流行期间故意和非直接损伤的效果:初报

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Background. In response to the coronavirus pandemic, lockdown restrictions and a ban on alcohol sales were introduced in South Africa. Objectives. To investigate the impact of lockdown measures on the number of patients who visited a tertiary urban trauma centre. Methods. The period of investigation was from 1 February to 30 June 2020 and was segmented into three intervals: pre-lockdown (February and March 2020), hard lockdown (April and May 2020) and immediately post lockdown (June 2020). The electronic HECTIS health record registry was interrogated for the total number of patients that were seen per month. These were further categorised according to mechanism of injury (stab, gunshot, blunt assault and road traffic injuries). Penetrating (stab and gunshot) and blunt assault victims were collectively grouped as violent trauma. Results. The mean total number of patients seen decreased by 53% during the hard lockdown period. There was a moderate reduction (15%) in patients with gunshot injuries seen during the hard lockdown phase, but there was an 80% increase in the post-lockdown period. The proportion of patients injured in road traffic collisions pre lockdown, hard lockdown and immediate post lockdown was 16.4%, 8.9% and 11.1%, respectively. Patients injured in road traffic collisions decreased by 74% during the hard lockdown period and maintained a reduction of 32% during the immediate post-lockdown period. The mean total number of patients who visited the trauma unit returned to pre-lockdown levels in June. Conclusion. There was an overall trend of reduced number of patients who visited the trauma unit during the hard lockdown period; however, these numbers returned to pre-lockdown levels during the immediate post-lockdown period. The number of road traffic injury admissions remained reduced during all three phases of lockdown, while the number of gunshot victims increased substantially during the post-lockdown period.
机译:背景。在南非引入了核心病毒大流行,锁定限制和禁止酒精销售。目标。调查锁定措施对访问高等城市创伤中心的患者数量的影响。方法。调查期为2020年2月1日至30日,分为三个间隔:锁定前(2月和3月2020年),硬锁定(4月和5月2020年),并立即锁定(2012年6月20日)。电子铰接健康记录登记处被审核,以获得每月看到的患者总数。根据损伤机制(刺,枪口,钝侵犯和道路交通损伤)进一步分类。渗透(刺伤和枪声)和钝的攻击受害者被集体被分组为暴力创伤。结果。在硬盘锁定期间,观察到的患者的平均总数为53%。在硬盘锁定阶段,枪击损伤的患者患者有适度的减少(15%),但锁定后期持续80%。在道路交通碰撞中受伤的患者的比例分别锁定,硬锁定和立即锁定分别为16.4%,8.9%和11.1%。在铁路交通碰撞中受伤的患者在硬盘锁定期间减少了74%,在锁定后期的直接锁定期间保持了32%的减少。参观创伤单位的患者的平均总数恢复到6月份的锁定级别。结论。在硬盘锁定期间访问创伤单位的患者数量减少了一切趋势;但是,这些数字在锁定后期的直接锁定时段期间返回到锁定级别。在锁定期间的所有三个阶段,道路交通损伤入学人数仍然减少,而在锁定期间,枪击受害者的数量大幅增加。

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