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Lockdown Level 4 V2.0: different trauma patterns in Auckland in 2021?
Keith Teo1, Sunder Balasubramaniam2, Ian Civil3
1Trauma Registrar, Auckland City Hospital Trauma Service, Auckland District Health Board, Auckland.
The New Zealand Medical Journal
|June 21, 2022
Summary
Trauma admissions increased during Auckland's 2021 COVID-19 lockdown compared to 2020. Reduced compliance with public health restrictions may explain the rise in trauma-related hospital visits.
Area of Science:
- Public Health
- Trauma Surgery
- Epidemiology
Background:
- Public health restrictions during the COVID-19 pandemic aimed to reduce disease transmission.
- These measures, including lockdowns, have been associated with decreased hospital admissions for trauma.
- Auckland, New Zealand, experienced two Level 4 lockdowns in 2020 and 2021, with varying public compliance.
Purpose of the Study:
- To compare trauma-related hospital admissions between the 2020 and 2021 Auckland Level 4 lockdowns.
- To investigate if reduced compliance in the 2021 lockdown correlated with increased trauma activity.
Main Methods:
- A retrospective descriptive study analyzed trauma admissions at Auckland City Hospital.
- Data were collected during the 2020 lockdown (March 26 - April 27) and the 2021 lockdown (August 18 - September 21).
Main Results:
- Trauma admissions rose by 8.2% from 97 in 2020 to 105 in 2021.
- Major trauma admissions increased from 13 to 23.
- Increases were observed in male admissions and road-related injuries.
Conclusions:
- Trauma-related hospital presentations were higher during the 2021 Auckland lockdown compared to 2020.
- Lower compliance with restrictions in 2021 may have contributed to increased trauma.
- Future lockdowns might see diminished effectiveness due to public fatigue and non-compliance.
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