Changes in trends during the COVID-19 lockdown: An urban, Level-1 trauma center's experience

Camaleigh A. Jaber; Chih Yuan Fu; Francesca E. Bryan; Frederic L. Starr; Matthew J. Kaminsky; Leah C. Tatebe; Victoria L. Schlanser; Faran Bokhari

doi:10.1016/j.amjsurg.2021.02.015

Changes in trends during the COVID-19 lockdown: An urban, Level-1 trauma center's experience

Camaleigh A. Jaber^*, Chih Yuan Fu, Francesca E. Bryan, Frederic L. Starr, Matthew J. Kaminsky, Leah C. Tatebe, Victoria L. Schlanser, Faran Bokhari

^*Corresponding author for this work

Surgery, Trauma and Critical Care Division

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Background: A community lockdown has a profound impact on its citizens. Our objective was to identify changes in trauma patient demographics, volume, and pattern of injury following the COVID-19 lockdown. Methods: A retrospective review was conducted at a Level-1 Trauma Center from 2017 to 2020. Results: A downward trend in volume is seen December–April in 2020 (R² = 0.9907). February through April showed an upward trend in 2018 and 2019 (R²⁼ 0.80 and R² = 0.90 respectively), but a downward trend in 2020 (R² = 0.97). In April 2020, there was 41.6% decrease in total volume, a 47.4% decrease in blunt injury and no decrease in penetrating injury. In contrast to previous months, in April the majority of injuries occurred in home zip codes. Conclusions: A community lockdown decreased the number of blunt trauma, however despite social distancing, did not decrease penetrating injury. Injuries were more likely to occur in home zip codes.

Original language	English (US)
Pages (from-to)	832-841
Number of pages	10
Journal	American journal of surgery
Volume	222
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2021.02.015
State	Published - Oct 2021

Keywords

COMMUNITY LOCKDOWN
COVID-19
TRAUMA
TRENDS

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2021.02.015

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@article{26c4818fea5c45aa9ea00c249471dcef,

title = "Changes in trends during the COVID-19 lockdown: An urban, Level-1 trauma center's experience",

abstract = "Background: A community lockdown has a profound impact on its citizens. Our objective was to identify changes in trauma patient demographics, volume, and pattern of injury following the COVID-19 lockdown. Methods: A retrospective review was conducted at a Level-1 Trauma Center from 2017 to 2020. Results: A downward trend in volume is seen December–April in 2020 (R2 = 0.9907). February through April showed an upward trend in 2018 and 2019 (R2= 0.80 and R2 = 0.90 respectively), but a downward trend in 2020 (R2 = 0.97). In April 2020, there was 41.6% decrease in total volume, a 47.4% decrease in blunt injury and no decrease in penetrating injury. In contrast to previous months, in April the majority of injuries occurred in home zip codes. Conclusions: A community lockdown decreased the number of blunt trauma, however despite social distancing, did not decrease penetrating injury. Injuries were more likely to occur in home zip codes.",

keywords = "COMMUNITY LOCKDOWN, COVID-19, TRAUMA, TRENDS",

author = "Jaber, {Camaleigh A.} and Fu, {Chih Yuan} and Bryan, {Francesca E.} and Starr, {Frederic L.} and Kaminsky, {Matthew J.} and Tatebe, {Leah C.} and Schlanser, {Victoria L.} and Faran Bokhari",

note = "Funding Information: Would like to thank the trauma department and staff for their exceptional hard work during this unprecedented time. Publisher Copyright: {\textcopyright} 2021",

year = "2021",

month = oct,

doi = "10.1016/j.amjsurg.2021.02.015",

language = "English (US)",

volume = "222",

pages = "832--841",

journal = "American Journal of Surgery",

issn = "0002-9610",

publisher = "Elsevier Inc.",

number = "4",

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T1 - Changes in trends during the COVID-19 lockdown

T2 - An urban, Level-1 trauma center's experience

AU - Jaber, Camaleigh A.

AU - Fu, Chih Yuan

AU - Bryan, Francesca E.

AU - Starr, Frederic L.

AU - Kaminsky, Matthew J.

AU - Tatebe, Leah C.

AU - Schlanser, Victoria L.

AU - Bokhari, Faran

PY - 2021/10

Y1 - 2021/10

N2 - Background: A community lockdown has a profound impact on its citizens. Our objective was to identify changes in trauma patient demographics, volume, and pattern of injury following the COVID-19 lockdown. Methods: A retrospective review was conducted at a Level-1 Trauma Center from 2017 to 2020. Results: A downward trend in volume is seen December–April in 2020 (R2 = 0.9907). February through April showed an upward trend in 2018 and 2019 (R2= 0.80 and R2 = 0.90 respectively), but a downward trend in 2020 (R2 = 0.97). In April 2020, there was 41.6% decrease in total volume, a 47.4% decrease in blunt injury and no decrease in penetrating injury. In contrast to previous months, in April the majority of injuries occurred in home zip codes. Conclusions: A community lockdown decreased the number of blunt trauma, however despite social distancing, did not decrease penetrating injury. Injuries were more likely to occur in home zip codes.

AB - Background: A community lockdown has a profound impact on its citizens. Our objective was to identify changes in trauma patient demographics, volume, and pattern of injury following the COVID-19 lockdown. Methods: A retrospective review was conducted at a Level-1 Trauma Center from 2017 to 2020. Results: A downward trend in volume is seen December–April in 2020 (R2 = 0.9907). February through April showed an upward trend in 2018 and 2019 (R2= 0.80 and R2 = 0.90 respectively), but a downward trend in 2020 (R2 = 0.97). In April 2020, there was 41.6% decrease in total volume, a 47.4% decrease in blunt injury and no decrease in penetrating injury. In contrast to previous months, in April the majority of injuries occurred in home zip codes. Conclusions: A community lockdown decreased the number of blunt trauma, however despite social distancing, did not decrease penetrating injury. Injuries were more likely to occur in home zip codes.

KW - COMMUNITY LOCKDOWN

KW - COVID-19

KW - TRAUMA

KW - TRENDS

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ER -

Changes in trends during the COVID-19 lockdown: An urban, Level-1 trauma center's experience

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Keywords

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