Gabriele Ricci (Rome / IT), Ennio Adami (Rome / IT), Stefano Manfroni (Rome / IT), Davide Telesco (Rome / IT), Noemi Di Fuccia (Rome / IT), Emanuele Piccioni (Rome / IT), Lo Dico Rea (Rome / IT), Emiliano Cingolani (Rome / IT), Pierluigi Marini (Rome / IT)
Abstract text (incl. references and figure legends)
INTRODUCTION: On March 9, 2020, the Governor Italy declared a state of emergency and a public health emergency to contain the spread of the Coronavirus Disease 2019 (COVID-19) pandemic: the three-month nationwide lockdown implemented involved restrictions on social gatherings and non-essential services, resulting in marked changes to the distribution of time spent at home and in the workplace. We analyzed the changes in trauma presentation during this period.
MATERIAL AND METHODS: An observational retrospective audit of the patient register at the San Camillo - Forlanini hospital was conducted, comparing the number e the type of trauma presentations between March 09 and May 18, 2020,data were therefore compared with those of the same period of 2019. Informations on age, gender, mechanism of injury, operations and outcome was abstracted for all patients presenting to the emergency department..
RESULTS: Compared to pre-lockdown levels there was an overall reduction of 22% of patients in the emergency deprtment during lockdown; moreover almost 30% of accesses were due to COVID-19 or its complications. Also for trauma there was a 20% decrease in accesses. However averange ISS was 6,4 during the 2019 and 11,1 during the 2020 (p< 0,05) due to greater proportion of major trauma (ISS 16) during the lockdown period. Despite the significant decrease of patients injuried in road accidents, the severity of road related injuries was higher, and the number and the proportion of fall-related injuries were increased in the COVID-19 cohort: most of the patients with major trauma had a psychiatric disorder. Average lenght ICU stay, LOS and mortality were the same between the two cohorts.
CONCLUSIONS: The volume of overall trauma presentations decreased during the lockdown, but the rate of major trauma did not decrease significantly due to the higher severity of road traffic injuries and the increasement of fall-related injuries due to loss of care in psychiatric pathologies
Disclosure: Do you have a significant financial interest, consultancy or other relationship with products, manufacturer(s) of products or providers of services related to this abstract? (If not, please enter "No" in the text field.)
No