Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Impact of the SARS-CoV-2 pandemic on trauma care: a nationwide observational study.
Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Construction and validation of a nomogram prediction model for the need for intensive care unit admission after hip fracture surgery.Medicine · 2025Observational
- Impact of the COVID-19 pandemic on prehospital emergency medical service: a scoping review.Frontiers in public health · 2025Article
- Impact of COVID-19 pandemic on the utilization of emergency medical services in Nairobi, Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- [Impact of the COVID-19 pandemic on the care of major trauma patients: analysis from the TraumaRegister DGU®].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Impact of the First and Second Wave of the SARS-CoV-2 Pandemic on Severe Trauma and the Care Structures in the German TraumaNetzwerk DGUJournal of clinical medicine · 2022Article
- Influence of coronavirus disease 2019 case surges on prehospital emergency medical service for patients with trauma in Kobe, Japan.Acute medicine & surgeryArticle
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Authors and funding
14 authors.
Funding
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Abstract
purposeThe SARS-CoV-2 pandemic severely disrupted society and the health care system. In addition to epidemiological changes, little is known about the pandemic's effects on the trauma care chain. Therefore, in addition to epidemiology and aetiology, this study aims to describe the impact of the SARS-CoV-2 pandemic on prehospital times, resource use and outcome.
methodsA multicentre observational cohort study based on the Dutch Nationwide Trauma Registry was performed. Characteristics, resource usage, and outcomes of trauma patients treated at all trauma-receiving hospitals during the first (W1, March 12 through May 11) and second waves (W2, May 12 through September 23), as well as the interbellum period in between (INT, September 23 through December 31), were compared with those treated from the same periods in 2018 and 2019.
resultsThe trauma caseload was reduced by 20% during the W1 period and 11% during the W2 period. The median length of stay was significantly shortened for hip fracture and major trauma patients (ISS ≥ 16). A 33% and 66% increase in the prevalence of minor self-harm-related injuries was recorded during the W1 and W2 periods, respectively, and a 36% increase in violence-related injuries was recorded during the INT. Mortality was significantly higher in the W1 (2.9% vs. 2.2%) and W2 (3.2% vs. 2.7%) periods.
conclusionThe imposed restrictions in response to the SARS-CoV-2 pandemic led to diminished numbers of acute trauma admissions in the Netherlands. The long-lasting pressing demand for resources, including ICU services, has negatively affected trauma care. Further caution is warranted regarding the increased incidence of injuries related to violence and self-harm.
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