Journal article
Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study
The Journal of surgical research, v 284, pp 264-268
Apr 2023
PMID: 36610385
Abstract
Given the early surge of COVID-19 in New Jersey (NJ), a statewide executive order (EO) to stay-at-home was instituted on March 22, 2020. We hypothesized that the EO would result in a decreased number of trauma admissions, length of stay, and resources utilized in trauma patients at NJ trauma centers.
In an institutional review board-approved, retrospective, multicenter study, trauma registries at three level one trauma centers in NJ were queried from March 22 to June 14 in 2020 and compared to the same timeframe the year prior. Epidemiological and clinical data were obtained including demographics, select preexisting conditions, mechanism of injury, injury severity score, resources utilized, and outcomes.
1859 trauma patients were evaluated during the EO versus 2201 the year prior. During the EO, trauma patients were less likely to be transferred from another hospital (21% versus 29% P < 0.05), more likely to have a penetrating mechanism (16% versus 12% P < 0.05), were equally likely to require a procedure (P = 0.44) and had similar injury severity score (5 [interquartile range [IQR] 1-9] versus 5 [IQR 1-9], P = 0.73). There was no significant difference in ventilator days (0 [IQR 0-1] versus 0 [IQR 0-2] P = 0.08), intensive care unit days (2 [IQR 0-4] versus 2 [IQR 0-3] P = 0.99), or length of stay (2 [IQR 1-5] versus 2 [IQR 1-6] P = 0.73). Patients were more likely to be sent home than to rehabilitation or long-term acute care hospital during the EO (81% versus 78%, P = 0.02).
The 2020 COVID-19 EO was associated with a significantly different epidemiology with a higher rate of penetrating injury during the EO, and similar volume of injured patients evaluated.
Metrics
Details
- Title
- Trauma Incidence During the New Jersey COVID-19 Stay-At-Home Order: A Multicenter Study
- Creators
- Jeremy M. Badach - Cooper University HospitalRebecca Platoff - Cooper University HospitalDeviney Rattigan - Rutgers, The State University of New JerseyChristopher A. Butts - Johnson UniversityLisa Shea - Cooper University HospitalJohn P. Gaughan - Cooper Medical School of Rowan UniversityKrystal Hunter - Cooper Medical School of Rowan UniversityZiad Sifri - Rutgers, The State University of New JerseyJohn Porter - Cooper University HospitalTanya Egodage - Cooper University Hospital
- Publication Details
- The Journal of surgical research, v 284, pp 264-268
- Publisher
- Elsevier
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000918179500001
- Scopus ID
- 2-s2.0-85145851421
- Other Identifier
- 991021929443004721
InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery