Marta Gutierrez Andreu (Madrid / ES), Silvia Fernández Noel (Madrid / ES), Nicolás Pareja Arico (Madrid / ES), Pedro Yuste (Madrid / ES), Julia Bernal Tirapo (Madrid / ES), Alejandro Moreno Bargueiras (Madrid / ES), Daniel Pastor-Altaba (Madrid / ES), Carmen Sanchez (Madrid / ES), Javier Guadarrama Gonzalez (Madrid / ES), Almudena Martinez Pozuelo (Madrid / ES), Eduardo Ferrero-Herrero (Madrid / ES)
Abstract text (incl. references and figure legends)
Introduction
Due to the pandemic caused by SARS-cov-2 infection of 2020 and the consequent lockdown,a decrease in global work and social activity was observed.We analyze how this situation caused a reduce in trauma patients and a change in their mechanisms and modes of injury
Material and methods
Retrospective analysis of differences between patients treated for severe polytrauma in 2019 (pre-pandemic) and 2020 (pandemic).Variables analysed:age, sex, mechanism and mode of injury,injury severity score(ISS),need for urgent surgery and mortality
Results
In 2019, 64 polytraumatized patients were admitted compared to 44 in 2020.The average age in 2019:38.5(17-84) and in 2020:43(15-76). According to sex: 2019:78.1% men,21.9% women and 2020:72.7% men and 27.3% women
The average ISS in 2019 is 23(5-66) and in 2020 is 26.6(5-57).The mortality is 6.3%(4) in 2019 and 7.5%(3) in 2020
We resume mechanism of lesion and type injury in the graphics below
Conclusions
A clear decrease in admissions is observed comparing 2019 and 2020 (64 to 44).A change in the mode and mechanism of injury is confirmed,with a clear decrease in traffic accidents(46.9% to 31.8%),surely due to mobility limitations and an increase in precipitation and suicide attempts(10.9% to 25%) secondary to the breakdown of social networks and limited access to mental health consultations
References
-Impact of lockdown during the COVID-19 pandemic on number of patients and patterns of injuries at a level I trauma center.Arastoo Nia ,Domenik Popp ,Cornelia Diendorfer ,Sebastian Apprich ,Alexandru Munteanu ,Stefan Hajdu ,Harald K Widhalm .Wien Klin Wochenschr.2021 Apr;133(7-8):336-343
-Impact of societal restrictions and lockdown on trauma admissions during the COVID-19 pandemic:a single-centre cross-sectional observational study.Susan Jacob ,Derek Mwagiru ,Ishaan Thakur ,Alireza Moghadam ,Thomas Oh ,Jeremy Hsu. ANZ J Surg.2020 Nov;90(11):2227-2231
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