Evidence map›Paper›PMID 33752728›Full record

Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2021

Impact of the SARS-COV-2 outbreak on epidemiology and management of major traumain France: a registry-based study (the COVITRAUMA study).

Jean-Denis Moyer, Arthur James, Clément Gakuba, Mathieu Boutonnet, Emeline Angles, Emmanuel Rozenberg, Jean Bardon, Thomas Clavier, Vincent Legros, Marie Werner and 8 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  2. Pooled it
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  5. Review
  6. Article
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  11. Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Observational
  12. Article
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

18 authors.

Jean-Denis MoyerDepartment of Anesthesiology and Critical Care, Beaujon Hospital, DMU Parabol, AP-HP.Nord, 100 boulevard du General Leclerc, F92110, Clichy, France. Jean-denis.moyer@aphp.fr.ORCID http://orcid.org/0000-0002-4244-7340
Arthur JamesDepartment of Anaesthesiology and critical care, Pitié-Salpêtrière Hospital, Sorbonne University, GRC 29, AP-HP, DMU DREAM, Paris, France.
Clément GakubaDepartment of Anesthesiology and Critical Care Medicine, Caen University Hospital, Avenue de la cote de Nacre, Caen, France.
Mathieu BoutonnetIntensive Care Unit, Percy Military Teaching Hospital. 101 avenue Henri Barbusse 92140, Clamart, Val de Grace Academy, place Alphonse Laveran, 75005, Paris, France.
Emeline AnglesDepartment of Anesthesiology and Critical Care, Bordeaux University Hospital, Pellegrin, Bordeaux, France.
Emmanuel RozenbergDepartment of Anesthesiology and Critical Care, Hôpital Européen Georges Pompidou, Paris, France.
Jean BardonDepartment of Anesthesiology and Critical Care, Hôpital Henri Mondor, Créteil, France.
Thomas ClavierDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Vincent LegrosDepartment of Anesthesiology and Critical Care, Hopital Maison Blanche - CHU de Reims, Reims, France.
Marie WernerDepartment of Anesthesiology and Critical Care, APH-HP, Bicêtre Hôpitaux Universitaires Paris-Sud, Université Paris Saclay, Le Kremlin Bicêtre, France.
Quentin MathaisDepartment of Anesthesiology and Critical Care, Military Teaching Hospital, Sainte-Anne, Toulon, France.
Véronique RamondaDepartment of Anesthesiology and Critical Care, University Toulouse 3-Paul-Sabatier, University Hospital of Toulouse, Hôpital Pierre-Paul Riquet, CHU Toulouse-Purpan, 31059, Toulouse, France.
Pierre Le MinhDepartment of Anesthesiology and Critical Care, Beaujon Hospital, DMU Parabol, AP-HP.Nord, 100 boulevard du General Leclerc, F92110, Clichy, France.
Yann BerthelotCapgemini Invent, Insight Driven Enterprise, focused on Data & Artificial Intelligence services, Issy-les-Moulineaux, France.
Clélia ColasCapgemini Invent, Insight Driven Enterprise, focused on Data & Artificial Intelligence services, Issy-les-Moulineaux, France.
Julien PottecherHôpitaux Universitaires de Strasbourg, Pôle d'Anesthésie-Réanimation & Médecine Péri-Opératoire, Service d'Anesthésie-Réanimation & Médecine Péri-Opératoire Hôpital de Hautepierre - Université de Strasbourg, Faculté de Médecine, Fédération de Médecine Translationnelle de Strasbourg (FMTS), UR3072, Strasbourg, France.
Tobias GaussDepartment of Anesthesiology and Critical Care, Beaujon Hospital, DMU Parabol, AP-HP.Nord, 100 boulevard du General Leclerc, F92110, Clichy, France.
and the Traumabase Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmerging evidence suggests that the reallocation of health care resources during the COVID-19 pandemic negatively impacts health care system. This study describes the epidemiology and the outcome of major trauma patients admitted to centers in France during the first wave of the COVID-19 outbreak.

methodsThis retrospective observational study included all consecutive trauma patients aged 15 years and older admitted into 15 centers contributing to the TraumaBase® registry during the first wave of the SARS-CoV-2 pandemic in France. This COVID-19 trauma cohort was compared to historical cohorts (2017-2019).

resultsOver a 4 years-study period, 5762 patients were admitted between the first week of February and mid-June. This cohort was split between patients admitted during the first 2020 pandemic wave in France (pandemic period, 1314 patients) and those admitted during the corresponding period in the three previous years (2017-2019, 4448 patients). Trauma patient demographics changed substantially during the pandemic especially during the lockdown period, with an observed reduction in both the absolute numbers and proportion exposed to road traffic accidents and subsequently admitted to traumacenters (348 annually 2017-2019 [55.4% of trauma admissions] vs 143 [36.8%] in 2020 p < 0.005). The in-hospital observed mortality and predicted mortality during the pandemic period were not different compared to the non-pandemic years.

conclusionsDuring this first wave of COVID-19 in France, and more specifically during lockdown there was a significant reduction of patients admitted to designated trauma centers. Despite the reallocation and reorganization of medical resources this reduction prevented the saturation of the trauma rescue chain and has allowed maintaining a high quality of care for trauma patients.

Indexed as

Disease ManagementRegistriesAdultCommunicable Disease ControlCOVID-19Delivery of Health CareFemaleFranceHospitalizationHumansMalePandemicsRetrospective StudiesSARS-CoV-2Trauma CentersCOVID-19FranceTraumaTraumacenter

Identifiers

PMID33752728
PMCPMC7983347

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LicenceCC BY
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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.