The effect of the COVID-19 outbreak on trauma-related visits to a tertiary hospital emergency department

Mordehay Cordoba, Roi Anteby, Yaniv Zager, Yiftach Barash, Eyal Klang, Roy Nadler, Imri Amiel, Mordechai Gutman, Nir Horesh, Nimrod Aviran, Yoram Klein

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Background: The novel coronavirus disease (COVID-19) pandemic changed medical environments worldwide. Objectives: To evaluate the impact of the COVID-19 pandemic on trauma-related visits to the emergency department (ED). Methods: A single tertiary center retrospective study was conducted that compared ED attendance of patients with injury-related morbidity between March 2020 (COVID-19 outbreak) and pre-COVID-19 periods: February 2020 and the same 2 months in 2018 and 2019. Results: Overall, 6513 patients were included in the study. During the COVID-19 outbreak, the daily number of patients visiting the ED for acute trauma declined by 40% compared to the average in previous months (P< 0.01). A strong negative correlation was found between the number of trauma-related ED visits and the log number of confirmed cases of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in Israel (Pearson's r = -0.63, P < 0.01). In the COVID-19 period there was a significant change in the proportion of elderly patients (7% increase, P= 0.002), admissions ratio (12% increase, P < 0.001), and patients brought by emergency medical services (10% increase, P < 0.001). The number of motor vehicle accident related injury declined by 45% (P< 0.01). Conclusions: A significant reduction in the number of trauma patients presenting to the ED occurred during the COVID-19 pandemic, yet the percentage of admitted patients increased.

Original languageEnglish
JournalIsrael Medical Association Journal
Volume23
Issue number2
StatePublished - Feb 2021
Externally publishedYes

Keywords

  • Acute-care surgery
  • Coronavirus disease-2019 (COVID-19)
  • Emergency department
  • Injury
  • Trauma

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