一个密尔沃基综合症? 透性伤害和COVID-19的相关问题
Alexandra Dove1, Kara J Kallies2, Stephen Hargarten3,4
1Medical College of Wisconsin, Milwaukee, Wisconsin, adove@mcw.edu.
概括
随着COVID-19的流行,威斯康星州的透性创伤,特别是枪支伤害的数量有所增加. 这一趋势突出了潜在的"流行病"效应,增加了创伤系统的负担,并迫使公共卫生干预.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 流行病学 流行病学
背景情况:
- 随着COVID-19的流行,人们被迫在家里停留,改变了社会行为,并可能影响伤害模式.
- 穿透性创伤,包括枪支和刺伤,是严重的公共卫生问题,需要持续监视.
研究的目的:
- 评估在威斯康星州实施COVID-19居家禁令之前和之后透性创伤伤害频率的变化.
- 分析疫情期间枪支与刺伤伤害的具体变化.
主要方法:
- 从2018年1月到2021年12月,回顾2018年1月至2021年12月,向一级创伤中心带有枪支或刺伤的患者进行回顾.
- 在COVID前 (2018年1月至2020年2月) 和COVID (2020年3月至2021年12月) 期间的伤害数据的比较.
- 使用千平方测试和中断时间序列分析进行统计分析,以确定重大趋势.
主要成果:
- 总共有1702名患者被纳入. 在COVID期间,与COVID前时期 (70%) 相比,枪支伤害比例显著增加 (83.2%).
- 相反,在COVID期间,与COVID前 (30%) 相比,刺伤明显减少 (16.8%).
- 间断时间序列分析显示,在COVID期间,每月枪支和刺伤的数量显著增加,黑人或非裔美国患者中枪支伤害不成比例地增加.
结论:
- 这些发现与国家趋势一致,表明COVID-19大流行期间透性创伤的增加.
- 随着COVID-19大流行和暴力增加的趋同,可能构成一个危机.
- 综合性,综合性,综合性
- 这给创伤护理系统带来了巨大的压力.
- 基于证据的公共卫生策略对于应对枪支伤害率不断上升至关重要.
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