Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study
Given the early surge of COVID-19 in New Jersey (NJ), a statewide executive order (EO) to stay-at-home was instituted on March 22, 2020. We hypothesized that the EO would result in a decreased number of trauma admissions, length of stay, and resources utilized in trauma patients at NJ trauma centers...
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| Veröffentlicht in: | The Journal of surgical research 2023-04, Vol.284, p.264-268 |
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| container_title | The Journal of surgical research |
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| creator | Badach, Jeremy M. Platoff, Rebecca Rattigan, Deviney Butts, Christopher A. Shea, Lisa Gaughan, John P. Hunter, Krystal Sifri, Ziad Porter, John Egodage, Tanya |
| description | Given the early surge of COVID-19 in New Jersey (NJ), a statewide executive order (EO) to stay-at-home was instituted on March 22, 2020. We hypothesized that the EO would result in a decreased number of trauma admissions, length of stay, and resources utilized in trauma patients at NJ trauma centers.
In an institutional review board-approved, retrospective, multicenter study, trauma registries at three level one trauma centers in NJ were queried from March 22 to June 14 in 2020 and compared to the same timeframe the year prior. Epidemiological and clinical data were obtained including demographics, select preexisting conditions, mechanism of injury, injury severity score, resources utilized, and outcomes.
1859 trauma patients were evaluated during the EO versus 2201 the year prior. During the EO, trauma patients were less likely to be transferred from another hospital (21% versus 29% P |
| doi_str_mv | 10.1016/j.jss.2022.11.049 |
| format | Article |
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In an institutional review board-approved, retrospective, multicenter study, trauma registries at three level one trauma centers in NJ were queried from March 22 to June 14 in 2020 and compared to the same timeframe the year prior. Epidemiological and clinical data were obtained including demographics, select preexisting conditions, mechanism of injury, injury severity score, resources utilized, and outcomes.
1859 trauma patients were evaluated during the EO versus 2201 the year prior. During the EO, trauma patients were less likely to be transferred from another hospital (21% versus 29% P < 0.05), more likely to have a penetrating mechanism (16% versus 12% P < 0.05), were equally likely to require a procedure (P = 0.44) and had similar injury severity score (5 [interquartile range [IQR] 1-9] versus 5 [IQR 1-9], P = 0.73). There was no significant difference in ventilator days (0 [IQR 0-1] versus 0 [IQR 0-2] P = 0.08), intensive care unit days (2 [IQR 0-4] versus 2 [IQR 0-3] P = 0.99), or length of stay (2 [IQR 1-5] versus 2 [IQR 1-6] P = 0.73). Patients were more likely to be sent home than to rehabilitation or long-term acute care hospital during the EO (81% versus 78%, P = 0.02).
The 2020 COVID-19 EO was associated with a significantly different epidemiology with a higher rate of penetrating injury during the EO, and similar volume of injured patients evaluated.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2022.11.049</identifier><identifier>PMID: 36610385</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>COVID-19 ; COVID-19 - epidemiology ; Executive order ; Humans ; Incidence ; Injury Severity Score ; Length of Stay ; Lockdown ; New Jersey - epidemiology ; Retrospective Studies ; Trauma ; Trauma Centers ; Volumes</subject><ispartof>The Journal of surgical research, 2023-04, Vol.284, p.264-268</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-c98bf6003fdbe21e50533b003c1afee55755f0944d2e87233709a8702725c2843</citedby><cites>FETCH-LOGICAL-c396t-c98bf6003fdbe21e50533b003c1afee55755f0944d2e87233709a8702725c2843</cites><orcidid>0000-0003-1625-3371</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022480422007909$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36610385$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Badach, Jeremy M.</creatorcontrib><creatorcontrib>Platoff, Rebecca</creatorcontrib><creatorcontrib>Rattigan, Deviney</creatorcontrib><creatorcontrib>Butts, Christopher A.</creatorcontrib><creatorcontrib>Shea, Lisa</creatorcontrib><creatorcontrib>Gaughan, John P.</creatorcontrib><creatorcontrib>Hunter, Krystal</creatorcontrib><creatorcontrib>Sifri, Ziad</creatorcontrib><creatorcontrib>Porter, John</creatorcontrib><creatorcontrib>Egodage, Tanya</creatorcontrib><title>Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>Given the early surge of COVID-19 in New Jersey (NJ), a statewide executive order (EO) to stay-at-home was instituted on March 22, 2020. We hypothesized that the EO would result in a decreased number of trauma admissions, length of stay, and resources utilized in trauma patients at NJ trauma centers.
In an institutional review board-approved, retrospective, multicenter study, trauma registries at three level one trauma centers in NJ were queried from March 22 to June 14 in 2020 and compared to the same timeframe the year prior. Epidemiological and clinical data were obtained including demographics, select preexisting conditions, mechanism of injury, injury severity score, resources utilized, and outcomes.
1859 trauma patients were evaluated during the EO versus 2201 the year prior. During the EO, trauma patients were less likely to be transferred from another hospital (21% versus 29% P < 0.05), more likely to have a penetrating mechanism (16% versus 12% P < 0.05), were equally likely to require a procedure (P = 0.44) and had similar injury severity score (5 [interquartile range [IQR] 1-9] versus 5 [IQR 1-9], P = 0.73). There was no significant difference in ventilator days (0 [IQR 0-1] versus 0 [IQR 0-2] P = 0.08), intensive care unit days (2 [IQR 0-4] versus 2 [IQR 0-3] P = 0.99), or length of stay (2 [IQR 1-5] versus 2 [IQR 1-6] P = 0.73). Patients were more likely to be sent home than to rehabilitation or long-term acute care hospital during the EO (81% versus 78%, P = 0.02).
The 2020 COVID-19 EO was associated with a significantly different epidemiology with a higher rate of penetrating injury during the EO, and similar volume of injured patients evaluated.</description><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Executive order</subject><subject>Humans</subject><subject>Incidence</subject><subject>Injury Severity Score</subject><subject>Length of Stay</subject><subject>Lockdown</subject><subject>New Jersey - epidemiology</subject><subject>Retrospective Studies</subject><subject>Trauma</subject><subject>Trauma Centers</subject><subject>Volumes</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwA1iQR5YEf8RJDFPVAi0qdKDAaKXOBVw1SbETUP49rloYmU6ne95Xugehc0pCSmh8tQpXzoWMMBZSGpJIHqA-JVIEaZzwQ9Qn_hJEKYl66MS5FfG7TPgx6vE4poSnoo_eFjZrywxPK21yqDTgcWtN9Y6bD8BP8I0fwDro8Gj-Oh0HVOLnJuuCYRNM6hLw3OZgr_EQP7brxmioGrCeaPPuFB0V2drB2X4O0Mvd7WI0CWbz--loOAs0l3ETaJkui5gQXuRLYBQEEZwv_a5pVgAIkQhREBlFOYM0YZwnRGZpQljChGZpxAfocte7sfVnC65RpXEa1uusgrp1iiUxlZ6jqUfpDtW2ds5CoTbWlJntFCVq61OtlPeptj4Vpcr79JmLfX27LCH_S_wK9MDNDgD_5JcBq5w2W4-5saAbldfmn_of7i-CsA</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Badach, Jeremy M.</creator><creator>Platoff, Rebecca</creator><creator>Rattigan, Deviney</creator><creator>Butts, Christopher A.</creator><creator>Shea, Lisa</creator><creator>Gaughan, John P.</creator><creator>Hunter, Krystal</creator><creator>Sifri, Ziad</creator><creator>Porter, John</creator><creator>Egodage, Tanya</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1625-3371</orcidid></search><sort><creationdate>202304</creationdate><title>Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study</title><author>Badach, Jeremy M. ; Platoff, Rebecca ; Rattigan, Deviney ; Butts, Christopher A. ; Shea, Lisa ; Gaughan, John P. ; Hunter, Krystal ; Sifri, Ziad ; Porter, John ; Egodage, Tanya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-c98bf6003fdbe21e50533b003c1afee55755f0944d2e87233709a8702725c2843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Executive order</topic><topic>Humans</topic><topic>Incidence</topic><topic>Injury Severity Score</topic><topic>Length of Stay</topic><topic>Lockdown</topic><topic>New Jersey - epidemiology</topic><topic>Retrospective Studies</topic><topic>Trauma</topic><topic>Trauma Centers</topic><topic>Volumes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Badach, Jeremy M.</creatorcontrib><creatorcontrib>Platoff, Rebecca</creatorcontrib><creatorcontrib>Rattigan, Deviney</creatorcontrib><creatorcontrib>Butts, Christopher A.</creatorcontrib><creatorcontrib>Shea, Lisa</creatorcontrib><creatorcontrib>Gaughan, John P.</creatorcontrib><creatorcontrib>Hunter, Krystal</creatorcontrib><creatorcontrib>Sifri, Ziad</creatorcontrib><creatorcontrib>Porter, John</creatorcontrib><creatorcontrib>Egodage, Tanya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Badach, Jeremy M.</au><au>Platoff, Rebecca</au><au>Rattigan, Deviney</au><au>Butts, Christopher A.</au><au>Shea, Lisa</au><au>Gaughan, John P.</au><au>Hunter, Krystal</au><au>Sifri, Ziad</au><au>Porter, John</au><au>Egodage, Tanya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2023-04</date><risdate>2023</risdate><volume>284</volume><spage>264</spage><epage>268</epage><pages>264-268</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><abstract>Given the early surge of COVID-19 in New Jersey (NJ), a statewide executive order (EO) to stay-at-home was instituted on March 22, 2020. We hypothesized that the EO would result in a decreased number of trauma admissions, length of stay, and resources utilized in trauma patients at NJ trauma centers.
In an institutional review board-approved, retrospective, multicenter study, trauma registries at three level one trauma centers in NJ were queried from March 22 to June 14 in 2020 and compared to the same timeframe the year prior. Epidemiological and clinical data were obtained including demographics, select preexisting conditions, mechanism of injury, injury severity score, resources utilized, and outcomes.
1859 trauma patients were evaluated during the EO versus 2201 the year prior. During the EO, trauma patients were less likely to be transferred from another hospital (21% versus 29% P < 0.05), more likely to have a penetrating mechanism (16% versus 12% P < 0.05), were equally likely to require a procedure (P = 0.44) and had similar injury severity score (5 [interquartile range [IQR] 1-9] versus 5 [IQR 1-9], P = 0.73). There was no significant difference in ventilator days (0 [IQR 0-1] versus 0 [IQR 0-2] P = 0.08), intensive care unit days (2 [IQR 0-4] versus 2 [IQR 0-3] P = 0.99), or length of stay (2 [IQR 1-5] versus 2 [IQR 1-6] P = 0.73). Patients were more likely to be sent home than to rehabilitation or long-term acute care hospital during the EO (81% versus 78%, P = 0.02).
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | COVID-19 COVID-19 - epidemiology Executive order Humans Incidence Injury Severity Score Length of Stay Lockdown New Jersey - epidemiology Retrospective Studies Trauma Trauma Centers Volumes |
| title | Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study |
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