Evidence map›Paper›PMID 35552030›Full record

ArticleWorld neurosurgery2022

The Effects of the COVID-19 Pandemic on Penetrating Neurotrauma at a Level 1 Trauma Center.

George L Yang, Mark D Johnson, Daniel Solomon, Andrew M Ferguson, Reid A Johnson, Christina Gerges, James M Wright, Ann M Parr, Laura B Ngwenya, in affiliation with the Council of State Neurosurgical Societies (CSNS)

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In one paragraph

Article in World neurosurgery, 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.

  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.

George L YangDepartment of Neurosurgery, University of Cincinnati Medical Center, Cincinnati, Ohio, USA; Collaborative for Research on Acute Neurological Injury (CRANI), University of Cincinnati, Cincinnati, Ohio, USA; University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. Electronic address: yangge@ucmail.uc.edu.
Mark D JohnsonDepartment of Neurosurgery, University of Cincinnati Medical Center, Cincinnati, Ohio, USA; Collaborative for Research on Acute Neurological Injury (CRANI), University of Cincinnati, Cincinnati, Ohio, USA; University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Daniel SolomonUniversity of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Andrew M FergusonDepartment of Psychiatry, University of Cincinnati, Cincinnati, Ohio, USA; University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Reid A JohnsonUniversity of Minnesota Medical School, University of Minnesota, Minneapolis, Minnesota, USA.
Christina GergesDepartment of Neurological Surgery, Oregon Health and Science University, Portland, Oregon, USA.
James M WrightDepartment of Neurological Surgery, Oregon Health and Science University, Portland, Oregon, USA.
Ann M ParrDepartment of Neurosurgery, Stem Cell Institute, University of Minnesota, Minneapolis, Minnesota, USA.
Laura B NgwenyaDepartment of Neurosurgery, University of Cincinnati Medical Center, Cincinnati, Ohio, USA; Collaborative for Research on Acute Neurological Injury (CRANI), University of Cincinnati, Cincinnati, Ohio, USA; Department of Neurology & Rehabilitation Medicine, University of Cincinnati, Cincinnati, Ohio, USA; University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
in affiliation with the Council of State Neurosurgical Societies (CSNS)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveThe COVID-19 pandemic has had a profound impact on the global delivery of health care. Recent data suggest a possible impact of the pandemic on patterns of neurotrauma. The aim was to assess the impact of the pandemic on the incidence of neurotrauma, with a focus on cranial gunshot wounds (cGSWs) at a large Midwestern level 1 trauma center.

methodsWe conducted a retrospective review of our trauma registry from March through September 2020 and compared it to the same months in 2019. Odds ratios were utilized to assess for differences in patient demographics, injury characteristics, rates of neurotrauma, and rates of cGSWs.

resultsA total of 1188 patients presented with neurotrauma, 558 in 2019 and 630 in 2020. The majority of patients were male (71.33% in 2019; 68.57% in 2020) and Caucasian (78.67% in 2019; 75.4% in 2020). Patients presented with cGSWs more frequently in 2020 (n = 49, 7.78%) than in 2019 (n = 25, 4.48%). The odds of suffering a cGSW in 2020 was 73.6% higher than those in 2019 (95% confidence interval = [1.0871, 2.7722]; P = 0.0209). The etiology of such injury was most commonly assault (n = 16, 21.62% in 2019; n = 34, 45.95% in 2020), followed by self-inflicted injury (n = 4, 5.41% in 2019; 12, 16.22% in 2020).

conclusionsDespite the government-mandated shutdown, we observed an increase in the number of neurotrauma cases in 2020. There was a significant increase in the incidence cGSWs in 2020, with an increase in assaults and self-inflicted injuries. Further investigation into socioeconomic factors for the observed increase in cGSWs is warranted.

Indexed as

COVID-19Wounds, GunshotFemaleHumansMalePandemicsRetrospective StudiesTrauma CentersCOVID-19Cranial gunshot woundsNeurotraumaPandemic

Identifiers

PMID35552030
PMCPMC9085351

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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.