Background
Methods
Study design
Data source
Data analysis
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the pre-lockdown: week 6 to week 12 (respectively lasting from the beginning of the first week of February to the end of the second week of March (2017–2019) and from the February 3rd to March 16th for 2020),
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the lockdown: week 12 to week 20 (respectively lasting from the beginning of the third week of March to the end of the end of the second week of May (2017–2019) and from March 17th to May 10th for 2020),
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and the post-lockdown: week 20 to week 24 (respectively lasting from the beginning of the third week of May to the end of the second week of June (2017–2019) and from the May 11th to June 15th for 2020).
Outcomes
Statistical analysis
Results
Period | ||||||
---|---|---|---|---|---|---|
Pre-lockdown (February 3rd – March 16th) | Lockdown (March 17th – May 10th) | Post-lockdown (May 11th – June 15th) | ||||
Variable | Previous years | 2020 | Previous years | 2020 | Previous years | 2020 |
Number of admitted patients | 404 | 501 | 628 | 361 | 434 | 436 |
Age (Years) | 41.5 (19.1) | 42.7 (20.1) | 41.5 (19.0) | 43.2 (19.9) | 39.6 (18.7) | 39.6 (18.9) |
Gender Female) | 92 (22.8) | 101 (20.2) | 136 (21.7) | 65 (18) | 92 (21.2)* | 65 (14.9)* |
Penetrating trauma | 58 (14.4) | 63 (12.6) | 68 (10.8) | 53 (14.7) | 50 (11.5) | 52 (11.9) |
Mechanism of injury distribution | ||||||
Road traffic accident | 202 (50) | 237 (47.3) | 348 (55.4)* | 133 (36.8)* | 245 (56.5) | 231 (53) |
Fall from height | 92 (22.7) | 108 (21.5) | 126 (20.1)* | 128 (35.5)* | 84 (19.4) | 97 (22.2) |
Aggression | 74 (18.3) | 84 (16.8) | 90 (14.3)* | 63 (17.4)* | 65 (15) | 69 (15.8) |
Fall from standing | 19 (4.7) | 23 (4.6) | 30 (4.8)* | 23 (6.4)* | 14 (3.2) | 16 (3.7) |
Other | 15 (3.7) | 16 (3.2) | 25 (4)* | 11 (3)* | 18 (4.1) | 19 (4.4) |
ISS | 15.6 (12.6) | 15.0 (12.5) | 15.8 (13.4) | 16.4 (12.6) | 15.0 (11.9) | 16.2 (12.3) |
SAPS 2 | 27.1 (19.4) | 26.6 (19.3) | 27.8 (20.0) | 27.9 (19.1) | 26.3 (19.2) | 27.1 (18.8) |
Hemorrhagic shock | 24 (5.9) | 25 (5) | 46 (7.3) | 20 (5.5) | 27 (6.2) | 22 (5) |
Traumatic brain injury | 109 (27) | 107 (21.4) | 152 (24.2) | 87 (24.1) | 105 (24.2) | 108 (24.8) |
Pre-lockdown period
Patients characteristics
Trauma management
Lockdown period
Patients characteristics
Trauma management
Period | ||||||
---|---|---|---|---|---|---|
Pre-Lockdown (February 3rd – March 16th) | Lockdown (March 17th – May 10th) | Post-Lockdown (May 11th – June 15th) | ||||
Variable | Previous years | 2020 | Previous years | 2020 | Previous years | 2020 |
Observed Mortality (in hospital) | 35 (8.6) | 33 (6.6) | 62 (9.9) | 21 (5.8) | 34 (7.8) | 38 (8.7) |
Predicted mortality (TRISS) (%) | 10.8 (22.7) | 10.3 (22.1) | 11.0 (23.1) | 11.7 (23.6) | 10.4 (21.6) | 9.4 (21.2) |
Variations of the difference between the predicted mortality (TRISS) and observed mortality | 0.1 (0.2) | 0.1 (0.2) | 0.1 (0.2) | 0.1 (0.2) | 0.1 (0.2) | 0.1 (0.2) |
Transportation to hospital (helicopter) | 49 (12.1)* | 39 (7.8)* | 84 (13.4) | 38 (10.5) | 67 (15.4) | 67 (15.4) |
Pre-hospital orotracheal intubation | 85 (21)* | 82 (16.4)* | 131 (20.9) | 70 (19.4) | 98 (22.6) | 87 (20) |
Pre-hospital time (min) | 81.9 (71.4) | 79.6 (48.2) | 80.4 (82.4) | 80.0 (45.9) | 76.6 (50.4) | 81.2 (47.8) |
Intra-hospital time (min) | 28.4 (26.5) | 31.31 (37.0) | 29.0 (28.7)* | 33.5 (46.0)* | 27.2 (26.3) | 27.0 (18.0) |
Surgery in the first 24 h (%) | 193 (47.8) | 224 (44.7) | 311 (49.5) | 181 (50.1) | 212 (48.8) | 217 (49.8) |
Immediate surgical or arteriography intervention | 14 (3.5) | 6 (1.2) | 21 (3.3) | 8 (2.2) | 15 (3.5) | 13 (3) |
Length of mechanical ventilation (days) | 8.8 (14.3) | 7.5 (11.2) | 7.5 (11.7) | 9.6 (15.9) | 8.2 (16.3) | 6.5 (9.1) |
Length of stay (days) | 6.4 (13.5) | 5.1 (8.8) | 5.8 (14.8) | 6.8 (13.8) | 6.6 (20.3) | 5.2 (8.7) |
Admission from non trauma center hospital | 72 (17.8) | 106 (21.2) | 94 (15) | 55 (15.2) | 65 (15) | 76 (17.4) |
Patient with decisions of withdrawal of care | 23 (5.7) | 14 (2.8) | 34 (5.4) | 18 (5) | 19 (4.4) | 25 (5.7) |