■在2019年冠状病毒病(COVID-19)大流行期间,枪支伤害显着增加。我们的目的是描述我们在COVID-19大流行之前和期间因枪伤引起泌尿生殖道(GU)损伤而入院1级创伤中心的患者的经验。
■肾上腺遭受枪伤的患者,肾脏,输尿管,膀胱,阴囊,睾丸,阴茎,从我们的机构创伤数据库中确定了2018年1月1日至2021年12月31日之间的尿道和尿道.查询患者图表以提取人口统计信息,管理,和后续行动。
共有117例患者符合纳入标准,39例(33%)GU损伤发生在COVID之前,在COVID期间或之后发生78例(67%)。72例(62%)出现肾损伤。在COVID前期受伤的患者在60天时更有可能参加2.17次随访(P=0.017),90天1.98倍(P=0.030),1年是COVID期间的2.04倍(P=0.014)。前COVID,46%的患者在该市西北地区受伤,54%来自其他地区,在COVID期间,24%的患者来自西北地区,其他地区为76%(P=0.029).
■在COVID-19大流行期间,涉及GU道的枪伤(GSW)增加,肾损伤最常见。大流行期间,后续访问减少了大约一半,主要是在60天,90天,受伤后1年。根据患者居住地区的不同,COVID之前与COVID期间收治的泌尿系损伤患者数量存在显着差异。需要更多的工作来评估大流行前后GSW造成的创伤性GU损伤的结果。
UNASSIGNED: Firearm injuries increased significantly during the coronavirus disease 2019 (COVID-19) pandemic. We aimed to describe our experience with patients admitted to a level 1 trauma center with gunshot-related trauma to the genitourinary (GU) tract before and during COVID-19 pandemic.
UNASSIGNED: Patients sustaining gunshot-related trauma to the adrenals, kidneys, ureters, bladder, scrotum, testicles, penis, and urethra between January 1, 2018 and December 31, 2021 were identified from our institutional trauma database. Patient charts were queried to extract demographic information, management, and follow-up.
UNASSIGNED: A total of 117 patients met inclusion criteria with 39 (33%) of GU injuries occurring pre-COVID, and 78 (67%) occurring during or post-COVID. Seventy-two (62%) presented with kidney injury. Patients injured in the pre-COVID period were more likely to participate in a follow-up visit by 2.17 times at 60 days (P=0.017), 1.98 times at 90 days (P=0.030), and 2.04 times at 1-year (P=0.014) than during COVID. Pre-COVID, 46% of patients were injured in the city\'s northwestern region and 54% from other areas, during COVID 24% of patients came from the northwestern region compared to 76% from other areas (P=0.029).
UNASSIGNED: Gunshot wounds (GSW) involving the GU tract increased during the COVID-19 pandemic, with renal injury most frequent. Follow-up visits declined by around half during the pandemic, primarily at 60 days, 90 days, and 1 year post-injury. The number of patients admitted with urologic injuries pre-COVID versus during COVID was significantly different depending on the patient\'s area of residence. More work is needed to evaluate the outcomes of traumatic GU injuries due to GSW pre- and post-pandemic.