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2020 ; 5
(1
): e000505
Nephropedia Template TP
gab.com Text
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English Wikipedia
Impact of shelter-in-place order for COVID-19 on trauma activations: Santa Clara
County, California, March 2020
#MMPMID32426529
Forrester JD
; Liou R
; Knowlton LM
; Jou RM
; Spain DA
Trauma Surg Acute Care Open
2020[]; 5
(1
): e000505
PMID32426529
show ga
INTRODUCTION: The shelter-in-place order for Santa Clara County, California on 16
March was the first of its kind in the USA. It was unknown what impact this order
would have on trauma activations. METHODS: We performed a retrospective analysis
of institutional trauma registries among the two American College of Surgeons
Level 1 trauma centers serving Santa Clara County, California. Trauma activation
volumes at the trauma centers from January to March 2020 were compared with
month-matched historical cohorts from 2018 to 2019. RESULTS: Only 81 (3%)
patients were trauma activations at the trauma centers in the 15 days after the
shelter-in-place order went into effect on 16 March 2020, compared with 389
activations during the same time period in 2018 and 2019 (p<0.0001). There were
no other statistically significant changes to the epidemiology of trauma
activations. Only one trauma activation had a positive COVID-19 test. DISCUSSION:
Overall trauma activations decreased 4.8-fold after the shelter-in-place order
went into effect in Santa Clara County on 16 March 2020, with no other effect on
the epidemiology of persons presenting after traumatic injury. CONCLUSION:
Shelter-in-place orders may reduce strain on healthcare systems by diminishing
hospital admissions from trauma, in addition to reducing virus transmission.