Evidence map›Paper›PMID 34192164›Full record

ArticleTrauma surgery & acute care open2021

Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC.

Marc Chodos, Babak Sarani, Andrew Sparks, Brandon Bruns, Shailvi Gupta, Christopher P Michetti, Joshua Crane, Erin Hall, Christine T Trankiem, Chadi Abouassaly and 6 more

Open access · goldAbstract read
In one paragraph

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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
9.7field-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

26 citing papers in PubMed, 45 citations in OpenAlex.

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  13. Investigating the impact of the COVID-19 pandemic on crime incidents number in different cities.Journal of safety science and resilience = An quan ke xue yu ren xing (Ying wen) · 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

16 authors at 6 institutions in 1 country.

Marc ChodosOrthopedic Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Babak SaraniSurgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.ORCID 0000-0001-6247-3004
Andrew SparksSurgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Brandon BrunsSurgery, University of Maryland Medical System, Baltimore, Maryland, USA.
Shailvi GuptaSurgery, University of Maryland Medical System, Baltimore, Maryland, USA.
Christopher P MichettiSurgery, Inova Fairfax Hospital, Falls Church, Virginia, USA.ORCID 0000-0002-3744-0603
Joshua CraneSurgery, MedStar Washington Hospital Center, Washington, DC, USA.
Erin HallDepartment of Surgery, MedStar Washington Hospital Center, Washington, DC, USA.
Christine T TrankiemSurgery, MedStar Washington Hospital Center, Washington, DC, USA.
Chadi AbouassalySurgery, MedStar Washington Hospital Center, Washington, DC, USA.
Elliott R HautSurgery, Johns Hopkins Medicine School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-7075-771X
Eric EtchillSurgery, Johns Hopkins Medicine, Baltimore, Maryland, USA.
Mark L KovlerSurgery, Johns Hopkins Medicine, Baltimore, Maryland, USA.
Mallory WilliamsSurgery, Howard University Hospital, Washington, DC, USA.
Ahmad ZeineddinSurgery, Howard University Hospital, Washington, DC, USA.
Jordan EstroffSurgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
George Washington University · USMedStar Washington Hospital Center · USJohns Hopkins University · USHoward University Hospital · USUniversity of Maryland, Baltimore · USInova Fairfax Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has had far-reaching effects on healthcare systems and society with resultant impact on trauma systems worldwide. This study evaluates the impact the pandemic has had in the Washington, DC Metropolitan Region as compared with similar months in 2019.

designA retrospective multicenter study of all adult trauma centers in the Washington, DC region was conducted using trauma registry data between January 1, 2019 and May 31, 2020. March 1, 2020 through May 31, 2020 was defined as COVID-19, and January 1, 2019 through February 28, 2020 was defined as pre-COVID-19. Variables examined include number of trauma contacts, trauma admissions, mechanism of injury, Injury Severity Score, trauma center location (urban vs. suburban), and patient demographics.

resultsThere was a 22.4% decrease in the overall incidence of trauma during COVID-19 compared with a 3.4% increase in trauma during pre-COVID-19. Blunt mechanism of injury decreased significantly during COVID-19 (77.4% vs. 84.9%, p<0.001). There was no change in the specific mechanisms of fall from standing, blunt assault, and motor vehicle crash. The proportion of trauma evaluations for penetrating trauma increased significantly during COVID-19 (22.6% vs. 15.1%, p<0.001). Firearm-related and stabbing injury mechanisms both increased significantly during COVID-19 (11.8% vs. 6.8%, p<0.001; 9.2%, 6.9%, p=0.002, respectively). CONCLUSIONS AND RELEVANCE: The overall incidence of trauma has decreased since the arrival of COVID-19. However, there has been a significant rise in penetrating trauma. Preparation for future pandemic response should include planning for an increase in trauma center resource utilization from penetrating trauma. LEVEL OF EVIDENCE: Epidemiological, level III.

Indexed as

COVID-19injury

Identifiers

PMID34192164
PMCPMC7817381
OpenAlexW3123232952

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.