BACKGROUND: Societal restrictions and lockdown during the coronavirus (COVID-19) pandemic have had a significant impact on the volume and nature of trauma admissions. We assessed the impact of COVID-19 related societal restrictions and lockdown on trauma admissions to single level 1 trauma centre in Westmead, Australia. We hypothesized that the number of trauma admissions would decrease and number of admissions due to self-harm and assault (specifically domestic violence) would increase. METHODS: Data was collected from the prospectively maintained Westmead Hospital Trauma Registry. The primary outcome compared was the average number of trauma admissions during March and April during years 2016 to 2020. Analysis of variance was used to analyse means. Pairwise differences among group means were evaluated with Tukey's honestly significant difference test. Secondary outcomes compared were in-hospital interventions and patient outcomes. RESULTS: There was a 23-34% decrease (P = 0.018) in the mean monthly average trauma admissions during March/April 2020 compared with previous years 2016-2019. In addition, there was a 40-52% decrease (P = 0.025) and 13-29% decrease (P = 0.020) in admissions due to road traffic collisions and falls respectively. CONCLUSION: There was a significant decrease in the overall number of trauma-related admissions during the COVID-19-related period of societal restrictions and lockdown. This was due to a decrease in minor traumas, falls and road traffic collisions. There was no difference in the number of admissions secondary to major traumas, self-harm or assault.
BACKGROUND: Societal restrictions and lockdown during the coronavirus (COVID-19) pandemic have had a significant impact on the volume and nature of trauma admissions. We assessed the impact of COVID-19 related societal restrictions and lockdown on trauma admissions to single level 1 trauma centre in Westmead, Australia. We hypothesized that the number of trauma admissions would decrease and number of admissions due to self-harm and assault (specifically domestic violence) would increase. METHODS: Data was collected from the prospectively maintained Westmead Hospital Trauma Registry. The primary outcome compared was the average number of trauma admissions during March and April during years 2016 to 2020. Analysis of variance was used to analyse means. Pairwise differences among group means were evaluated with Tukey's honestly significant difference test. Secondary outcomes compared were in-hospital interventions and patient outcomes. RESULTS: There was a 23-34% decrease (P = 0.018) in the mean monthly average trauma admissions during March/April 2020 compared with previous years 2016-2019. In addition, there was a 40-52% decrease (P = 0.025) and 13-29% decrease (P = 0.020) in admissions due to road traffic collisions and falls respectively. CONCLUSION: There was a significant decrease in the overall number of trauma-related admissions during the COVID-19-related period of societal restrictions and lockdown. This was due to a decrease in minor traumas, falls and road traffic collisions. There was no difference in the number of admissions secondary to major traumas, self-harm or assault.
Authors: Vincent Issac Lau; Sumeet Dhanoa; Harleen Cheema; Kimberley Lewis; Patrick Geeraert; David Lu; Benjamin Merrick; Aaron Vander Leek; Meghan Sebastianski; Brittany Kula; Dipayan Chaudhuri; Arnav Agarwal; Daniel J Niven; Kirsten M Fiest; Henry T Stelfox; Danny J Zuege; Oleksa G Rewa; Sean M Bagshaw Journal: PLoS One Date: 2022-06-24 Impact factor: 3.752
Authors: Ann John; Julian P T Higgins; David Gunnell; Emily Eyles; Roger T Webb; Chukwudi Okolie; Lena Schmidt; Ella Arensman; Keith Hawton; Rory C O'Connor; Nav Kapur; Paul Moran; Siobhan O'Neill; Luke A McGuiness; Babatunde K Olorisade; Dana Dekel; Catherine Macleod-Hall; Hung-Yuan Cheng Journal: F1000Res Date: 2020-09-04
Authors: Rachel E D'Silva; Ashwin K Kola; Joshua Vijay; Mariam Jacob; Bagyalakshmi Selvaraj; Jeremiah N Joseph; Kundavaram Paul Prabhakar Abhilash Journal: J Family Med Prim Care Date: 2022-03-10
Authors: Mitchell L S Driessen; Leontien M Sturms; Frank W Bloemers; Henk Jan Ten Duis; Michael J R Edwards; Dennis den Hartog; E J Kuipers; Peter A Leenhouts; Martijn Poeze; Inger B Schipper; Richard W Spanjersberg; Klaus W Wendt; Ralph J de Wit; Stefan W A M van Zutphen; Mariska A C de Jongh; Luke P H Leenen Journal: Ann Surg Date: 2022-02-01 Impact factor: 13.787
Authors: Faisal F Hakeem; Saeed Mastour Alshahrani; Mohammed Al Ghobain; Ibrahim Albabtain; Omar Aldibasi; Suliman Alghnam Journal: Front Public Health Date: 2021-07-13