Evidence map›Paper›PMID 32798035›Full record

ArticleInjury2020

The influence of a statewide "Stay-at-Home" order on trauma volume and patterns at a level 1 trauma center in the united states.

Stefan W Leichtle, Edgar B Rodas, Levi Procter, Jonathan Bennett, Robin Schrader, Michel B Aboutanos

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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  20. Impact of the SARS-CoV-2 pandemic on trauma care: a nationwide observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Stefan W LeichtleDivision of Acute Care Surgical Services, Department of Surgery, Virginia Commonwealth University, 1200 E Broad Street, West Hospital, 15th Floor, East Wing, Richmond, VA, United States. Electronic address: stefan.leichtle@vcuhealth.org.
Edgar B RodasDivision of Acute Care Surgical Services, Department of Surgery, Virginia Commonwealth University, 1200 E Broad Street, West Hospital, 15th Floor, East Wing, Richmond, VA, United States.
Levi ProcterDivision of Acute Care Surgical Services, Department of Surgery, Virginia Commonwealth University, 1200 E Broad Street, West Hospital, 15th Floor, East Wing, Richmond, VA, United States.
Jonathan BennettDivision of Acute Care Surgical Services, Department of Surgery, Virginia Commonwealth University, 1200 E Broad Street, West Hospital, 15th Floor, East Wing, Richmond, VA, United States.
Robin SchraderDivision of Acute Care Surgical Services, Department of Surgery, Virginia Commonwealth University, 1200 E Broad Street, West Hospital, 15th Floor, East Wing, Richmond, VA, United States.
Michel B AboutanosDivision of Acute Care Surgical Services, Department of Surgery, Virginia Commonwealth University, 1200 E Broad Street, West Hospital, 15th Floor, East Wing, Richmond, VA, United States.
Virginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID pandemic of 2020 resulted in unprecedented restrictions of public life in most countries around the world, and many hospital systems experienced dramatic decreases in non-COVID related patient admissions. We aimed to compare trauma volumes, patient characteristics, and trauma mechanisms at a large, urban Level 1 trauma center in the United States during a state-wide "State of Emergency" and "stay-at-home" order to corresponding historic dates. All adult trauma activations from March 1 through April 30, 2020 and a historic control from March 1 through April 30, 2018 and 2019 were reviewed in the institution's trauma registry. Trauma volumes, patient characteristics, and trauma mechanisms were compared over time as increasingly stricter COVID-related restrictions were enacted in the Commonwealth of Virginia. After declaration of a state-wide "Public Health Emergency" on March 17, 2020, the daily number of trauma activations significantly declined to a mean of 4.7 (standard deviation, SD = 2.6), a decrease by 43% from a mean of 8.2 (SD = 0.3) for the same dates in 2018 and 2019. Trauma activations during COVID restrictions vs. historic control were characterized by significantly higher prevalence of chronic alcohol use (15.5% vs. 6.8%, p < 0.01), higher median (25th - 75th percentile) Injury Severity Score of 9 (5 - 16) vs. 6 (4 - 14), p = 0.01, and shorter median (25th - 75th percentile) length of hospital stay of 2 (1 - 6) days vs. 3 (1 - 7) days, p = 0.03. The COVID-related Public Health Emergency and "stay-at-home" order in the Commonwealth of Virginia dramatically reduced overall trauma volumes with minor but interesting changes in trauma patterns.

Indexed as

COVID-19Trauma CentersAdultEmergency Service, HospitalHumansPandemicsSARS-CoV-2United StatesCovid pandemicLockdownState of emergencyTrauma centerTrauma volumeUnited states

Identifiers

PMID32798035
PMCPMC7414300
OpenAlexW3048724935

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.