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Using the Decrease in Trauma Admissions During the COVID-19 Pandemic to Evaluate Compliance With Stay-at-Home and
Paras Savla1, James Wiginton1, Taha M Taka2
1Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
Cureus
|May 17, 2021
Summary
The COVID-19 pandemic led to a significant decrease in trauma admissions, particularly for falls and vehicle accidents. This highlights behavioral shifts and the need for targeted public health messaging.
Area of Science:
- Public Health
- Epidemiology
- Trauma Surgery
Background:
- The COVID-19 pandemic caused global healthcare system strain.
- Emergency departments observed reduced trauma cases during initial pandemic precautions.
- Understanding these changes can optimize public health messaging for compliance.
Purpose of the Study:
- To analyze the impact of the COVID-19 pandemic on trauma admissions.
- To identify demographic and injury-type variations in trauma admissions during the pandemic.
- To inform targeted public health strategies for future health crises.
Main Methods:
- Retrospective review of a Level 2 trauma center's database.
- Inclusion of all trauma activations, excluding incomplete records.
- Stratification of data into pre-COVID (Jan-Apr 2019) and COVID (Jan-Apr 2020) periods.
Main Results:
- A significant decrease in average monthly trauma admissions from 279 (2019) to 222 (2020).
- Significant reductions observed in fall and vehicular accident traumas.
- Significant decreases in trauma admissions for the 18-39 and 65+ age groups.
Conclusions:
- The COVID-19 pandemic significantly altered trauma admission rates and patterns.
- Behavioral changes, including pandemic fatigue, influenced trauma incidence.
- Findings underscore the need for adaptive public health communication strategies.
