Evidence map›Paper›PMID 33415689›Full record

ArticleIrish journal of medical science2021

The impact of COVID-19 on trauma referrals to a National Neurosurgical Centre.

Jack Horan, John C Duddy, Brian Gilmartin, Michael Amoo, Deirdre Nolan, Paula Corr, Mohammed Ben Husien, Ciaran Bolger

Abstract read
In one paragraph

Article in Irish journal of medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Changes in Access to Health Services during the COVID-19 Pandemic: A Scoping Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jack HoranDepartment of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland. jackhoran27@gmail.com.ORCID http://orcid.org/0000-0001-8406-0016
John C DuddyDepartment of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.
Brian GilmartinDepartment of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.
Michael AmooDepartment of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.
Deirdre NolanDepartment of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.
Paula CorrDepartment of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.
Mohammed Ben HusienDepartment of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.
Ciaran BolgerDepartment of Neurosurgery, Beaumont Hospital, Dublin 9, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the impact of COVID-19 on trauma referrals to a National Neurosurgical Centre during the first wave of COVID-19 in Ireland.

methodsRetrospective analysis of a prospectively maintained database of all trauma referrals to the National Neurosurgical Centre at Beaumont Hospital, Dublin, during the period March 1-May 31, 2019 and 2020. Patient characteristics including age, sex, alcohol use, anticoagulant/antiplatelet use and initial Glasgow Coma Scale (GCS) were recorded. Patients were grouped based on trauma aetiology and diagnosis.

resultsThere were 527 and 437 trauma referrals in 2019 and 2020 respectively. Overall, there was a 17.1% reduction in trauma referrals between 2019 and 2020. Traumatic brain injury, spinal injury and cranial fractures referrals reduced 25% (375 vs 283), 59% (32 vs 13) and 18% (39 vs 32) respectively from 2019 to 2020. Low-energy falls below 2 m was the most common mechanism of injury and accounted for 60 and 61% of referrals in 2019 and 2020. No reduction in road traffic collision (33 vs 34) and assault (40 vs 40) referrals were observed between years.

conclusionsCOVID-19 has had a significant impact on both the volume and mechanism of trauma referrals to the National Neurosurgical Centre in Ireland, with falls below 2 m the most common mechanism of trauma referral across both years. The workload remains substantial and a fully resourced neurosurgical department is essential in any future COVID-19 waves.

Indexed as

COVID-19Glasgow Coma ScaleHumansReferral and ConsultationRetrospective StudiesSARS-CoV-2COVID-19Spinal injurySubduralTraumaTraumatic brain injury

Identifiers

PMID33415689
PMCPMC7790516

What OpenQuestion holds

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Registered trials

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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.