Evidence map›Paper›PMID 35232568›Full record

ArticleInjury2022

Adding to the story, did penetrating trauma really increase? changes in trauma patterns during the COVID-19 pandemic: A multi-institutional, multi-region investigation.

Ava K Mokhtari, Lydia R Maurer, Michael Dezube, Kimberly Langeveld, Yee M Wong, Claire Hardman, Shabnam Hafiz, Mark Sharrah, Hahn Soe-Lin, Kristina M Chapple and 7 more

Open access · bronzeAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 1 country.

Ava K MokhtariDivision of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge Street, Suite 810 Boston, MA 02114, USA. Electronic address: ava.mokhtari@gmail.com.
Lydia R MaurerDivision of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge Street, Suite 810 Boston, MA 02114, USA.
Michael DezubeDivision of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge Street, Suite 810 Boston, MA 02114, USA.
Kimberly LangeveldDivision of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge Street, Suite 810 Boston, MA 02114, USA.
Yee M WongDivision of Trauma, Department of Surgery, Wright State University/Miami Valley Hospital, 128 E. Apple Street, Suite 7000, Dayton, OH 45409, USA.
Claire HardmanDivision of Trauma, Department of Surgery, Wright State University/Miami Valley Hospital, 128 E. Apple Street, Suite 7000, Dayton, OH 45409, USA.
Shabnam HafizDivision of Trauma and Critical Care Surgery, WellSpan - York Hospital 1001 South George Street, York, PA, USA.
Mark SharrahDivision of Trauma and Critical Care Surgery, WellSpan - York Hospital 1001 South George Street, York, PA, USA.
Hahn Soe-LinDivision of Trauma, Dignity Health St. Joseph's Hospital and Medical Center, 350 W Thomas Rd, Phoenix, Arizona, 85013, USA.
Kristina M ChappleDivision of Trauma, Dignity Health St. Joseph's Hospital and Medical Center, 350 W Thomas Rd, Phoenix, Arizona, 85013, USA.
Rafael PeraltaDivision of Trauma, Dignity Health St. Joseph's Hospital and Medical Center, 350 W Thomas Rd, Phoenix, Arizona, 85013, USA.
Rishi RattanDivision of Trauma and Surgical Critical Care, DeWitt Daughtry Family Department of Surgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida, 1611 NW 12th Ave, Miami, FL 33136, USA.
Caroline ButlerDepartment of Surgery, Morehouse School of Medicine, Grady Memorial Hospital, Atlanta, GA, 80 Jesse Hill Jr Drive SE, Atlanta, GA 30303, USA.
Jonathan J ParksDivision of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge Street, Suite 810 Boston, MA 02114, USA.
April E MendozaDivision of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge Street, Suite 810 Boston, MA 02114, USA.
George C VelmahosDivision of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge Street, Suite 810 Boston, MA 02114, USA.
Noelle N SaillantDivision of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge Street, Suite 810 Boston, MA 02114, USA.
Massachusetts General Hospital · USSt. Joseph's Hospital and Medical Center · USWellSpan York Hospital · USWright State University · USGrady Memorial Hospital · USUniversity of Miami · US

Funding

Multiplexed device for rapid coagulopathy testingR21EB031982 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI HARDIN, CHARLES COREY, MUNN, LANCE L. · 2021 to 2021
$462k
NIBIB NIH HHS R21 EB031982
6 · The paper itself

Abstract

backgroundResults from single-region studies suggest that stay at home orders (SAHOs) had unforeseen consequences on the volume and patterns of traumatic injury during the initial months of the Coronavirus disease 2019 (COVID-19). The aim of this study was to describe, using a multi-regional approach, the effects of COVID-19 SAHOs on trauma volume and patterns of traumatic injury in the US.

methodsA retrospective cohort study was performed at four verified Level I trauma centers spanning three geographical regions across the United States (US). The study period spanned from April 1, 2020 - July 31, 2020 including a month-matched 2019 cohort. Patients were categorized into pre-COVID-19 (PCOV19) and first COVID-19 surge (FCOV19S) cohorts. Patient demographic, injury, and outcome data were collected via Trauma Registry queries. Univariate and multivariate analyses were performed.

resultsA total 5,616 patients presented to participating study centers during the PCOV19 (2,916) and FCOV19S (2,700) study periods.  Blunt injury volume decreased (p = 0.006) due to a significant reduction in the number of motor vehicle collisions (MVCs) (p = 0.003). Penetrating trauma experienced a significant increase, 8% (246/2916) in 2019 to 11% (285/2,700) in 2020 (p = 0.007), which was associated with study site (p = 0.002), not SAHOs. Finally, study site was significantly associated with changes in nearly all injury mechanisms, whereas SAHOs accounted for observed decreases in calculated weekly averages of blunt injuries (p < 0.02) and MVCs (p = 0.003).

conclusionResults of this study suggest that COVID-19 and initial SAHOs had variable consequences on patterns of traumatic injury, and that region-specific shifts in traumatic injury ensued during initial SAHOs. These results suggest that other factors, potentially socioeconomic or cultural, confound trauma volumes and types arising from SAHOs. Future analyses must consider how regional changes may be obscured with pooled cohorts, and focus on characterizing community-level changes to aid municipal preparation for future similar events.

Indexed as

COVID-19Wounds, PenetratingHumansPandemicsRetrospective StudiesSARS-CoV-2Trauma CentersUnited StatesCOVID-19Injury mechanismsStay at home ordersTrauma injury patterns

Identifiers

PMID35232568
PMCPMC8841004
OpenAlexW4212992649

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.