Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study

Background The extraordinary situation caused by the onset of COVID-19 has meant that at prehospital level, the number of treatments, profle and time taken to respond for treating time-dependent pathologies has been greatly afected. However, it is not known whether the prehospital profle of polytrau...

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Autores: Solà, Silvia, Yuguero Torres, Oriol, Roig, Guillermo, Prieto Arruñada, José Antonio, Español, Jaume, Morales Álvarez, Jorge, Muñoz, Manuel, Verge, Juan José, Jiménez Fàbrega, Xavier
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/71845
Acceso en línea:https://doi.org/10.1007/s00068-021-01748-3
http://hdl.handle.net/10459.1/71845
Access Level:acceso abierto
Palabra clave:Polytrauma
SARS-CoV-2
Prehospital
Injury
Timely life-saving interventions
Code
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spelling Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional studySolà, SilviaYuguero Torres, OriolRoig, GuillermoPrieto Arruñada, José AntonioEspañol, JaumeMorales Álvarez, JorgeMuñoz, ManuelVerge, Juan JoséJiménez Fàbrega, XavierPolytraumaSARS-CoV-2PrehospitalInjuryTimely life-saving interventionsCodeBackground The extraordinary situation caused by the onset of COVID-19 has meant that at prehospital level, the number of treatments, profle and time taken to respond for treating time-dependent pathologies has been greatly afected. However, it is not known whether the prehospital profle of polytrauma patients (PTP) has been afected. Objective To determine diferences in the epidemiological characteristics and the clinical variables of prehospital polytrauma patients during the frst wave of the COVID-19 pandemic in Catalonia. Methodology Analytical cross-sectional study. The number of prehospital activations and the clinical and epidemiological characteristics of polytrauma patients attended by the Emergency Medical System (EMS) of Catalonia, were compared for the period between 15 February and 15 May 2020 and the same period in the previous year. Priorities 0 and 1 are assigned to the most severely injured patients. An analysis was conducted using logistic regression and nonparametric tests. Results 3023 patients were included. During the 2019 study period, 2045 (67.6%) patients were treated; however, during the pandemic period, 978 (32.4%) patients were treated, representing a 52% decrease (p=0.002). The percentage of patients presenting priority 1 was higher during the pandemic period [240 (11.7%) vs 146 (14.9%), p=0.032]. The percentage of priority 0 and 1 patients attended by a basic life support unit increased [201 (9.8%) vs 133 (13.6%), p =0.006]. The number of trafc accidents decreased from 1211 (59.2%) to 522 (53.4%) and pedestrian-vehicle collisions fell from 249 (12.2%) to 92 (9.4%). Regarding weapon-related injuries and burns, there was an increase in the number of cases [43 (2.1%) vs 41 (4.2%), and 15 (0.7%) vs 22 (2.2%), p=0.002 and p<0.001, respectively]. Hospital mortality remained unchanged (3.9%). Conclusions During the frst wave of the pandemic, the number of polytrauma patients decreased and there was a change in the profle of severity and type of accident.Springer2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.1007/s00068-021-01748-3http://hdl.handle.net/10459.1/71845reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a https://doi.org/10.1007/s00068-021-01748-3European Journal of Trauma and Emergency Surgery, 2021cc-by (c) Yuguero et al., 2021info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:repositori.udl.cat:10459.1/718452026-06-24T12:42:17Z
dc.title.none.fl_str_mv Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study
title Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study
spellingShingle Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study
Solà, Silvia
Polytrauma
SARS-CoV-2
Prehospital
Injury
Timely life-saving interventions
Code
title_short Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study
title_full Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study
title_fullStr Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study
title_full_unstemmed Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study
title_sort Impact on polytrauma patient prehospital care during the first wave of the COVID‑19 pandemic: a cross‑sectional study
dc.creator.none.fl_str_mv Solà, Silvia
Yuguero Torres, Oriol
Roig, Guillermo
Prieto Arruñada, José Antonio
Español, Jaume
Morales Álvarez, Jorge
Muñoz, Manuel
Verge, Juan José
Jiménez Fàbrega, Xavier
author Solà, Silvia
author_facet Solà, Silvia
Yuguero Torres, Oriol
Roig, Guillermo
Prieto Arruñada, José Antonio
Español, Jaume
Morales Álvarez, Jorge
Muñoz, Manuel
Verge, Juan José
Jiménez Fàbrega, Xavier
author_role author
author2 Yuguero Torres, Oriol
Roig, Guillermo
Prieto Arruñada, José Antonio
Español, Jaume
Morales Álvarez, Jorge
Muñoz, Manuel
Verge, Juan José
Jiménez Fàbrega, Xavier
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Polytrauma
SARS-CoV-2
Prehospital
Injury
Timely life-saving interventions
Code
topic Polytrauma
SARS-CoV-2
Prehospital
Injury
Timely life-saving interventions
Code
description Background The extraordinary situation caused by the onset of COVID-19 has meant that at prehospital level, the number of treatments, profle and time taken to respond for treating time-dependent pathologies has been greatly afected. However, it is not known whether the prehospital profle of polytrauma patients (PTP) has been afected. Objective To determine diferences in the epidemiological characteristics and the clinical variables of prehospital polytrauma patients during the frst wave of the COVID-19 pandemic in Catalonia. Methodology Analytical cross-sectional study. The number of prehospital activations and the clinical and epidemiological characteristics of polytrauma patients attended by the Emergency Medical System (EMS) of Catalonia, were compared for the period between 15 February and 15 May 2020 and the same period in the previous year. Priorities 0 and 1 are assigned to the most severely injured patients. An analysis was conducted using logistic regression and nonparametric tests. Results 3023 patients were included. During the 2019 study period, 2045 (67.6%) patients were treated; however, during the pandemic period, 978 (32.4%) patients were treated, representing a 52% decrease (p=0.002). The percentage of patients presenting priority 1 was higher during the pandemic period [240 (11.7%) vs 146 (14.9%), p=0.032]. The percentage of priority 0 and 1 patients attended by a basic life support unit increased [201 (9.8%) vs 133 (13.6%), p =0.006]. The number of trafc accidents decreased from 1211 (59.2%) to 522 (53.4%) and pedestrian-vehicle collisions fell from 249 (12.2%) to 92 (9.4%). Regarding weapon-related injuries and burns, there was an increase in the number of cases [43 (2.1%) vs 41 (4.2%), and 15 (0.7%) vs 22 (2.2%), p=0.002 and p<0.001, respectively]. Hospital mortality remained unchanged (3.9%). Conclusions During the frst wave of the pandemic, the number of polytrauma patients decreased and there was a change in the profle of severity and type of accident.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1007/s00068-021-01748-3
http://hdl.handle.net/10459.1/71845
url https://doi.org/10.1007/s00068-021-01748-3
http://hdl.handle.net/10459.1/71845
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a https://doi.org/10.1007/s00068-021-01748-3
European Journal of Trauma and Emergency Surgery, 2021
dc.rights.none.fl_str_mv cc-by (c) Yuguero et al., 2021
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
rights_invalid_str_mv cc-by (c) Yuguero et al., 2021
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.198674

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