Detaillierte Beitrags-Information
| Beitragstitel | High-energy blunt pelvic ring injury incidence and polytrauma case load in a single level-1 trauma center during CoVid-19 related pseudo-lockdown measures: a registry study. |
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| Beitragscode | P25 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
Introduction Pelvis ring injuries are potentially lethal lesions associated to polytrauma patients (PP) needing a present and efficient trauma team for their management. The purpose of this study was to evaluate the incidence of blunt pelvic ring injuries type B or C (PRI B/C), according to the OTA/AO classification, in a defined population and the absolute number of PP in a single level-1 trauma center during the CoVid-19 pandemic related pseudo-lockdown period. Methods This retrospective cohort study was conducted in a level-1 trauma center (~500000 inhabitants). A nation-wide pseudo-lockdown was established from March 16th to June 19th 2020. Data on PRI B/C incidence and PP were obtained for each year period (y.p.) from 2014 to 2020 using the institutional Severely Injured Patients’ Registry. PRI B/C inclusion criteria were ≥16 years old and blunt PRI; exclusion criteria were patients pronounced dead before admission, transferred from another institution >24hours after trauma or living outside the defined institution’s catchment area and penetrating/blast/burn/electrical injuries. PP inclusion criteria were ≥16 years old and ISS ≥16; exclusion criteria were patients pronounced dead before admission or transferred from another institution >24hours after trauma. Descriptive comparisons were made between the pseudo-lockdown period and corresponding periods in 2014-2019, and between the 2020 y.p. and each y.p. from 2014 to 2019. Results The pseudo-lockdown period 2020 had 6 PRI B/C: incidence = 5.4 per 100,000 persons per year, which was in range with the corresponding periods in 2014-2019: 4(2014,2015)-10(2019), incidence = 3.8-9.1 per 100,000 persons per year. The 2020 y.p. had 14 PRI B/C: incidence = 3.3 per 100,000 persons per year, which was in range with each y.p. from 2014 to 2019: 14(2014)-26(2017), incidence = 3.3-6.2 per 100,000 persons per year. The pseudo-lockdown period 2020 had 34 PP which was in range with the corresponding periods in 2014-2019: 20(2015)-42(2016). The 2020 y.p. had 129 PP which was in range with each y.p. from 2014 to 2019: 109(2015)-151(2017). Conclusion Although pseudo-lockdown was installed among other goals to decrease trauma-related hospital admissions, PRI B/C incidence and the absolute number of PP remained within the range of previous years. This information could help for future health strategy planification. |