COVID-19 Changed the Injury Patterns of Hospitalized Patients
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 yea...
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| Veröffentlicht in: | Prehospital and disaster medicine 2021-06, Vol.36 (3), p.251-259, Article 251 |
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| creator | Rozenfeld, Michael Peleg, Kobi Givon, Adi Bala, Miklosh Shaked, Gad Bahouth, Hany Bodas, Moran |
| description | 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.
The aim of this study was to compare injury-related hospitalization patterns during the overall national lockdown period with parallel periods of previous years.
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.
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.
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. |
| doi_str_mv | 10.1017/S1049023X21000285 |
| format | Article |
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The aim of this study was to compare injury-related hospitalization patterns during the overall national lockdown period with parallel periods of previous years.
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.
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.
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.</description><identifier>ISSN: 1049-023X</identifier><identifier>EISSN: 1945-1938</identifier><identifier>DOI: 10.1017/S1049023X21000285</identifier><identifier>PMID: 33641689</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Aged ; Casualties ; Child ; Child, Preschool ; Clinical outcomes ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Disease transmission ; Emergency medical care ; Epidemics ; Ethnicity ; Female ; Health technology assessment ; Hospitalization ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Injuries ; Injury Severity Score ; Israel - epidemiology ; Male ; Middle Aged ; Original Research ; Outbreaks ; Pandemics ; Patients ; Population ; Public transportation ; Registries ; Restrictions ; Retrospective Studies ; SARS-CoV-2 ; Trauma ; Trauma Centers ; Trends ; Wounds and Injuries - epidemiology</subject><ispartof>Prehospital and disaster medicine, 2021-06, Vol.36 (3), p.251-259, Article 251</ispartof><rights>The Author(s), 2021. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine</rights><rights>The Author(s), 2021. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at: https://uk.sagepub.com/en-gb/eur/reusing-open-access-and-sage-choice-content</rights><rights>World Association for Disaster and Emergency Medicine 2021 2021 World Association for Disaster and Emergency Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c546t-9594bb1b6b6c830bd3c6a3c7da680c988a63b3ffe0ed115a2bc5acef1d302a753</citedby><cites>FETCH-LOGICAL-c546t-9594bb1b6b6c830bd3c6a3c7da680c988a63b3ffe0ed115a2bc5acef1d302a753</cites><orcidid>0000-0001-9241-3811</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1049023X21000285/type/journal_article$$EHTML$$P50$$Gcambridge$$Hfree_for_read</linktohtml><link.rule.ids>164,230,314,776,780,881,27903,27904,55606</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33641689$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rozenfeld, Michael</creatorcontrib><creatorcontrib>Peleg, Kobi</creatorcontrib><creatorcontrib>Givon, Adi</creatorcontrib><creatorcontrib>Bala, Miklosh</creatorcontrib><creatorcontrib>Shaked, Gad</creatorcontrib><creatorcontrib>Bahouth, Hany</creatorcontrib><creatorcontrib>Bodas, Moran</creatorcontrib><title>COVID-19 Changed the Injury Patterns of Hospitalized Patients</title><title>Prehospital and disaster medicine</title><addtitle>Prehosp. Disaster med</addtitle><description>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.
The aim of this study was to compare injury-related hospitalization patterns during the overall national lockdown period with parallel periods of previous years.
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.
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.
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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Casualties</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical outcomes</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Disease transmission</subject><subject>Emergency medical care</subject><subject>Epidemics</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health technology assessment</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Injuries</subject><subject>Injury Severity Score</subject><subject>Israel - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Research</subject><subject>Outbreaks</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Population</subject><subject>Public transportation</subject><subject>Registries</subject><subject>Restrictions</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><subject>Trauma</subject><subject>Trauma Centers</subject><subject>Trends</subject><subject>Wounds and Injuries - epidemiology</subject><issn>1049-023X</issn><issn>1945-1938</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>IKXGN</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1OGzEUha2qVRMCD8AGjdQNm6H-GXvsBUhVoCUSUpCgFTvL9ngSR5Nxas8g4OlxRAiBqhvb0jnnu_f6AnCI4AmCqPx-g2AhICZ3GEEIMaefwBCJguZIEP45vZOcr_UB2ItxkSyCYvYVDAhhBWJcDMHpePpncp4C2Xiu2pmtsm5us0m76MNjdq26zoY2Zr7OLn1cuU417il5kuBs28V98KVWTbQHm3sEfv-8uB1f5lfTX5Pxj6vc0IJ1uaCi0BppppnhBOqKGKaIKSvFODSCc8WIJnVtoa0QogprQ5WxNaoIxKqkZATOXrirXi9tZVLtoBq5Cm6pwqP0ysn3SuvmcubvZSk4FRAlwPEGEPzf3sZOLl00tmlUa30fJS5EwTktsUjWbx-sC9-HNo0nMUUcE0LTMQLoxWWCjzHYetsMgnK9HPnPclLmaHeKbeJ1G8lQfoCa9OWd8-uhXLNFxw36YQdNNkm11MFVM_vW9f8begaXyKpO</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Rozenfeld, Michael</creator><creator>Peleg, Kobi</creator><creator>Givon, Adi</creator><creator>Bala, Miklosh</creator><creator>Shaked, Gad</creator><creator>Bahouth, Hany</creator><creator>Bodas, Moran</creator><general>Cambridge University Press</general><general>Jems Publishing Company, Inc</general><scope>IKXGN</scope><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9241-3811</orcidid></search><sort><creationdate>20210601</creationdate><title>COVID-19 Changed the Injury Patterns of Hospitalized Patients</title><author>Rozenfeld, Michael ; 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Disaster med</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>36</volume><issue>3</issue><spage>251</spage><epage>259</epage><pages>251-259</pages><artnum>251</artnum><issn>1049-023X</issn><eissn>1945-1938</eissn><abstract>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.
The aim of this study was to compare injury-related hospitalization patterns during the overall national lockdown period with parallel periods of previous years.
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.
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.
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.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>33641689</pmid><doi>10.1017/S1049023X21000285</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9241-3811</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Prehospital and disaster medicine, 2021-06, Vol.36 (3), p.251-259, Article 251 |
| issn | 1049-023X 1945-1938 |
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| subjects | Adolescent Adult Aged Casualties Child Child, Preschool Clinical outcomes Coronaviruses COVID-19 COVID-19 - epidemiology Disease transmission Emergency medical care Epidemics Ethnicity Female Health technology assessment Hospitalization Hospitals Humans Infant Infant, Newborn Injuries Injury Severity Score Israel - epidemiology Male Middle Aged Original Research Outbreaks Pandemics Patients Population Public transportation Registries Restrictions Retrospective Studies SARS-CoV-2 Trauma Trauma Centers Trends Wounds and Injuries - epidemiology |
| title | COVID-19 Changed the Injury Patterns of Hospitalized Patients |
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