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2020 ; 85
(2S Suppl 2
): S161-S165
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Evaluating the Effects of COVID-19 on Plastic Surgery Emergencies: Protocols and
Analysis From a Level I Trauma Center
#MMPMID32501839
Hassan K
; Prescher H
; Wang F
; Chang DW
; Reid RR
Ann Plast Surg
2020[Aug]; 85
(2S Suppl 2
): S161-S165
PMID32501839
show ga
BACKGROUND: The COVID-19 crisis has brought many unique challenges to the health
care system. Across the United States, social distancing measures have been put
in place, including stay-at-home (SAH) orders, to combat the spread of this
infection. This has impacted the type and volume of traumatic injuries sustained
during this time. Meanwhile, steps have been taken in our health care system to
assure that adequate resources are available to maintain a high standard of
patient care while recognizing the importance of protecting health care
providers. Using comparative data, we aim to describe the trends in traumatic
injuries managed by our plastic surgery service and detail the changes in
consultation policies made to minimize provider exposure. METHODS: A
retrospective chart review was performed of all plastic surgery emergencies at
our institution during the 3 weeks preceding the issuance of SAH orders in
Chicago and the 3 weeks after. The electronic medical record was queried for
patient age, type and mechanism of injury, location where injury was sustained,
presence of domestic violence, length of inpatient hospital stays, and treatment
rendered. The two 3-week periods were then comparatively analyzed to determine
differences and trends in these variables and treatment rendered. The 2 periods
were then comparatively analyzed to determine differences and trends in these
variables. RESULTS: There was a significant decrease in trauma consults since the
issuance of SAH (88 pre-SAH vs 62 post-SAH) with a marked decrease in
trauma-related hand injuries. There was an increase in the percentage of
assault-related injuries including those associated with domestic violence,
whereas there was an overall decrease in motor vehicle collisions. There was no
notable change in the location where injuries were sustained. Significantly fewer
patients were seen by house staff in the emergency room, whereas those requiring
surgical intervention were able to receive care without delay. CONCLUSIONS:
Stay-at-home orders in Chicago have impacted traumatic injury patterns seen by
the Section of Plastic and Reconstructive Surgery at a level I Trauma Center.
Safe and timely care can continue to be provided with thorough communication,
vigilance, and guidance from our colleagues.
|*Betacoronavirus
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|COVID-19
[MESH]
|Chicago/epidemiology
[MESH]
|Child
[MESH]
|Child, Preschool
[MESH]
|Clinical Protocols
[MESH]
|Coronavirus Infections/*prevention & control
[MESH]
|Emergencies
[MESH]
|Facilities and Services Utilization/*trends
[MESH]
|Female
[MESH]
|Health Policy
[MESH]
|Humans
[MESH]
|Infant
[MESH]
|Infant, Newborn
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Pandemics/*prevention & control
[MESH]
|Plastic Surgery Procedures/*trends
[MESH]
|Pneumonia, Viral/*prevention & control
[MESH]
|Retrospective Studies
[MESH]
|SARS-CoV-2
[MESH]
|Surgery Department, Hospital
[MESH]
|Trauma Centers/*trends
[MESH]
|United States
[MESH]
|Wounds and Injuries/diagnosis/epidemiology/etiology/*surgery
[MESH]