ArticleTrauma surgery & acute care open2021
Multicenter study of US trauma centers examining the effect of the COVID-19 pandemic on injury causes, diagnoses and procedures.
Article in Trauma surgery & acute care open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020-21.Lancet (London, England) · 2022Pooled it
- Race/ethnicity on firearm & self-injuries during COVID-19 using TQIP data.Surgery open science · 2026Article
- Dual pandemic of firearm injury and COVID-19 in Central and Southeastern Ohio: An interrupted time series analysis.PloS one · 2026Article
- Dual pandemic of firearm injury and COVID-19 in Central and Southeastern Ohio: An interrupted time series analysis.medRxiv : the preprint server for health sciences · 2025Article
- Changes in Traumatic Brain Injury Patterns Before and During the COVID-19 Pandemic: A Single-Center Study in Brazil.Cureus · 2025Article
- Assessing COVID-19 Mortality in Serbia's Capital: Model-Based Analysis of Excess Deaths.JMIR public health and surveillance · 2025Article
- 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
- Effect of the COVID‑19 pandemic on the management and outcomes of patients with traumatic injuries (Review).Biomedical reports · 2023Review
- Evaluating the Regional Differences in Pediatric Injury Patterns During the COVID-19 Pandemic.The Journal of surgical research · 2023Article
- The Effect of the COVID-19 Pandemic and Lockdown on Operative Traumatic Brain Injury in Northern Virginia.Cureus · 2023Article
- Pediatric outdoor recreational injuries: another hidden concern during the COVID-19 pandemic.Injury epidemiology · 2023Article
- How Did the Two Years of the COVID-19 Pandemic Affect the Outcomes of the Patients with Inflammatory Rheumatic Diseases in Lithuania?Medicina (Kaunas, Lithuania) · 2023Article
- The COVID-19 pandemic and associated rise in pediatric firearm injuries: A multi-institutional study.Journal of pediatric surgery · 2022Article
- Trauma patients with SARS-CoV-2 in German ICUs during the 2nd wave of the COVID-19 pandemic.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Observational
- Impact of the COVID-19 Pandemic on Trauma Service Utilization at a New York City Level I Trauma Center.Pragmatic and observational research · 2022Article
- Examining trends in gun violence injuries before and during the COVID-19 pandemic across six trauma centers.Trauma surgery & acute care open · 2022Article
- Impact of the COVID-19 Pandemic on road traffic collision injury patterns and severity in Al-Ain City, United Arab Emirates.World journal of emergency surgery : WJES · 2021Article
- Leading by Example During COVID-19: Physicians Can Model Collaboration and Collegiality.Injury · 2021Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic resulted in nationwide social distancing and shelter-in-place orders meant to curb transmission of the SARS-CoV-2 virus. The effect of the pandemic on injury patterns has not been well described in the USA. The study objective is to determine the effect of the COVID-19 pandemic on the distribution and determinants of traumatic injuries.
methodsThis retrospective multi-institutional cohort study included all hospital admissions for acute traumatic injury at six community level I trauma centers. Descriptive statistics were used to compare injury causes, diagnoses and procedures over two similar time periods: prepandemic (March 11-June 30, 2019) and pandemic (March 11-June 30, 2020).
resultsThere were 7308 trauma patients included: 3862 (53%) prepandemic and 3446 (47%) during the pandemic. Cause of injury significantly differed by period (p<0.001). During the pandemic, there were decreases in motor vehicle crashes (from 17.0% to 14.0%, p<0.001), worksite injuries (from 5.2% to 4.1%, p=0.02), pedestrian injuries (from 3.0% to 2.2%, p=0.02) and recreational injuries (from 3.0% to 1.7%, p<0.001), while there were significant increases in assaults (6.9% to 8.5%, p=0.01), bicycle crashes (2.8% to 4.2%, p=0.001) and off-road vehicle injuries (1.8% to 3.0%, p<0.001). There was no change by study period in falls, motorcycle injuries, crush/strikes, firearm and self-inflicted injuries, and injuries associated with home-improvement projects. Injury diagnoses differed between time periods; during the pandemic, there were more injury diagnoses to the head (23.0% to 27.3%, p<0.001) and the knee/leg (11.7% to 14.9%, p<0.001). There were also increases in medical/surgical procedures (57.5% to 61.9%, p<0.001), administration of therapeutics/blood products (31.4% to 34.2%, p=0.01) and monitoring (11.0% to 12.9%, p=0.01). DISCUSSION: Causes of traumatic injury, diagnoses, and procedures were significantly changed by the pandemic. Trauma centers must adjust to meet the changing demands associated with altered injury patterns, as they were associated with increased use of hospital resources. LEVEL OF EVIDENCE: III (epidemiological).
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