COVID-19:全国透性创伤的增加是由一个准备好的创伤系统照顾的
Mallory Jebbia1, Jeffry Nahmias1, Matthew Dolich1
1University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USA.
Surgery open science
|July 26, 2024
概括
随着COVID-19的流行,穿透性创伤,特别是枪伤的数量增加了. 尽管这种增加,创伤系统有效地管理这些伤害,患者并发症或死亡率没有增加.
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:
- 美国的COVID-19大流行加剧了社会经济困难和社会隔离.
- 疫情期间观察到枪支销售额的增加.
- 以前的研究表明,区域性透创伤的增加,但国家准备情况仍然不清楚.
研究的目的:
- 确定COVID-19大流行期间穿透创伤的全国趋势.
- 为了评估疫情期间穿透创伤的患者是否面临较高的并发症和死亡风险,与疫情前的队列相比.
主要方法:
- 使用了2017-2020创伤质量改善计划 (TQIP) 数据库.
- 将数据分为流行病前 (2017-2019) 和流行病 (2020) 期间.
- 进行双变量和多变量后勤回归分析,控制患者人口统计和损伤严重程度.
主要成果:
- 流行病队列显示,刺伤 (4.8%对4.5%) 和枪伤 (5.8%对4.6%) 的发病率更高.
- 在疫情前和疫情后组 (5.0%对5.1%) 中,住院并发症的发生率相似.
- 在大流行期间,调整后的死亡风险显著下降 (OR 0.92,CI 0.89-0.96).
结论:
- 证实了穿透创伤的全国性增加,在COVID-19大流行期间枪伤的显着增加.
- 创伤系统表现出准备,稳定的并发症率证明了这一点.
- 该研究表明,创伤系统有效地管理了大流行和枪支暴力的双重负担,降低了调整后的死亡风险.
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