Evidence map›Paper›PMID 35039216›Full record

ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2022

Increased proportion of alcohol-related trauma in a South London major trauma centre during lockdown: A cohort study.

Oliver S Brown, Toby O Smith, Andrew J Gaukroger, Prodromos Tsinaslanidis, Caroline B Hing

Abstract read
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Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Oliver S BrownSt George's University Hospitals NHS Foundation Trust, London, United Kingdom. Electronic address: oliver.brown9@nhs.net.
Toby O SmithFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, United Kingdom.
Andrew J GaukrogerSt George's University Hospitals NHS Foundation Trust, London, United Kingdom.
Prodromos TsinaslanidisSt George's University Hospitals NHS Foundation Trust, London, United Kingdom.
Caroline B HingSt George's University Hospitals NHS Foundation Trust, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlcohol has been associated with 10%-35% trauma admissions and 40% trauma-related deaths globally. In response to the COVID-19 pandemic, the United Kingdom entered a state of "lockdown" on March 23, 2020. Restrictions were most significantly eased on June 1, 2020, when shops and schools re-opened. The purpose of this study was to quantify the effect of lockdown on alcohol-related trauma admissions.

methodsAll adult patients admitted as "trauma calls" to a London major trauma centre during April 2018 and April 2019 (pre-lockdown, n = 316), and 1st April-31st May 2020 (lockdown, n = 191) had electronic patient records analysed retrospectively. Patients' blood alcohol level and records of intoxication were used to identify alcohol-related trauma. Trauma admissions from pre-lockdown and lockdown cohorts were compared using multiple regression analyses.

resultsAlcohol-related trauma was present in a significantly higher proportion of adult trauma calls during lockdown (lockdown 60/191 (31.4%), vs. pre-lockdown 62/316 (19.6%); (odds ratio (OR): 0.83, 95% CI: 0.38-1.28, p < 0.001). Lockdown was also associated with increased weekend admissions of trauma (lockdown 125/191 weekend (65.5%) vs. pre-lockdown 179/316 (56.7%); OR: 0.40, 95% CI: 0.79 to -0.02, p = 0.041). No significant difference existed in the age, gender, or mechanism between pre-lockdown and lockdown cohorts (p > 0.05).

conclusionsThe United Kingdom lockdown was independently associated with an increased proportion of alcohol-related trauma. Trauma admissions were increased during the weekend when staffing levels are reduced. With the possibility of further global "waves" of COVID-19, the long-term repercussions of dangerous alcohol-related behaviour to public health must be addressed.

Indexed as

COVID-19Trauma CentersAdultCohort StudiesCommunicable Disease ControlHumansLondonPandemicsRetrospective StudiesAlcoholCOVID-19LockdownMajor trauma centreTrauma

Identifiers

PMID35039216
PMCPMC9458995

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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.