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KMID : 1144620210340030155
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Journal of Trauma and Injury
2021 Volume.34 No. 3 p.155 ~ p.161
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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
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Kim Sun-Hyun
Ryu Dong-Yeon
Kim Ho-Hyun
Lee Kang-Ho
Jeon Chang-Ho
Choi Hyuk-Jin
Jang Jae-Hoon
Kim Jae-Hun
Yeom Seok-Ran
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Abstract
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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.
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KEYWORD
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Epidemiology, Multiple trauma, Incidence, COVID-19, Coronavirus
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