Impact of COVID-19 lockdown on the spectrum of trauma patients at a major trauma center in central India: A retrospective observational study
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TLDR
In this article, the authors studied the impact of a total lockdown on the volume and the nature of injuries in patients admitted during this period at a major trauma center in central India and found that there was a significant fall in the overall number of trauma patients across all age groups and both genders during the lockdown period.Abstract:
Context A total lockdown was announced in India from March 25 to May 31 in four phases in response to the COVID-19 pandemic. This study aimed to study the impact of this national lockdown on the volume and the nature of injuries in patients admitted during this period at a major trauma center in central India. Methods This is a retrospective descriptive study of prospectively collected data which were collected from the hospital records. Patients admitted to the trauma center during lockdown were compared to patients admitted in the prelockdown period for the change in volume and spectrum and severity of injuries across all age groups and both genders. Results There was a significant fall in the overall number of trauma patients across all age groups and both genders during the lockdown period (66.8%). There was a significant decrease in numbers among males (68.1%). Road traffic accidents decreased by 75.2%. There was a relative increase in trauma due to falls and assault during the lockdown period. The mortality due to trauma decreased significantly by 79.8%. Conclusions There has been an overall decrease in the number of patients admitted to the trauma center during the lockdown period. However, there is a relative increase in preventable injuries such as falls, assault, and animal-related injuries. Focused strategies to decrease preventable injuries need to be devised to reduce the load on overburdened resources during the COVID-19 crisis.read more
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The Epidemiology of Major Trauma During the First Wave of COVID-19 Movement Restriction Policies: A Systematic Review and Meta-analysis of Observational Studies
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Relationship between mobility and road traffic injuries during COVID-19 pandemic—The role of attendant factors
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References
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The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care
TL;DR: Results of this investigation indicate that the Injury Severity Score represents an important step in solving the problem of summarizing injury severity, especially in patients with multiple trauma.
Journal Article
Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand
TL;DR: Despite the significant reduction in admissions during level 4 lockdown, hospitals should continue to provide full services until resource limitations are unavoidable, and immediate messaging is recommended to reduce rates of injury on the farm and at home, specifically falls prevention.
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Decrease in Trauma Admissions with COVID-19 Pandemic.
TL;DR: 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.
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Impact of lockdown measures implemented during the Covid-19 pandemic on the burden of trauma presentations to a regional emergency department in Kwa-Zulu Natal, South Africa.
David Morris,David Morris,Megan Rogers,Nicole Kissmer,Anzanne Du Preez,Nicholas Dufourq,Nicholas Dufourq +6 more
TL;DR: The burden of trauma presenting to the emergency department was decreased in the month of April 2020 by the regulations implemented in response to the Covid-19 pandemic.
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Twin public health emergencies: Covid-19 and domestic violence.
TL;DR: This comment argues that in reality the authors have two public health emergencies to confront, the Covid-19 and domestic violence, and concludes with a set of recommendations on better responding to DV during Covid/lockdown times.