ArticleWorld journal of emergency surgery : WJES2021
Impact of the COVID-19 outbreak on severe trauma trends and healthcare system reassessment in Lombardia, Italy: an analysis from the regional trauma registry.
Article in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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27 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- 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 · 2022Pooled it
- Trial
- Outcomes of STEMI Patients in COVID-19 Pandemic: A Systematic Review and Meta-Analysis.Iranian journal of public health · 2024Review
- Maturation of trauma systems in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Impact of COVID-19 pandemic on trauma mortality patients: A retrospective observational study in an Iranian level 1 trauma center.Health science reports · 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 Impact of The COVID-19 Pandemic on Hospital Admissions Due to Road Traffic Crashes; a Systematic Review and Meta-Analysis.Archives of academic emergency medicine · 2024Review
- Radiographers' conceptualisation of trauma imaging in Gauteng, South Africa.Health SA = SA Gesondheid · 2024Article
- [Trauma emergency room cases before and during the COVID-19 pandemic : Data from an alpine trauma center].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Effect of the COVID‑19 pandemic on the management and outcomes of patients with traumatic injuries (Review).Biomedical reports · 2023Review
- Intensive care unit admissions with and without COVID-19 in Finland from 2017 to 2021: a retrospective register-based study.BMC anesthesiology · 2023Article
- The Bottom Line: Trauma Center Viability During COVID-19.The Journal of surgical research · 2023Article
- Comparing epidemiologic features, outcomes, and diagnostic and therapeutic procedures of traumatic patients before and during COVID-19 pandemic: Data from the National Trauma Registry of Iran.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- In-Hospital Predictors of Need for Ventilatory Support and Mortality in Chest Trauma: A Multicenter Retrospective Study.Journal of clinical medicine · 2023Article
- Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic.Journal of personalized medicine · 2023Article
- Changes to the Major Trauma Pre-Hospital Emergency Medical System Network before and during the 2019 COVID-19 Pandemic.Journal of clinical medicine · 2022Article
- Smart-working policies during COVID-19 pandemic: a way to reduce work-related traumas?Internal and emergency medicine · 2022Article
- Factors Associated with an Increase in On-Site Time of Pediatric Trauma Patients in a Prehospital Setting: A Nationwide Observational Study in Japan.Children (Basel, Switzerland) · 2022Article
- A prospective study comparing two methods of pre-hospital triage for trauma.Updates in surgery · 2022Article
- Increased unintentional drowning deaths in 2020 by age, race/ethnicity, sex, and location, United States.Journal of safety research · 2022Article
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Authors and funding
25 authors at 10 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundsThe COVID-19 pandemic drastically strained the health systems worldwide, obligating the reassessment of how healthcare is delivered. In Lombardia, Italy, a Regional Emergency Committee (REC) was established and the regional health system reorganized, with only three hospitals designated as hubs for trauma care. The aim of this study was to evaluate the effects of this reorganization of regional care, comparing the distribution of patients before and during the COVID-19 outbreak and to describe changes in the epidemiology of severe trauma among the two periods.
methodsA cohort study was conducted using retrospectively collected data from the Regional Trauma Registry of Lombardia (LTR). We compared the data of trauma patients admitted to three hub hospitals before the COVID-19 outbreak (September 1 to November 19, 2019) with those recorded during the pandemic (February 21 to May 10, 2020) in the same hospitals. Demographic data, level of pre-hospital care (Advanced Life Support-ALS, Basic Life Support-BLS), type of transportation, mechanism of injury (MOI), abbreviated injury score (AIS, 1998 version), injury severity score (ISS), revised trauma score (RTS), and ICU admission and survival outcome of all the patients admitted to the three trauma centers designed as hubs, were reviewed. Screening for COVID-19 was performed with nasopharyngeal swabs, chest ultrasound, and/or computed tomography.
resultsDuring the COVID-19 pandemic, trauma patients admitted to the hubs increased (46.4% vs 28.3%, p < 0.001) with an increase in pre-hospital time (71.8 vs 61.3 min, p < 0.01), while observed in hospital mortality was unaffected. TRISS, ISS, AIS, and ICU admission were similar in both periods. During the COVID-19 outbreak, we observed substantial changes in MOI of severe trauma patients admitted to three hubs, with increases of unintentional (31.9% vs 18.5%, p < 0.05) and intentional falls (8.4% vs 1.2%, p < 0.05), whereas the pandemic restrictions reduced road- related injuries (35.6% vs 60%, p < 0.05). Deaths on scene were significantly increased (17.7% vs 6.8%, p < 0.001).
conclusionsThe COVID-19 outbreak affected the epidemiology of severe trauma patients. An increase in trauma patient admissions to a few designated facilities with high level of care obtained satisfactory results, while COVID-19 patients overwhelmed resources of most other hospitals.
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