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首页> 外文OA文献 >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
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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

机译：Covid-19大流行对华盛顿特区大都市地区造成伤害和模式的影响：美国外科医学院创伤，华盛顿特区外科医院的多中心研究

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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.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.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).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.Level of evidence Epidemiological, level III.
机译：背景技术Covid-19 Pandemast对医疗系统和社会产生了深远的影响，并产生了对全球创伤系统的影响。本研究评估了大流行于华盛顿特区，直流大都市地区的影响与2019年类似的月份相比。在华盛顿州华盛顿州所有成人创伤中心的追溯多中心研究，在1月1日期间，DC地区进行了DC地区， 2019年和5月31日，2020年5月31日，2020年5月31日至5月31日被定义为Covid-19，2019年1月1日至2月28日至2月28日，2020年被定义为Pre-Covid-19。检测的变量包括创伤次数，创伤招生，伤害机制，伤害严重程度评分，创伤中心位置（都市与郊区）和患者人口统计学。Covid-19期间创伤的整体发病率降低了22.4％与Covid-19期间创伤的增加3.4％相比。 Covid-19期间，耐损伤机制显着下降（77.4％与84.9％，P <0.001）。秋天的特定机制没有变化，钝攻击和机动车崩溃。在Covid-19期间，穿透创伤的创伤评价的比例显着增加（22.6％，P <0.001）。 Covid-19期间枪械相关和刺伤的损伤机制显着增加（11.8％，P <0.001; 9.2％，6.9％，P = 0.002分别）。结论和相关性创伤的总体发病率降低Covid-19的到来。然而，渗透创伤存在显着升高。未来大流行反应的准备应包括计划从穿透创伤的创伤中心资源利用增加。透明对证据流行病学，III等级。

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