Evidence map›Paper›PMID 37150725›Full record

ArticleInjury2023

Increase in trauma volume as compared to emergency department volume during the COVID-19 pandemic.

Edward J Alfrey, Meaghan Carroll, Michelle Tracy, Laura Pajari, Mark Bason-Mitchell, Justin R Alfrey, John Maa, James Minnis

Abstract read
In one paragraph

Article in Injury, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Edward J AlfreyMedical Director, Trauma Services, Marin Health Medical Center; Adjunct Clinical Professor of Surgery, Stanford University. Electronic address: Edward.Alfrey@mymarinhealth.org.
Meaghan CarrollTrauma Program, Marin Health Medical Center.
Michelle TracyTrauma Program, Marin Health Medical Center.
Laura PajariTrauma Program, Marin Health Medical Center.
Mark Bason-MitchellEmergency Medical Director, Marin County Fire.
Justin R AlfreyCentral Michigan University, School of Medicine.
John MaaDepartment of Surgery, Trauma Services, Marin Health Medical Center.
James MinnisDirector Trauma ICU, Marin Health Medical Center.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the months between April through June 2020 when we experienced the largest number of COVID-19 patients in our hospital, the volume of patients in the Emergency Department (ED) was decreased by more than 30%. In contrast to most early reports we did not notice a decrease in trauma volume during this time period. MATERIALS AND

methodsWe compared trauma patients presenting to our Level III Trauma Center, between April 2019 through June 2019 to those presenting from April 2020 through June 2020, the initial surge in COVID-19 patients. We compared ground level falls (GLF), motor vehicle crashes (MVC), bicycle and skateboard crashes, assault, and other.

resultsThere was a 13% increase in trauma patients presenting during the study period in 2020 as compared to 2019, and the total number of trauma patients as a percentage of total ED patients also increased 269/9235 (2.9%) to 308/6216 (5.0%), P < 0.0001. There was no significant difference in demographics or outcome data between the trauma patients presenting during the two time periods. Although traffic decreased by more than 40%, the number of MVC's was similar.

conclusionThe volume of patients presenting to our Trauma Center as compared to the total ED volume increased during the time period from April through June 2020 versus the year just prior to the COVID-19 pandemic. Despite the fact that the total traffic volume decreased more than 40 percent between these two time periods, the actual number of motor vehicle crashes remained similar.

Indexed as

COVID-19Accidents, TrafficEmergency Service, HospitalHumansPandemicsRetrospective StudiesBicycle crashesCOVID-19 pandemicGround level fallsMotor vehicle crashesTrauma volume

Identifiers

PMID37150725
PMCPMC10129336

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.