PMID- 34495600
OWN - NLM
STAT- MEDLINE
DCOM- 20210913
LR  - 20210913
IS  - 1424-3997 (Electronic)
IS  - 0036-7672 (Linking)
VI  - 151
IP  - 33-34
DP  - 2021 Aug 27
TI  - Major trauma during COVID-19 in a level 1 trauma centre in Switzerland - a cohort 
      study comparing the years 2020 and 2019.
LID - 10.4414/SMW.2021.w30010 [doi]
AB  - INTRODUCTION: The COVID-19 pandemic and the associated restrictions may have 
      modified the activities of the Swiss population and thus altered trauma patterns. 
      MATERIALS AND PATIENTS: All adult patients with major trauma admitted to our 
      institution in 2019 and 2020 were assessed using the Injury Severity Score (ISS), 
      by body region involved, type of injury, age, admission to an intensive care unit 
      and 30-day mortality. RESULTS: In 2020, 454 patients with major trauma were 
      admitted to our institution, 17% fewer than in the previous year. The drop in the 
      number of major trauma patients proceeded with and overlapped both the first and 
      second peaks in incidence of the pandemic and the associated restrictions. The 
      median ISS was higher in 2020 (25, interquartile range [IQR] 17-26.5) than in 
      2019 (22, IQR 16-26, p = 0.04). There were no significant differences in body 
      region involved, type of injury or age (p >0.05). In 2020, a higher percentage of 
      patients were admitted to an intensive care unit (86.5% vs 77.7%, p <0.001) and 
      died within 30 days (8.8% vs 5.0%, p = 0.015). The 30-day mortality was higher in 
      2020 than in 2019, with an odds ratio of 1.80 (95% confidence interval 1.04-3.10, 
      p= 0.036) after adjustment for the following potential confounders: ISS, age, 
      gender and type of injury. CONCLUSION: In the first year of the COVID-19 
      pandemic, fewer patients with major trauma were admitted to our institution. 
      However, the patients admitted were more severely injured and more often died 
      within 30 days. Understanding the differences in injury patterns and admissions 
      in major trauma patients under special conditions - such as a pandemic - could 
      help to allocate rare resources adequately.
FAU - Anwander, Helen
AU  - Anwander H
AD  - Department of Emergency Medicine, Inselspital, Bern University Hospital, 
      University of Bern, Switzerland.
AD  - Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University 
      Hospital, University of Bern, Switzerland.
FAU - Klingberg, Karsten
AU  - Klingberg K
AD  - Department of Emergency Medicine, Inselspital, Bern University Hospital, 
      University of Bern, Switzerland.
FAU - Gerber, Joel
AU  - Gerber J
AD  - Department of Emergency Medicine, Inselspital, Bern University Hospital, 
      University of Bern, Switzerland.
AD  - Department of Visceral Surgery and Medicine, Inselspital, Bern University 
      Hospital, University of Bern, Switzerland.
FAU - Bednarski, Piotr
AU  - Bednarski P
AD  - Department of Emergency Medicine, Inselspital, Bern University Hospital, 
      University of Bern, Switzerland.
FAU - Exadaktylos, Aristomenis
AU  - Exadaktylos A
AD  - Department of Emergency Medicine, Inselspital, Bern University Hospital, 
      University of Bern, Switzerland.
FAU - Muller, Martin
AU  - Muller M
AD  - Department of Emergency Medicine, Inselspital, Bern University Hospital, 
      University of Bern, Switzerland.
LA  - eng
PT  - Journal Article
DEP - 20210827
PL  - Switzerland
TA  - Swiss Med Wkly
JT  - Swiss medical weekly
JID - 100970884
SB  - IM
MH  - Adult
MH  - *COVID-19
MH  - Cohort Studies
MH  - Humans
MH  - Injury Severity Score
MH  - Pandemics
MH  - Retrospective Studies
MH  - SARS-CoV-2
MH  - Switzerland/epidemiology
MH  - Trauma Centers
MH  - *Wounds and Injuries/epidemiology
EDAT- 2021/09/09 06:00
MHDA- 2021/09/14 06:00
CRDT- 2021/09/08 13:18
PHST- 2021/09/08 13:18 [entrez]
PHST- 2021/09/09 06:00 [pubmed]
PHST- 2021/09/14 06:00 [medline]
AID - 10.4414/SMW.2021.w30010 [doi]
PST - epublish
SO  - Swiss Med Wkly. 2021 Aug 27;151(33-34). doi: 10.4414/SMW.2021.w30010.