Evidence map›Paper›PMID 34677623›Full record

ArticleUnfallchirurgie (Heidelberg, Germany)2022

[Impact of the COVID-19 crisis in Spring 2020 on trauma case numbers of an academic teaching hospital in Stuttgart : Trauma during a pandemic].

Robert Schappacher, Matthias Rapp, Claus-Martin Muth, Lance Amrehn, Michael Schön, Ulrich Liener, Ulf Bökeler, Silvia Sander, Alexander Dinse-Lambracht, Thomas Fillies

Open access · greenAbstract readEnglish Abstract
In one paragraph

Article in Unfallchirurgie (Heidelberg, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 4 institutions in 1 country.

Robert SchappacherKlinik für Mund-Kiefer-Gesichtschirurgie, Marienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Deutschland. robert.schappacher@vinzenz.de.ORCID http://orcid.org/0000-0002-4574-7488
Matthias RappKlinik für Orthopädie und Unfallchirurgie, Marienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Deutschland.
Claus-Martin MuthKlinik für Anaesthesiologie, Abteilung Notfallmedizin, Universitätsklinikum Ulm, Prittwitzstraße 43, 89075, Ulm, Deutschland.
Lance AmrehnKlinik für Mund-Kiefer-Gesichtschirurgie, Marienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Deutschland.
Michael SchönInstitut für Anatomie und Zellbiologie, Universität Ulm, Albert-Einstein-Allee 11, 89081, Ulm, Deutschland.
Ulrich LienerKlinik für Orthopädie und Unfallchirurgie, Marienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Deutschland.
Ulf BökelerKlinik für Orthopädie und Unfallchirurgie, Marienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Deutschland.
Silvia SanderInstitut für Epidemiologie und Medizinische Biometrie, Universität Ulm, Ulm, Deutschland.
Alexander Dinse-LambrachtKlinik für Anaesthesiologie, Abteilung Notfallmedizin, Universitätsklinikum Ulm, Prittwitzstraße 43, 89075, Ulm, Deutschland.
Thomas FilliesKlinik für Mund-Kiefer-Gesichtschirurgie, Marienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Deutschland.
Marienhospital Stuttgart · DEUniversity Hospital Ulm · DEInstitut für Medizinische Biometrie, Informatik und Epidemiologie · DEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo cope with the COVID-19 outbreak in Germany, the government imposed a lockdown, which led to restrictions and lifestyle changes for the population. PURPOSE: This study aimed to evaluate the impact of the lockdown on activities causing trauma and the consultation in emergency rooms. MATERIAL AND

methodsAll consecutive trauma patients consulting the Emergency Department of the Marienhospital Stuttgart (MHS), Germany, during the 6 weeks preceding the lockdown, during and after the lockdown were included. The time and type of consultation, treatment received, Manchester triage score, type of trauma, the anatomical region of the injury as well as demographic data were reported and compared.

resultsThe study included 551 cases during lockdown, 943 cases before and 783 cases after the lockdown. We observed a reduced caseload during the lockdown of 41.6% compared to before and of 29.7% compared to after (p < 0.001). Patients were on average older in the observation group than in both control groups (before : 51.5 years, lockdown: 56.1 years, after: 51.6 years) (p < 0.001). Injuries to the head and neck were constant (25.0%, 25.4%, 25.5%). We noticed lower limb injuries decreasing (26.1%, 22.3%, 22.7%) and upper limb injuries increasing (25.5%, 31.8%, 30.1%). A decrease in sports injuries (11.1%, 5.1%, 9.1%) and work accidents (16.1%, 10.7%, 12.8%) resulted in more domestic accidents (30.4%, 52.5%, 31.8%). Self-referral decreased (67.7%, 53.2%, 60.3%) while referral via paramedics increased (28.3%, 38.7%, 35.6). Blunt trauma was the most common cause of injury (55.6%, 61.0%, 55.3%). Indications for surgery were higher (16.8%, 21.6%, 14.0%).

conclusionThe lockdown and restrictions in personal life and daily routine had an impact on the frequency, etiology and management of trauma patients in Stuttgart.

Indexed as

COVID-19PandemicsQuarantineCommunicable Disease ControlHospitals, TeachingHumansOrthopedic ProceduresSeasonsBurnsCoronavirusEmergency roomLockdownOrthopaedic surgery

Identifiers

PMID34677623
PMCPMC8532415
OpenAlexW3214582880

What OpenQuestion holds

Textmetadata
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.