Impact of lockdown policies during the COVID-19 outbreak on a trauma center of a tertiary hospital in China  

作　　者：Bi-Sheng Shen Wei-Yin Cheng Zhang-Rong Liang Qi Tang Kuang-Yi Li 

机构地区：[1]Department of Emergency Medicine,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong Province,China [2]Department of Clinical Nutrition,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2023年第10期2237-2245,共9页世界临床病例杂志

基　　金：study was reviewed and approved by the Foshan Hospital of TCM Institutional Review Board,No.KY[2023]024.

摘　　要：BACKGROUND Coronavirus disease 2019(COVID-19)is a major and costly public health emergency.AIM To investigate the impact of China’s lockdown policies during the COVID-19 outbreak on the level I trauma center of a tertiary comprehensive hospital of Traditional Chinese Medicine.METHODS All patients admitted to our trauma center during a lockdown in 2020 and the same period in 2019 were enrolled.We collected data on demographics,daily visits,injury type,injury mechanism,injury severity score,and patient management for comparative analysis.RESULTS The total number of patients in the trauma center of our hospital decreased by 50.38%during the COVID-19 Lockdown in 2020 compared to the same period in 2019.The average number of trauma visits per day in 2019 was 47.94,compared to 23.79 in 2020.Comparing the patients’demographic data,loss of employment was the most predominate characteristic in 2020 compared to 2019,while there was no significant difference in gender,age,and marital status between both periods.During the lockdown period,the proportion of traffic accident-related injuries,injuries due to falls greater than 1.5 m,and mechanical injuries decreased significantly,whereas the proportion of injuries caused by falls less than 1.5 m,cuts,assault,bites,and suicidal tendencies and other injuries increased relatively.In addition,the proportion of patients with minor injuries increased and serious injuries decreased during the lockdown.The hospitalization rate increased significantly,and there was no significant difference in emergency surgery and death rates.CONCLUSION The lockdown policies during the COVID-19 outbreak significantly altered the number and mechanism of traumatic events in our hospital,which can be monitored regularly.Our results suggest that mandatory public health prevention and control measures by the government can reduce the incidence of traumatic events and the severity of traumatic injuries.Emergency surgery and mortality rates remain high,increased because of factors such as family injury an

关 键 词：COVID-19 outbreak Lockdown TRAUMA MECHANISMS Injury severity score Retrospective study 

分 类 号：R197.3[医药卫生—卫生事业管理]