ArticleJournal of clinical medicine2022
Changes to the Major Trauma Pre-Hospital Emergency Medical System Network before and during the 2019 COVID-19 Pandemic.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- Impact of the COVID-19 pandemic on prehospital emergency medical service: a scoping review.Frontiers in public health · 2025Article
- Urban traffic accidents in Isfahan city: a study of prehospital response time intervals.International journal of emergency medicine · 2024Article
- Article
- Italy's Post-COVID-19 Stroke Network: Has It Returned to Pre-Pandemic Standards?Epidemiologia (Basel, Switzerland) · 2024Article
- Changing the stroke network during pandemic scenarios does not affect the management of patients with a positive Cincinnati prehospital stroke scale.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- Management of possible stroke by laypeople in pre-hospital setting: who should we train?Acta bio-medica : Atenei Parmensis · 2023Observational
- Effectiveness of Cardiopulmonary Resuscitation at the Workplace.La Medicina del lavoro · 2023Observational
- Spring, it's time to ROSC.Journal of preventive medicine and hygiene · 2023Observational
- SIMED-New Doc course, a matter of reflection.Acta bio-medica : Atenei Parmensis · 2023Article
- Lasting Effects of COVID-19 Pandemic on Prehospital Emergency Medical Service Missions.Open access emergency medicine : OAEM · 2023Article
- Management of Aesthetic and Functional Deficits in Frontal Bone Trauma.Medicina (Kaunas, Lithuania) · 2022Review
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: During the coronavirus disease 2019 pandemic, emergency medical services (EMSs) were among the most affected; in fact, there were delays in rescue and changes in time-dependent disease networks. The aim of the study is to understand the impact of COVID-19 on the time-dependent trauma network in the Lombardy region. Methods: A retrospective analysis on major trauma was performed by analysing all records saved in the EmMa database from 1 January 2019 to 31 December 2019 and from 1 January 2020 to 31 December 2020. Age, gender, time to first emergency vehicle on scene and mission duration were collected. Results: In 2020, compared to 2019, there was a reduction in major trauma diagnoses in March and April, during the first lockdown, OR 0.59 (95% CI 0.49−0.70; p < 0.0001), and a reduction in road accidents and accidents at work, while injuries related to falls from height and violent events increased. There was no significant increase in the number of deaths in the prehospital setting, OR 1.09 (95% CI 0.73−1.30; p = 0.325). Conclusions: The COVID-19 pandemic has changed the epidemiology of major trauma, but in the Lombardy region there was no significant change in mortality in the out-of-hospital setting.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.