[논문]Effects of the Coronavirus Disease 2019 (COVID-19) Pandemic on Outcomes among Patients with Polytrauma at a Single Regional Trauma Center in South Korea

Kim, Sun Hyun; Ryu, Dongyeon; Kim, Hohyun; Lee, Kangho; Jeon, Chang Ho; Choi, Hyuk Jin; Jang, Jae Hoon; Kim, Jae Hun; Yeom, Seok Ran

doi:10.20408/jti.2020.0064

Effects of the Coronavirus Disease 2019 (COVID-19) Pandemic on Outcomes among Patients with Polytrauma at a Single Regional Trauma Center in South Korea 원문보기

Journal of trauma and injury : JTI, v.34 no.3, 2021년, pp.155 - 161

Kim, Sun Hyun (Department of Trauma and Surgical Critical Care, Regional Trauma Center, Pusan National University Hospital) , Ryu, Dongyeon (Department of Trauma and Surgical Critical Care, Regional Trauma Center, Pusan National University Hospital) , Kim, Hohyun (Department of Trauma and Surgical Critical Care, Regional Trauma Center, Pusan National University Hospital) , Lee, Kangho (Department of Trauma and Surgical Critical Care, Regional Trauma Center, Pusan National University Hospital) , Jeon, Chang Ho (Department of Diagnostic Radiology, The Catholic University of Korea Eunpyeong St. Mary's Hospital) , Choi, Hyuk Jin (Biomedical Research Institute, Pusan National University Hospital) , Jang, Jae Hoon (Biomedical Research Institute, Pusan National University Hospital) , Kim, Jae Hun (Department of Trauma and Surgical Critical Care, Regional Trauma Center, Pusan National University Hospital) , Yeom, Seok Ran (Biomedical Research Institute, Pusan National University Hospital)

Abstract ▼ AI-Helper

Purpose: The coronavirus disease 2019 (COVID-19) pandemic has necessitated a redistribution of resources to meet hospitals' service needs. This study investigated the impact of COVID-19 on a regional trauma center in South Korea. Methods: We retrospectively reviewed cases of polytrauma at a single regional trauma center in South Korea between January 20 and September 30, 2020 (the COVID-19 period) and compared them to cases reported during the same time frame (January 20 to September 30) between 2016 and 2019 (the pre-COVID-19 period). The primary outcome was in-hospital mortality, and secondary outcomes included the number of daily admissions, hospital length of stay (LOS), and intensive care unit (ICU) LOS. Results: The mean number of daily admissions decreased by 15% during the COVID-19 period (4.0±2.0 vs. 4.7±2.2, p=0.010). There was no difference in mechanisms of injury between the two periods. For patients admitted during the COVID-19 period, the hospital LOS was significantly shorter (10 days [interquartile range (IQR) 4-19 days] vs. 16 days [IQR 8-28 days], p<0.001); however, no significant differences in ICU LOS and mortality were found. Conclusions: The observations at Regional Trauma Center, Pusan National University Hospital corroborate anecdotal reports that there has been a decline in the number of patients admitted to hospitals during the COVID-19 period. In addition, patients admitted during the COVID-19 pandemic had a significantly shorter hospital LOS than those admitted before the COVID-19 pandemic. These preliminary data warrant validation in larger, multi-center studies.

주제어

표/그림 (3)

그림 Fig. 1. Flow chart of this study. ED: emergency department, COVID-19: coronavirus disease 2019.
표 Table 1. Demographics of patients with trauma admitted before and during the COVID-19 pandemic
표 Table 2. Characteristics of injury sites and most severe injury sites before and during COVID-19

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Effects of the Coronavirus Disease 2019 (COVID-19) Pandemic on Outcomes among Patients with Polytrauma at a Single Regional Trauma Center in South Korea 원문보기

Abstract ▼ AI-Helper

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