COVID-19 Changed the Injury Patterns of Hospitalized Patients.
TLDR
In this paper, the authors compared the overall volume of injured patients significantly decreased during the lockdown period of the COVID-19 outbreak, with the greatest decrease registered for road traffic collisions (RTCs).Abstract:
INTRODUCTION: Injury patterns are closely related to changes in behavior. Pandemics and measures undertaken against them may cause changes in behavior; therefore, changes in injury patterns during the coronavirus disease 2019 (COVID-19) outbreak can be expected when compared to the parallel period in previous years. STUDY OBJECTIVE: The aim of this study was to compare injury-related hospitalization patterns during the overall national lockdown period with parallel periods of previous years. METHODS: A retrospective study was completed of all patients hospitalized from March 15 through April 30, for years 2016-2020. Data were obtained from 21 hospitals included in the national trauma registry during the study years. Clinical, demographic, and circumstantial parameters were compared amongst the years of the study. RESULTS: The overall volume of injured patients significantly decreased during the lockdown period of the COVID-19 outbreak, with the greatest decrease registered for road traffic collisions (RTCs). Patients' sex and ethnic compositions did not change, but a smaller proportion of children were hospitalized during the outbreak. Many more injuries were sustained at home during the outbreak, with proportions of injuries in all other localities significantly decreased. Injuries sustained during the COVID-19 outbreak were more severe, specifically due to an increase in severe injuries in RTCs and falls. The proportion of intensive care unit (ICU) hospitalizations did not change, however more surgeries were performed; patients stayed less days in hospital. CONCLUSIONS: The lockdown period of the COVID-19 outbreak led to a significant decrease in number of patients hospitalized due to trauma as compared to parallel periods of previous years. Nevertheless, trauma remains a major health care concern even during periods of high-impact disease outbreaks, in particular due to increased proportion of severe injuries and surgeries.read more
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Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020–21
TL;DR: In this paper , the authors used least absolute shrinkage and selection operator (LASSO) regression as a variable selection mechanism and selected 15 covariates, including both covariates pertaining to the COVID-19 pandemic, such as seroprevalence, and to background population health metrics such as the Healthcare Access and Quality Index, with direction of effects on excess mortality concordant with a meta-analysis by the US Centers for Disease Control and Prevention.
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Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020–21
Haidong Wang,Katherine R. Paulson,Spencer Pease,Stefanie Watson,Haley Comfort,Peng Zheng,Aleksandr Y. Aravkin,Catherine Bisignano,Ryan M Barber,Tahiya Alam,John E. Fuller,Erin A. May,Darwin P. Jones,Meghan E Frisch,Cristiana Abbafati,Christopher Adolph,Adrien Allorant,Joanne O. Amlag,Bree Bang-Jensen,Gregory J. Bertolacci,Sabina Bloom,Austin Carter,Emma Castro,Suman Chakrabarti,Jhilik Chattopadhyay,Rebecca M. Cogen,James R. Collins,Kimberly Anne Cooperrider,Xiaochen Dai,William James Dangel,Farah Daoud,Carolyn Dapper,Amanda Deen,Bruce Bartholow Duncan,Megan Erickson,Samuel B. Ewald,Tatiana Fedosseeva,Alize J. Ferrari,Joseph Frostad,Nancy Fullman,John Gallagher,Amiran Gamkrelidze,Gaorui Guo,Jiawei He,Monika Helak,Nathaniel J Henry,Erin Hulland,Bethany M Huntley,Maia Kereselidze,Alice Lazzar-Atwood,Kate E. LeGrand,Akiaja R. Lindstrom,Emily Linebarger,Paulo A. Lotufo,Rafael Lozano,Beatrice Magistro,Deborah Carvalho Malta,Johan Månsson,Ana Maria Mantilla Herrera,Fatima Marinho,Alemnesh Hailemariam Mirkuzie,Awoke Misganaw,Lorenzo Monasta,Paulami Naik,Shuhei Nomura,Edward G O'brien,J. K. O'Halloran,Latera Tesfaye Olana,Samuel M. Ostroff,L. Penberthy,Robert C. Reiner,Grace Reinke,Antonio Luiz Pinho Ribeiro,Damian Santomauro,Maria Inês Schmidt,David Harold Shaw,Brittney S. Sheena,Aleksei Sholokhov,N Skhvitaridze,Reed J D Sorensen,Emma Elizabeth Spurlock,Ruri Syailendrawati,Roman Topor-Madry,Christopher Troeger,Rebecca L. Walcott,Ally Walker,Charles Shey Wiysonge,Nahom Alemseged Worku,B. C. Zigler,David M. Pigott,Mohsen Naghavi,Ali H. Mokdad,Stephen S Lim,Simon I. Hay,Emmanuela Gakidou,Christopher J L Murray +95 more
TL;DR: It is estimated that 18·2 million people died worldwide because of the COVID-19 pandemic (as measured by excess mortality) over that period, and the number of excess deaths was largest in the regions of south Asia, north Africa and the Middle East, and eastern Europe.
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Impact of the COVID-19 Pandemic on road traffic collision injury patterns and severity in Al-Ain City, United Arab Emirates.
TL;DR: The study has shown that the numbers of hospitalized RTC trauma patients reduced by 33.5% during the COVID-19 Pandemic compared with the pre-pandemic period in the authors' setting, which was attributed to the reduced motor vehicle, pedestrian and bicycle injuries while motorcycle injuries increased.
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Characteristics of burn injury during COVID-19 pandemic in Tokyo: A descriptive study.
TL;DR: In this paper, the authors examined the characteristics and outcomes of patients with severe burn injury during the COVID-19 pandemic in Tokyo from 1999 to 2020 and found increased incidence of flame burns, inhalation injuries, and in-hospital mortality, as well as higher total body surface area of full-thickness burns.
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Trends in non-COVID-19 hospitalizations prior to and during the COVID-19 pandemic period, United States, 2017 – 2021
TL;DR: In this article , the authors estimated the monthly incidence rate ratio of hospitalizations between March 2020 and June 2021 according to 19 ICD-10 diagnostic chapters and 189 subchapters.
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