Dataset Information

Impact of the SARS-CoV-2 pandemic on trauma care: a nationwide observational study.

ABSTRACT:

Purpose

The SARS-CoV-2 pandemic severely disrupted society and the health care system. In addition to epidemiological changes, little is known about the pandemic's effects on the trauma care chain. Therefore, in addition to epidemiology and aetiology, this study aims to describe the impact of the SARS-CoV-2 pandemic on prehospital times, resource use and outcome.

Methods

A multicentre observational cohort study based on the Dutch Nationwide Trauma Registry was performed. Characteristics, resource usage, and outcomes of trauma patients treated at all trauma-receiving hospitals during the first (W1, March 12 through May 11) and second waves (W2, May 12 through September 23), as well as the interbellum period in between (INT, September 23 through December 31), were compared with those treated from the same periods in 2018 and 2019.

Results

The trauma caseload was reduced by 20% during the W1 period and 11% during the W2 period. The median length of stay was significantly shortened for hip fracture and major trauma patients (ISS ≥ 16). A 33% and 66% increase in the prevalence of minor self-harm-related injuries was recorded during the W1 and W2 periods, respectively, and a 36% increase in violence-related injuries was recorded during the INT. Mortality was significantly higher in the W1 (2.9% vs. 2.2%) and W2 (3.2% vs. 2.7%) periods.

Conclusion

The imposed restrictions in response to the SARS-CoV-2 pandemic led to diminished numbers of acute trauma admissions in the Netherlands. The long-lasting pressing demand for resources, including ICU services, has negatively affected trauma care. Further caution is warranted regarding the increased incidence of injuries related to violence and self-harm.

SUBMITTER: Driessen MLS

PROVIDER: S-EPMC9360332 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Publications

Impact of the SARS-CoV-2 pandemic on trauma care: a nationwide observational study.

Driessen Mitchell L S MLS van Ditshuizen Jan C JC Waalwijk Job F JF van den Bunt Gerrita G IJpma Frank F A FFA Reininga Inge H F IHF Fiddelers Audrey A AA Habets Karin K Homma Paulien C M PCM van den Berg Marleen H MH Bloemers Frank W FW Schipper Inger B IB Leenen Luke P H LPH de Jongh Mariska A C MAC

European journal of trauma and emergency surgery : official publication of the European Trauma Society 20220208 4

<h4>Purpose</h4>The SARS-CoV-2 pandemic severely disrupted society and the health care system. In addition to epidemiological changes, little is known about the pandemic's effects on the trauma care chain. Therefore, in addition to epidemiology and aetiology, this study aims to describe the impact of the SARS-CoV-2 pandemic on prehospital times, resource use and outcome.<h4>Methods</h4>A multicentre observational cohort study based on the Dutch Nationwide Trauma Registry was performed. Character ...[more]

PMID: 35137249

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Dataset Information

Impact of the SARS-CoV-2 pandemic on trauma care: a nationwide observational study.

Purpose

Methods

Results

Conclusion

Publications

Impact of the SARS-CoV-2 pandemic on trauma care: a nationwide observational study.

Similar Datasets

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