High-energy blunt pelvic ring injury incidence and polytrauma caseload in a single level I trauma center during COVID-19 related pseudo-lockdown measures: a retrospective cohort study based on a prospective registry
Abstract Background Pelvic ring injuries are potentially lethal lesions associated with polytrauma patients and need an efficient trauma team for their management. The purpose of this study was to evaluate the incidence of high-energy blunt pelvic ring injuries and the absolute number of polytrauma...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | European Journal of Medical Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40001-023-01313-1 |
| _version_ | 1827635074884960256 |
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| author | Vanessa Morello Matthieu Zingg Elisabeth Andereggen Alexandre Ansorge Silvia Valisena Axel Gamulin |
| author_facet | Vanessa Morello Matthieu Zingg Elisabeth Andereggen Alexandre Ansorge Silvia Valisena Axel Gamulin |
| author_sort | Vanessa Morello |
| collection | DOAJ |
| description | Abstract Background Pelvic ring injuries are potentially lethal lesions associated with polytrauma patients and need an efficient trauma team for their management. The purpose of this study was to evaluate the incidence of high-energy blunt pelvic ring injuries and the absolute number of polytrauma patients in a single level I trauma center during the 2020 pseudo-lockdown period related to the Coronavirus pandemic, and to compare it with corresponding periods in 2014–2019 in order to better understand the need of organized and dedicated personnel and infrastructures. Methods This retrospective cohort study was based on data prospectively recorded into the institutional Severely Injured Patients’ Registry. Data were obtained for each year period (January 1st to December 31st) and corresponding pseudo-lockdown period (March 16th to June 19th). High-energy blunt pelvic ring injuries inclusion criteria were: (1) Registry entry between January 1st, 2014 and December 31st, 2020; (2) age ≥ 16 years old; and (3) pelvic ring injury presence. Corresponding exclusion criteria were: (1) death before admission; (2) transfer from another institution > 24 h after trauma; (3) penetrating, blast, burn and electrical injuries, drownings; (4) patients living outside the defined institution’s catchment area; and (5) any document attesting the patient’s will to not participate in any study. Polytrauma patients inclusion criteria were: (1) Registry entry between January 1st, 2014 and December 31st, 2020; (2) age ≥ 16 years old; and (3) Injury Severity Score ≥ 16. Corresponding exclusion criteria were: (1) death before admission; (2) transfer from another institution > 24 h after trauma; and (3) any document attesting the patient’s will to not participate in any study. Categorical variables were reported using proportions and continuous variables using medians and interquartile ranges. Because data were exhaustive for the authors’ level I trauma center, no inferential statistics were computed. Results The incidence of high-energy blunt pelvic ring injuries and the absolute number of polytrauma patients remained within range of previous years despite pseudo-lockdown measures. Conclusions These observations bring better knowledge about pseudo-lockdown’s impact on trauma and may help for future health strategy planning by pointing out the importance of maintaining the activity of level I trauma centers in terms of personnel and infrastructures. |
| first_indexed | 2024-03-09T15:23:09Z |
| format | Article |
| id | doaj.art-21e858de673c426fadc5eb5f9fd17bd8 |
| institution | Directory Open Access Journal |
| issn | 2047-783X |
| language | English |
| last_indexed | 2024-03-09T15:23:09Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj.art-21e858de673c426fadc5eb5f9fd17bd82023-11-26T12:41:58ZengBMCEuropean Journal of Medical Research2047-783X2023-09-012811910.1186/s40001-023-01313-1High-energy blunt pelvic ring injury incidence and polytrauma caseload in a single level I trauma center during COVID-19 related pseudo-lockdown measures: a retrospective cohort study based on a prospective registryVanessa Morello0Matthieu Zingg1Elisabeth Andereggen2Alexandre Ansorge3Silvia Valisena4Axel Gamulin5Division of Orthopaedic and Trauma Surgery, University Hospitals of GenevaDivision of Orthopaedic and Trauma Surgery, University Hospitals of GenevaDivision of Emergency Medicine, University Hospitals of GenevaDivision of Emergency Medicine, University Hospitals of GenevaDivision of Orthopaedic and Trauma Surgery, University Hospitals of GenevaDivision of Orthopaedic and Trauma Surgery, University Hospitals of GenevaAbstract Background Pelvic ring injuries are potentially lethal lesions associated with polytrauma patients and need an efficient trauma team for their management. The purpose of this study was to evaluate the incidence of high-energy blunt pelvic ring injuries and the absolute number of polytrauma patients in a single level I trauma center during the 2020 pseudo-lockdown period related to the Coronavirus pandemic, and to compare it with corresponding periods in 2014–2019 in order to better understand the need of organized and dedicated personnel and infrastructures. Methods This retrospective cohort study was based on data prospectively recorded into the institutional Severely Injured Patients’ Registry. Data were obtained for each year period (January 1st to December 31st) and corresponding pseudo-lockdown period (March 16th to June 19th). High-energy blunt pelvic ring injuries inclusion criteria were: (1) Registry entry between January 1st, 2014 and December 31st, 2020; (2) age ≥ 16 years old; and (3) pelvic ring injury presence. Corresponding exclusion criteria were: (1) death before admission; (2) transfer from another institution > 24 h after trauma; (3) penetrating, blast, burn and electrical injuries, drownings; (4) patients living outside the defined institution’s catchment area; and (5) any document attesting the patient’s will to not participate in any study. Polytrauma patients inclusion criteria were: (1) Registry entry between January 1st, 2014 and December 31st, 2020; (2) age ≥ 16 years old; and (3) Injury Severity Score ≥ 16. Corresponding exclusion criteria were: (1) death before admission; (2) transfer from another institution > 24 h after trauma; and (3) any document attesting the patient’s will to not participate in any study. Categorical variables were reported using proportions and continuous variables using medians and interquartile ranges. Because data were exhaustive for the authors’ level I trauma center, no inferential statistics were computed. Results The incidence of high-energy blunt pelvic ring injuries and the absolute number of polytrauma patients remained within range of previous years despite pseudo-lockdown measures. Conclusions These observations bring better knowledge about pseudo-lockdown’s impact on trauma and may help for future health strategy planning by pointing out the importance of maintaining the activity of level I trauma centers in terms of personnel and infrastructures.https://doi.org/10.1186/s40001-023-01313-1Pelvic ring injuryPolytraumaHigh-energy traumaLockdownCOVID-19 |
| spellingShingle | Vanessa Morello Matthieu Zingg Elisabeth Andereggen Alexandre Ansorge Silvia Valisena Axel Gamulin High-energy blunt pelvic ring injury incidence and polytrauma caseload in a single level I trauma center during COVID-19 related pseudo-lockdown measures: a retrospective cohort study based on a prospective registry European Journal of Medical Research Pelvic ring injury Polytrauma High-energy trauma Lockdown COVID-19 |
| title | High-energy blunt pelvic ring injury incidence and polytrauma caseload in a single level I trauma center during COVID-19 related pseudo-lockdown measures: a retrospective cohort study based on a prospective registry |
| title_full | High-energy blunt pelvic ring injury incidence and polytrauma caseload in a single level I trauma center during COVID-19 related pseudo-lockdown measures: a retrospective cohort study based on a prospective registry |
| title_fullStr | High-energy blunt pelvic ring injury incidence and polytrauma caseload in a single level I trauma center during COVID-19 related pseudo-lockdown measures: a retrospective cohort study based on a prospective registry |
| title_full_unstemmed | High-energy blunt pelvic ring injury incidence and polytrauma caseload in a single level I trauma center during COVID-19 related pseudo-lockdown measures: a retrospective cohort study based on a prospective registry |
| title_short | High-energy blunt pelvic ring injury incidence and polytrauma caseload in a single level I trauma center during COVID-19 related pseudo-lockdown measures: a retrospective cohort study based on a prospective registry |
| title_sort | high energy blunt pelvic ring injury incidence and polytrauma caseload in a single level i trauma center during covid 19 related pseudo lockdown measures a retrospective cohort study based on a prospective registry |
| topic | Pelvic ring injury Polytrauma High-energy trauma Lockdown COVID-19 |
| url | https://doi.org/10.1186/s40001-023-01313-1 |
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