Evidence map›Paper›PMID 37171444›Full record

Observational studySingapore medical journal2025

Association of COVID-19 'circuit breaker' with higher rates of elderly trauma admissions.

Yee Har Liew, Zhenghong Liu, Mian Jie Lim, Pei Leng Chong, Norhayati Bte Mohamed Jainodin, Teng Teng Peh, Jing Jing Chan, Sachin Mathur, Jeremy Choon Peng Wee

Abstract readObservational Study
In one paragraph

Observational study in Singapore medical journal, 2025. 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. Observational
  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

9 authors.

Yee Har LiewSingHealth Emergency Medicine Residency Programme, Singapore Health Services, Singapore.
Zhenghong LiuDepartment of Emergency Medicine, Singapore General Hospital, Singapore.
Mian Jie LimSingHealth Emergency Medicine Residency Programme, Singapore Health Services, Singapore.
Pei Leng ChongTrauma Service c/o Trauma Service, Singapore General Hospital, Singapore.
Norhayati Bte Mohamed JainodinTrauma Service c/o Trauma Service, Singapore General Hospital, Singapore.
Teng Teng PehTrauma Service c/o Trauma Service, Singapore General Hospital, Singapore.
Jing Jing ChanDepartment of Emergency Medicine, Singapore General Hospital, Singapore.
Sachin MathurDepartment of General Surgery, Singapore General Hospital, Singapore.
Jeremy Choon Peng WeeDepartment of Emergency Medicine, Singapore General Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn December 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) virus emerged and caused a worldwide pandemic, leading to measures being imposed by many countries to reduce its transmission. Singapore implemented the 'circuit breaker', which restricted all movements except for access to necessities and healthcare services. We aimed to investigate the impact of lockdown measures on the pattern of trauma and its effects.

methodsAn observational, retrospective, single-centre descriptive study was conducted using the trauma registry in Singapore General Hospital. It included patients above 18 years old who presented to the emergency department with trauma and were subsequently admitted. Patients admitted from 1 February 2020 to 31 July 2020 and those admitted during the same timeframe in 2019 were studied. Subgroup analyses were performed for patients aged ≥65 years and those <65 years.

resultsA total of 1,037 patients were included for analysis. A 17.6% increase in trauma presentations was seen from 2019 to 2020. Patients aged ≥65 years accounted for the rise in admissions. The predominant mechanism of injury was falls at home for older patients and vehicular accidents in patients <65 years. There were no significant differences in injury severity score, intensive care/high-dependency unit admission rates, length of stay, mortality rate, and subsequent need for inpatient rehabilitation.

conclusionOur study provided information on differences in trauma presentations before and during the COVID-19 pandemic. Further studies are required to better inform on additional precautionary measures needed to reduce trauma and improve safety during future lockdowns and pandemics.

Indexed as

COVID-19HospitalizationPatient AdmissionWounds and InjuriesAccidental FallsAccidents, TrafficAdultAgedAged, 80 and overEmergency Service, HospitalFemaleHumansLength of StayMaleMiddle AgedPandemics

Identifiers

PMID37171444
PMCPMC11906103

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.