■COVID-19大流行重塑了各种临床疾病的流行病学,包括与社会政策密切相关的创伤。这项研究检查并比较了创伤死亡率患者的特征,以及他们最初的预后创伤评分,在大流行前和大流行时期。
我们进行了一项回顾性观察研究,涉及2018年7月23日至2020年2月19日在1级创伤中心去世的患者。从2020年2月20日至2021年9月22日(大流行)。还进行了与两个时期中一年中相同月份的12个月相匹配的亚组分析。到达时死亡或在到达时立即死亡的患者被排除在数据分析之外。我们收集并分析了人口统计学和临床数据,采用缩写损伤评分(AIS),伤害严重程度评分(ISS),修订创伤评分(RTS),以及创伤和国际空间站(TRISS)来比较最初的预后。
■我们的研究涵盖了1128名患者,其中529人在大流行组中,599人在大流行组中。人口统计特征显示,两个时期的患者人数没有显着差异。在这两个时期,机动车事故仍然是主要的伤害机制。而平均国际空间站增加不明显(22.80vs.22.91,p=0.902),平均RTS下降(6.32vs.5.82),和TRISS增加(23.97%vs.28.93%)在大流行期间(p<0.05)。大流行期间住院时间减少(15.57vs.12.54天,p<0.05)。亚组分析显示ISS增加,降低RTS,大流行期间TRISS增加(p<0.05)。
■总而言之,虽然总体人口统计学和损伤机制几乎没有变化,大流行期间的创伤患者表现出较差的估计临床预后,特别是生理创伤评分。死亡率升高归因于患者的临床状况较差。
UNASSIGNED: The COVID-19 pandemic has reshaped the epidemiology of various clinical conditions, including trauma which is closely tied to social policies. This study examines and compares the characteristics of trauma mortality patients, and their initial prognostic trauma scores, in the pre-pandemic and pandemic periods.
UNASSIGNED: We conducted a retrospective observational study involving patients who passed away at a level 1 trauma center from July 23, 2018, to February 19, 2020 (prepandemic), and from February 20, 2020, to September 22, 2021 (pandemic). A subgroup analysis that matched 12 of the same months of the year in the two periods was also done. Patients who arrived deceased or passed away immediately upon arrival were excluded from data analysis. We collected and analyzed demographic and clinical data, employing the Abbreviated Injury Score (AIS), Injury Severity Score (
ISS), Revised Trauma Score (RTS), and Trauma and
ISS (TRISS) to compare initial prognoses.
UNASSIGNED: Our study encompassed 1128 patients, with 529 in the prepandemic group and 599 in the pandemic group. Demographic characteristics showed no significant differences in the number of patients in the two periods. Motor vehicle accidents remained the predominant injury mechanism in both periods. While the mean
ISS increased insignificantly (22.80 vs. 22.91, p = 0.902), the mean RTS decreased (6.32 vs. 5.82), and TRISS increased (23.97% vs. 28.93%) during the pandemic (p < 0.05). Hospital length of stay decreased in the pandemic period (15.57 vs. 12.54 days, p < 0.05). Subgroup analysis revealed increased
ISS, decreased RTS, and increased TRISS during the pandemic (p < 0.05).
UNASSIGNED: In conclusion, while overall demographics and injury mechanisms remained virtually unchanged, trauma patients during the pandemic displayed worse estimated clinical prognoses, particularly in physiological trauma scores. The heightened mortality rate was attributed to poorer clinical conditions of patients.