COVID-19大流行期间的面部创伤。

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Craniomaxillofacial Trauma & Reconstruction Pub Date : 2022-12-01 Epub Date: 2021-12-27 DOI:10.1177/19433875211053760
Kiranya E Tipirneni, Amanda Gemmiti, Mark A Arnold, Amar Suryadevara
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引用次数: 3

摘要

研究设计:回顾性队列研究。目的:本研究的目的是评估COVID-19全球大流行对纽约中部三级护理一级创伤中心面部创伤区域趋势的影响。方法:研究样本来自2020年3月1日至2020年5月15日期间在纽约州立大学上州立大学医院市中心和/或社区校区急诊科就诊的面部创伤患者,并与2018年和2019年的两个历史对照进行比较。对每个队列的研究变量进行描述性和双变量统计。用泊松回归比较事故率比(IRR), 95%置信区间P < 0.05。结果:新冠肺炎大流行期间确诊65例,2019年确诊83例,2018年确诊95例。在研究期间,最常见的机制是攻击,占47.7%。IRR显著低于2018年(IRR = 1.46, P = 0.018),但与2019年无显著差异(IRR = 1.28, P = 0.14)。在封锁期间,IRR与2019年(IRR = 1.84, P = 0.0029)和2018年(IRR = 2.16, P < 0.001)相比显著下降。结论:在没有“就地避难”命令的情况下,纽约中部的面部外伤数量似乎没有受到影响。对流行病和区域创伤差异的分析可以为改进资源分配提供有价值的见解,以便更好地为可能高风险的程序做好准备。
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Facial Trauma During the COVID-19 Pandemic.

Study design: Retrospective cohort study.

Objective: The purpose of this study is to evaluate the impact of the COVID-19 global pandemic on the regional trends in facial trauma at a tertiary care, level 1 trauma center in Central New York.

Methods: The study sample was derived from the population of patients who presented with facial trauma to the emergency department at the Downtown and/or Community Campuses of SUNY Upstate University Hospital between March 1, 2020, and May 15, 2020, and compared to two historical controls in 2018 and 2019. Descriptive and bivariate statistics were calculated for study variables in each cohort. Poisson regression was used to compare incident rate ratios (IRR) with 95% confidence intervals with significance set at P < .05.

Results: Sixty five patients presented during the COVID-19 pandemic, while 83 presented in 2019 and 95 in 2018. For the study period, the most common mechanism was assault in 47.7%. IRR was significantly lower than in 2018 (IRR = 1.46, P = .018), but not significantly different from 2019 (IRR = 1.28, P = .14). During lockdown, IRR was significantly decreased compared to 2019 (IRR = 1.84, P = .0029) and 2018 (IRR = 2.16, P < .001).

Conclusions: The volume of facial trauma seen in Central New York appears undeterred in the absence of "shelter in place" orders. Analysis of pandemic and regional trauma variations can offer valuable insight for improved resource allocation to better prepare for potentially high-risk procedures.

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来源期刊
Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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