Decrease in Trauma Admissions with COVID-19 Pandemic

Tovy H Kamine, Adam Rembisz, Rebecca J Barron, Carey Baldwin, Mark Kromer, Tovy H Kamine, Adam Rembisz, Rebecca J Barron, Carey Baldwin, Mark Kromer

Abstract

Introduction: The COVID-19 pandemic has led to social distancing and decreased travel in the United States. The impact of these interventions on trauma and emergency general surgery patient volume has not yet been described.

Methods: We compared trauma admissions and emergency general surgery (EGS) cases between February 1-April 14 from 2017-2020 in five two-week time periods. Data were compared across time periods with Poisson regression analysis.

Results: There were significant decreases in overall trauma admissions (57.4% decrease, p<0.001); motor vehicle collisions (MVC) (80.5% decrease, p<0.001); and non-MVCs (45.1% decrease, p<0.001) from February-April 2020. We found no significant change in EGS cases (p = 0.70). Nor was there was a significant change in trauma cases in any other year 2017-2019.

Conclusion: The COVID-19 pandemic's burden of disease correlated with a significant decrease in trauma admissions, with MVCs experiencing a larger decrease than non-MVCs.

Conflict of interest statement

Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. No author has professional or financial relationships with any companies that are relevant to this study. There are no conflicts of interest or sources of funding to declare.

Figures

Figure 1
Figure 1
Daily trauma admissions at Portsmouth Regional Hospital from February 1–April 14, 2017–2020.

References

    1. Centers for Disease Control. Leading Cause of Death Reports, 1981–2018. [Accessed March 20, 2020]. Available WISQARS at: .
    1. Stewart RM, Myers JG, Dent DL, et al. Seven hundred fifty-three consecutive deaths in a Level 1 trauma center: the argument for injury prevention. J Trauma. 2003;54(1):66–71.
    1. Ray JJ, Meizoso JP, Satahoo SS, et al. Potentially preventable prehospital deaths from motor vehicle collisions. Traffic Inj Prev. 2016;17(7):676–80.
    1. COVID-19 Community Mobility Report. [Accessed March 29, 2020]. Available at:
    1. Badger E, Parlapiano A. Government orders alone didn’t close the economy They probably can’t reopen it. [Accessed May 7, 2020];New York Times. Available at: .

Source: PubMed

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