Debashis Dass
How a Pandemic Changes Trauma: Epidemiology and Management of Trauma Admissions in the UK during COVID-19 Lockdown.
Dass, Debashis; Ramhamadany, Eamon; Govilkar, Siddarth; Rhind, John-Henry; Ford, David; Singh, Rohit; Thomas, Geraint; Cool, Paul
Authors
Eamon Ramhamadany
Siddarth Govilkar
John-Henry Rhind
David Ford
Rohit Singh
Geraint Thomas
Professor Wim Cool p.cool@keele.ac.uk
Abstract
Introduction: On June 24 in the United Kingdom, there were 277,989 cases of COVID-19 and 39,369 deaths recorded. The government enforced a complete lockdown on March 23 that resulted in cessation of all elective admissions on 24th onward, with only acute trauma cases being admitted to hospital. This study aims to characterize the changes in trauma admissions during the first 5-week lockdown period. The hypothesis states that there would be a significant reduction in overall orthopedic trauma admissions, polytrauma, and high-energy outdoor trauma during this COVID-19 period. Methods: All trauma admissions over nearly a 5-week period from March 23, 2020, to April 26, 2020, were collated as the "COVID cohort" and compared to the "control" group of patients from the same hospitals 1 year before between March 23, 2019, and April 26, 2019. Spinal admissions and pediatrics were excluded from the study as they were managed in other regional units. Results: There was a 56% reduction in trauma admissions during the COVID-19 lockdown (133 vs. 304). A majority of the COVID cohort were admitted with fractures (89 vs. 164, P = 0.017, Chi-square test) from home with low-energy falls. Overall, fewer operations were performed than the year before. However, a greater proportion of admitted patients had a surgical orthopedic intervention rather than admission and nonoperative management. Conclusions: There was a reduction in admissions as well as reductions in high energy and occupational injuries. Elderly patients continued to fall at home or in care, sustaining hip fractures. This vulnerable group requires beds, orthogeriatric management followed by surgical intervention and social care. Orthogeriatric services must be maintained to ensure the best clinical outcomes for this group.
Citation
Dass, D., Ramhamadany, E., Govilkar, S., Rhind, J., Ford, D., Singh, R., …Cool, P. (2021). How a Pandemic Changes Trauma: Epidemiology and Management of Trauma Admissions in the UK during COVID-19 Lockdown. Journal of Emergencies, Trauma, and Shock, 14(2), 75 - 79. https://doi.org/10.4103/JETS.JETS_137_20
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 25, 2021 |
Publication Date | 2021-06 |
Publicly Available Date | May 30, 2023 |
Journal | Journal of Emergencies, Trauma and Shock |
Print ISSN | 0974-2700 |
Publisher | Medknow Publications |
Peer Reviewed | Peer Reviewed |
Volume | 14 |
Issue | 2 |
Pages | 75 - 79 |
DOI | https://doi.org/10.4103/JETS.JETS_137_20 |
Publisher URL | https://www.onlinejets.org/article.asp?issn=0974-2700;year=2021;volume=14;issue=2;spage=75;epage=79;aulast=Dass |
PMID | 34321804 |
Files
How a Pandemic Changes Trauma_ Epidemiology and Management of Trauma Admissions in the UK during COVID-19 Lockdown.pdf
(653 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by-nc-sa/4.0/
You might also like
PRELIMINARY FINDINGS ON THE USE OF GENOMIC SEQUENCING TO DIAGNOSE ORTHOPAEDIC INFECTIONS
(2023)
Journal Article
Aneurysmal bone cysts: A UK wide tumor center experience
(2023)
Journal Article
Genomic Sequencing to Diagnose Prosthetic Joint Infection in the Knee: A Case Report
(2023)
Journal Article
Death following pulmonary complications of surgery before and during the SARS-CoV-2 pandemic
(2021)
Journal Article
The impact and efficacy of surveillance in patients with sarcoma of the extremities
(2017)
Journal Article
Downloadable Citations
About Keele Repository
Administrator e-mail: research.openaccess@keele.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2025
Advanced Search