ArticlePloS one2021
Impact of the COVID-19 shutdown on orthopedic trauma numbers and patterns in an academic Level I Trauma Center in Berlin, Germany.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Article
- Census-Dependent Mortality of Ventilated Patients With COVID-19 in Israel: Noninterventional Observational Cohort Study.Interactive journal of medical research · 2024Article
- The Effects of the COVID-19 Pandemic on the Pattern of Fractures in Taif City, Saudi Arabia.Cureus · 2024Article
- Mechanism of Injury for Traumatic Mid-Foot Lisfranc Injuries: Impact of the COVID-19 Pandemic.Cureus · 2024Article
- What was the impact of COVID-19 restrictions on unintentional injuries, in Canada and globally? A scoping review investigating how lockdown measures impacted the global burden of unintentional injury.Frontiers in public health · 2024Article
- The Hidden Pandemic: Impact of the COVID-19 Pandemic on Trauma Cases Due to Domestic Violence Admitted to the Biggest Level-One Trauma Center in Austria.Journal of clinical medicine · 2023Article
- [Trauma emergency room cases before and during the COVID-19 pandemic : Data from an alpine trauma center].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- The development, incidence and treatment trends of trochanteric fractures in Germany: a cohort study.Journal of orthopaedic surgery and research · 2023Article
- Changes in Injury Pattern and Outcomes of Trauma Patients after COVID-19 Pandemic: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2023Article
- Effect of coronavirus (COVID-19) pandemic on orthopedic trauma patients presenting in the emergency department of a maximum care hospital and level 1 trauma center.Archives of orthopaedic and trauma surgery · 2023Article
- Changes in ambulance departures for assault calls during COVID-19 pandemic restrictions.Aggressive behavior · 2023Article
- [Impact of the COVID-19 crisis in Spring 2020 on trauma case numbers of an academic teaching hospital in Stuttgart : Trauma during a pandemic].Unfallchirurgie (Heidelberg, Germany) · 2022Article
- Medical and cardio-vascular emergency department visits during the COVID-19 pandemic in 2020: is there a collateral damage? A retrospective routine data analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2022Article
- Global Impact of the COVID-19 Pandemic on Orthopedics and the Implications of Telemedicine: A Systematic Review of the Literature.Journal of clinical medicine · 2022Review
- Decreases in pediatric fractures during the COVID-19 pandemic - a nationwide epidemiological cohort study.European journal of pediatrics · 2022Article
- Changes of radiological examination volumes over the course of the COVID-19 pandemic: a comprehensive analysis of the different waves of infection.Insights into imaging · 2022Article
- Excess mortality after hip fracture during COVID-19 pandemic: More about disruption, less about virulence-Lesson from a trauma center.PloS one · 2022Article
- COVID-19 Pandemic Impact on Orthopaedic Trauma Practice: A Global Perspective.Orthopedic research and reviews · 2022Review
- Quality and quantity of serious violent suicide attempts during the COVID-19 pandemic.Frontiers in psychiatry · 2022Article
- Factors affecting 30-day postoperative complications after emergency surgery during the COVID-19 outbreak: A multicentre cohort study.International journal of surgery open · 2021Article
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Authors and funding
17 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic led to the implementation of drastic shutdown measures worldwide. While quarantine, self-isolation and shutdown laws helped to effectively contain and control the spread of SARS-CoV-2, the impact of COVID-19 shutdowns on trauma care in emergency departments (EDs) remains elusive.
methodsAll ED patient records from the 35-day COVID-19 shutdown (SHUTDOWN) period were retrospectively compared to a calendar-matched control period in 2019 (CTRL) as well as to a pre (PRE)- and post (POST)-shutdown period in an academic Level I Trauma Center in Berlin, Germany. Total patient and orthopedic trauma cases and contacts as well as trauma causes and injury patterns were evaluated during respective periods regarding absolute numbers, incidence rate ratios (IRRs) and risk ratios (RRs).
findingsDaily total patient cases (SHUTDOWN vs. CTRL, 106.94 vs. 167.54) and orthopedic trauma cases (SHUTDOWN vs. CTRL, 30.91 vs. 52.06) decreased during the SHUTDOWN compared to the CTRL period with IRRs of 0.64 and 0.59. While absolute numbers decreased for most trauma causes during the SHUTDOWN period, we observed increased incidence proportions of household injuries and bicycle accidents with RRs of 1.31 and 1.68 respectively. An RR of 2.41 was observed for injuries due to domestic violence. We further recorded increased incidence proportions of acute and regular substance abuse during the SHUTDOWN period with RRs of 1.63 and 3.22, respectively.
conclusionsWhile we observed a relevant decrease in total patient cases, relative proportions of specific trauma causes and injury patterns increased during the COVID-19 shutdown in Berlin, Germany. As government programs offered prompt financial aid during the pandemic to individuals and businesses, additional social support may be considered for vulnerable domestic environments.
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