Evidence map›Paper›PMID 36167686›Full record

ArticleInjury2022

National evaluation of the association between stay-at-home orders on mechanism of injury and trauma admission volume.

Arielle C Thomas, Brendan T Campbell, Haris Subacius, Claudia P Orlas, Eileen Bulger, Ronald M Stewart, Anne M Stey, Angie Jang, Doulia Hamad, Karl Y Bilimoria and 1 more

Abstract read
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 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

11 authors.

Arielle C ThomasMedical College of Wisconsin, Milwaukee, WI, USA; American College of Surgeons, Chicago, IL, USA. Electronic address: acthomas@mcw.edu.
Brendan T CampbellAmerican College of Surgeons, Chicago, IL, USA; Department of Pediatric Surgery, Connecticut Children's Medical Center and University of Connecticut School of Medicine, Hartford, CT, USA.
Haris SubaciusAmerican College of Surgeons, Chicago, IL, USA; Society of Thoracic Surgeons, Chicago, IL, USA.
Claudia P OrlasCenter for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Eileen BulgerAmerican College of Surgeons, Chicago, IL, USA; Department of Surgery, University of Washington, Seattle, WA, USA.
Ronald M StewartAmerican College of Surgeons, Chicago, IL, USA; Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Anne M SteyMedical College of Wisconsin, Milwaukee, WI, USA; American College of Surgeons, Chicago, IL, USA.
Angie JangNorthwestern University, Chicago, IL, USA.
Doulia HamadDepartment of Surgery, Sunnybrook Health Sciences Center and the University of Toronto, Canada.
Karl Y BilimoriaMedical College of Wisconsin, Milwaukee, WI, USA; American College of Surgeons, Chicago, IL, USA.
Avery B NathensAmerican College of Surgeons, Chicago, IL, USA; Department of Surgery, Sunnybrook Health Sciences Center and the University of Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic had numerous negative effects on the US healthcare system. Many states implemented stay-at-home (SAH) orders to slow COVID-19 virus transmission. We measured the association between SAH orders on the injury mechanism type and volume of trauma center admissions during the first wave of the COVID-19 pandemic.

methodsAll trauma patients aged 16 years and older who were treated at the American College of Surgeons Trauma Quality Improvement Program participating centers from January 2018-September 2020. Weekly trauma patient volume, patient demographics, and injury characteristics were compared across the corresponding SAH time periods from each year. Patient volume was modeled using harmonic regression with a random hospital effect.

resultsThere were 166,773 patients admitted in 2020 after a SAH order and an average of 160,962 patients were treated over the corresponding periods in 2018-2019 in 474 centers. Patients presenting with a pre-existing condition of alcohol misuse increased (13,611 (8.3%) vs. 10,440 (6.6%), p <0.001). Assault injuries increased (19,056 (11.4%) vs. 15,605 (9.8%)) and firearm-related injuries (14,246 (8.5%) vs. 10,316 (6.4%)), p<0.001. Firearm-specific assault injuries increased (10,748 (75.5%) vs. 7,600 (74.0%)) as did firearm-specific unintentional injuries (1,318 (9.3%) vs. 830 (8.1%), p<0.001. In the month preceding the SAH orders, trauma center admissions decreased. Within a week of SAH implementation, hospital admissions increased (p<0.001) until a plateau occurred 10 weeks later above predicted levels. On regional sub-analysis, admission volume remained significantly elevated for the Midwest during weeks 11-25 after SAH order implementation, (p<0.001).

Indexed as

COVID-19Wounds, GunshotHumansPandemicsRetrospective StudiesTrauma CentersCOVID-19Firearm violenceInterpersonal violenceTrauma epidemiologyTrauma systems

Identifiers

PMID36167686
PMCPMC9467931

What OpenQuestion holds

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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.