Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study
Aim The nationwide impact of the coronavirus disease (COVID‐19) pandemic on major trauma in Japan is unknown. The nationwide registry‐based data of the Japanese Trauma Data Bank were analyzed to elucidate the impact of COVID‐19 on the epidemiology, treatment, and outcomes of major trauma patients. M...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Acute Medicine & Surgery |
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| Online Access: | https://doi.org/10.1002/ams2.817 |
| _version_ | 1797374335078367232 |
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| author | Masahiro Ojima Kenichiro Ishida Yusuke Katayama Tomoya Hirose Shunichiro Nakao Jotaro Tachino Tomohiro Noda Yutaka Umemura Takeyuki Kiguchi Kosuke Kiyohara Tasuku Matsuyama Tetsuhisa Kitamura Jun Oda Mitsuo Ohnishi |
| author_facet | Masahiro Ojima Kenichiro Ishida Yusuke Katayama Tomoya Hirose Shunichiro Nakao Jotaro Tachino Tomohiro Noda Yutaka Umemura Takeyuki Kiguchi Kosuke Kiyohara Tasuku Matsuyama Tetsuhisa Kitamura Jun Oda Mitsuo Ohnishi |
| author_sort | Masahiro Ojima |
| collection | DOAJ |
| description | Aim The nationwide impact of the coronavirus disease (COVID‐19) pandemic on major trauma in Japan is unknown. The nationwide registry‐based data of the Japanese Trauma Data Bank were analyzed to elucidate the impact of COVID‐19 on the epidemiology, treatment, and outcomes of major trauma patients. Methods Among patients transported directly from the injury site by ambulance with an Injury Severity Score of ≥16, we compared patients managed from April to December in 2019 to those managed from April to December in 2020. Results In total, 9792 patients were included in this study (2019, n = 5194; 2020, n = 4598). There were no significant differences in age or sex, but there were significant differences between 2019 and 2020 in the rates of “self‐injury (suicide)”, “motor vehicle accident”, “fall from height”, “fall down”, and “fall to the ground”, which are factors associated with patient age. Injury severity in 2019 and 2020 did not differ to a statistically significant extent, but the rate of major spinal injury increased. The time of prehospital care significantly increased in 2020 compared to 2019. There was no noticeable change in hospital treatment or in‐hospital mortality between 2019 and 2020. Conclusion This study suggests that the COVID‐19 pandemic might have altered the injuries of major trauma; however, medical services for major trauma were well supplied in Japan in 2020. |
| first_indexed | 2024-03-08T19:04:21Z |
| format | Article |
| id | doaj.art-029bbaa338b74cb884425cde8f464eaf |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-03-08T19:04:21Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-029bbaa338b74cb884425cde8f464eaf2023-12-28T00:28:39ZengWileyAcute Medicine & Surgery2052-88172023-01-01101n/an/a10.1002/ams2.817Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based studyMasahiro Ojima0Kenichiro Ishida1Yusuke Katayama2Tomoya Hirose3Shunichiro Nakao4Jotaro Tachino5Tomohiro Noda6Yutaka Umemura7Takeyuki Kiguchi8Kosuke Kiyohara9Tasuku Matsuyama10Tetsuhisa Kitamura11Jun Oda12Mitsuo Ohnishi13Department of Acute Medicine and Critical Care Medical Center National Hospital Organization Osaka National Hospital Osaka JapanDepartment of Acute Medicine and Critical Care Medical Center National Hospital Organization Osaka National Hospital Osaka JapanDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanDepartment of Traumatology and Critical Care Medicine Osaka Metropolitan University School of Medicine Osaka JapanDepartment of Emergency and Critical Care Osaka General Medical Center Osaka JapanDepartment of Emergency and Critical Care Osaka General Medical Center Osaka JapanDepartment of Food Science, Faculty of Home Economics Otsuma Women's University Tokyo JapanDepartment of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto JapanDivision of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine Osaka University Graduate School of Medicine Suita JapanDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanDepartment of Acute Medicine and Critical Care Medical Center National Hospital Organization Osaka National Hospital Osaka JapanAim The nationwide impact of the coronavirus disease (COVID‐19) pandemic on major trauma in Japan is unknown. The nationwide registry‐based data of the Japanese Trauma Data Bank were analyzed to elucidate the impact of COVID‐19 on the epidemiology, treatment, and outcomes of major trauma patients. Methods Among patients transported directly from the injury site by ambulance with an Injury Severity Score of ≥16, we compared patients managed from April to December in 2019 to those managed from April to December in 2020. Results In total, 9792 patients were included in this study (2019, n = 5194; 2020, n = 4598). There were no significant differences in age or sex, but there were significant differences between 2019 and 2020 in the rates of “self‐injury (suicide)”, “motor vehicle accident”, “fall from height”, “fall down”, and “fall to the ground”, which are factors associated with patient age. Injury severity in 2019 and 2020 did not differ to a statistically significant extent, but the rate of major spinal injury increased. The time of prehospital care significantly increased in 2020 compared to 2019. There was no noticeable change in hospital treatment or in‐hospital mortality between 2019 and 2020. Conclusion This study suggests that the COVID‐19 pandemic might have altered the injuries of major trauma; however, medical services for major trauma were well supplied in Japan in 2020.https://doi.org/10.1002/ams2.817COVID‐19epidemiologysuicidetraffic accidenttrauma |
| spellingShingle | Masahiro Ojima Kenichiro Ishida Yusuke Katayama Tomoya Hirose Shunichiro Nakao Jotaro Tachino Tomohiro Noda Yutaka Umemura Takeyuki Kiguchi Kosuke Kiyohara Tasuku Matsuyama Tetsuhisa Kitamura Jun Oda Mitsuo Ohnishi Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study Acute Medicine & Surgery COVID‐19 epidemiology suicide traffic accident trauma |
| title | Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study |
| title_full | Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study |
| title_fullStr | Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study |
| title_full_unstemmed | Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study |
| title_short | Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study |
| title_sort | impact of the covid 19 pandemic on epidemiology treatment and outcome of major trauma in japan in 2020 a retrospective observational nationwide registry based study |
| topic | COVID‐19 epidemiology suicide traffic accident trauma |
| url | https://doi.org/10.1002/ams2.817 |
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