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10.1007/s00068-020-01507-w

http://scihub22266oqcxt.onion/10.1007/s00068-020-01507-w
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32997167!7525754!32997167
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suck abstract from ncbi


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pmid32997167      Eur+J+Trauma+Emerg+Surg 2021 ; 47 (3): 631-636
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  • Epidemiology of trauma presentations to a major trauma centre in the North West of England during the COVID-19 level 4 lockdown #MMPMID32997167
  • Rajput K; Sud A; Rees M; Rutka O
  • Eur J Trauma Emerg Surg 2021[Jun]; 47 (3): 631-636 PMID32997167show ga
  • PURPOSE: The COVID-19 pandemic has impacted healthcare systems globally, little is known about the trauma patterns during a national lockdown. The aim of this study is to delineate the trauma patterns and outcomes at Aintree University Teaching Hospital level 1 Major Trauma Centre (MTC) during the COVID-19 lockdown imposed by the U.K. government. METHODS: A retrospective cohort study data from the Merseyside and Cheshire Trauma Audit and Research Network database were analysed. The 7-week 'lockdown period' was compared to a 7-week period prior to the lockdown and also to an equivalent 7-week period corresponding to the previous year. RESULTS: A total of 488 patients were included in the study. Overall, there was 37.6% and 30.0% reduction in the number of traumatic injuries during lockdown. Road traffic collisions (RTC) reduced by 42.6% and 46.6%. RTC involving a car significantly reduced during lockdown, conversely, bike-related RTC significantly increased. No significant changes were noted in deliberate self-harm, trauma severity and crude mortality during lockdown. There was 1 mortality from COVID-19 infection in the lockdown cohort. CONCLUSION: Trauma continues during lockdown, our MTC has continued to provide a full service during lockdown. However, trauma patterns have changed and departments should adapt to balance these alongside the COVID-19 pandemic. As the U.K. starts its cautious transition out of lockdown, trauma services are required to be flexible during changes in national social restrictions and changing trauma patterns. COVID-19 and lockdown state were found to have no significant impact on survival outcomes for trauma.
  • |*COVID-19/epidemiology/prevention & control[MESH]
  • |*Infection Control/methods/organization & administration[MESH]
  • |*Wounds and Injuries/classification/epidemiology/etiology/therapy[MESH]
  • |Accidents, Traffic/statistics & numerical data[MESH]
  • |Adult[MESH]
  • |Clinical Audit/methods/statistics & numerical data[MESH]
  • |Emergency Service, Hospital/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Self-Injurious Behavior/epidemiology[MESH]
  • |Surgical Procedures, Operative/*statistics & numerical data[MESH]
  • |Trauma Centers/statistics & numerical data[MESH]
  • |Trauma Severity Indices[MESH]


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