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 language | English |
|---|---|
| Journal | Israel Medical Association Journal |
| Volume | 23 |
| Issue number | 2 |
| State | Published - Feb 2021 |
| Externally published | Yes |
Keywords
- Acute-care surgery
- Coronavirus disease-2019 (COVID-19)
- Emergency department
- Injury
- Trauma