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10.1111/ans.17154 http://scihub22266oqcxt.onion/10.1111/ans.17154 34403202!8420582!34403202     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=34403202&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       ANZ+J+Surg 2022 ; 92 (1-2): 172-179 Nephropedia Template TP {{tp|p=34403202|t=2022. Quality of care was not compromised during the COVID-19 pandemic at a level 1 trauma centre |pdf=|usr=}}{{34403202}} gab.com Text Quality of care was not compromised during the COVID-19 pandemic at a level 1 trauma centre JO: ANZ J Surg http://www.kidney.de/pget.php?&tw=1&pmid=34403202 #FOAvip BACKGROUND: The COVID-19 pandemic has had a profound effect on the presentation and management of trauma at the Royal Melbourne Hospital, a level 1 adult major trauma service and a designated COVID-19 hospital. This study compares the changes in epidemiology and trauma patient access to emergency imaging and surgery during the pandemic response. METHODS: The population of interest was all trauma patients captured in the hospital's trauma registry from 16 March 2016 to 10 September 2020. Regression modelling assessed changes in mechanism and severity of the injury, and mortality during two lockdowns compared with the proceeding 4 years. Cases were matched with hospital administrative databases to assess mean time from admission to emergency computed tomography (CT) scan, operating theatre, length of stay (LOS) and immediate surgery (OPSTAT). RESULTS: Throughout 2020, the hospital treated 525 COVID-19 patients. Compared with previous years, there was up to 34% reduction in major trauma and a 28% reduction in minor trauma admissions during the pandemic (p < 0.05). Intensive care unit admissions were almost half of predicted. Some of the largest reductions were seen in motor vehicle crashes (49%) and falls (28%) (p < 0.05). Time to CT, surgery and immediate surgery (OPSTAT) showed no change and having a suspected COVID-19 diagnosis did not prolong any of these times except for the LOS. Mortality was similar to previous years. CONCLUSION: The COVID-19 pandemic has had widespread societal changes, resulting in a substantial decrease in trauma presentations. Despite COVID's immense impact on the hospital's trauma service, the quality of care was not impaired. Twit Text FOAVip Quality of care was not compromised during the COVID-19 pandemic at a level 1 trauma centre ????ANZ J Surg http://www.kidney.de/pget.php?&tw=1&pmid=34403202 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34403202 #FOAvip English Wikipedia <ref>{{Cite pmid|34403202}}</ref> Quality of care was not compromised during the COVID-19 pandemic at a level 1 trauma centre #MMPMID34403202 Saxon L; Fazio TN; Gumm K; Tong SYC; Read DJ ANZ J Surg 2022[Jan]; 92 (1-2): 172-179 PMID34403202show ga BACKGROUND: The COVID-19 pandemic has had a profound effect on the presentation and management of trauma at the Royal Melbourne Hospital, a level 1 adult major trauma service and a designated COVID-19 hospital. This study compares the changes in epidemiology and trauma patient access to emergency imaging and surgery during the pandemic response. METHODS: The population of interest was all trauma patients captured in the hospital's trauma registry from 16 March 2016 to 10 September 2020. Regression modelling assessed changes in mechanism and severity of the injury, and mortality during two lockdowns compared with the proceeding 4 years. Cases were matched with hospital administrative databases to assess mean time from admission to emergency computed tomography (CT) scan, operating theatre, length of stay (LOS) and immediate surgery (OPSTAT). RESULTS: Throughout 2020, the hospital treated 525 COVID-19 patients. Compared with previous years, there was up to 34% reduction in major trauma and a 28% reduction in minor trauma admissions during the pandemic (p < 0.05). Intensive care unit admissions were almost half of predicted. Some of the largest reductions were seen in motor vehicle crashes (49%) and falls (28%) (p < 0.05). Time to CT, surgery and immediate surgery (OPSTAT) showed no change and having a suspected COVID-19 diagnosis did not prolong any of these times except for the LOS. Mortality was similar to previous years. CONCLUSION: The COVID-19 pandemic has had widespread societal changes, resulting in a substantial decrease in trauma presentations. Despite COVID's immense impact on the hospital's trauma service, the quality of care was not impaired. |*COVID-19/epidemiology[MESH] |*Pandemics[MESH] |Adult[MESH] |COVID-19 Testing[MESH] |Communicable Disease Control[MESH] |Emergency Service, Hospital[MESH] |Humans[MESH] |Retrospective Studies[MESH] |SARS-CoV-2[MESH]Quality of care was not compromised during the COVID-19 pandemic at a (epmc).pdf DeepDyve Pubget Overpricing