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The impact of COVID-19 lockdown on acute trauma patients seen at the National Hospital Trauma Centre Abuja, Nigeria.
Okoye, Onyedika Godfrey; Olaomi, Oluwole Olayemi; Gwaram, Usman Adamu; Apollo, Kanati Dennis.
  • Okoye OG; Trauma Centre, National Hospital Abuja, Abuja, Nigeria.
  • Olaomi OO; Trauma Centre, National Hospital Abuja, Abuja, Nigeria.
  • Gwaram UA; Trauma Centre, National Hospital Abuja, Abuja, Nigeria.
  • Apollo KD; Trauma Centre, National Hospital Abuja, Abuja, Nigeria.
Pan Afr Med J ; 38: 414, 2021.
Article in English | MEDLINE | ID: covidwho-1264682
ABSTRACT

INTRODUCTION:

trauma is the leading cause of mortality in individuals less than 45 years. The principles of Advanced Trauma Life Support (ATLS) which is used around the world in resuscitation of trauma patients have been considered to be safe. However, the outbreak of corona virus disease 2019 (COVID-19) has affected the processes and characteristics of acute trauma patients seen around the world. This study is intended to determine the impact of COVID-19 lockdown on the acute trauma patients seen in a Nigerian trauma centre.

METHODS:

this is a cross-sectional observational study of trauma patients seen in the resuscitation room of the National Hospital trauma centre in Abuja, Nigeria, from 24th February,2020 to 3rd May, 2020. The participants were consecutive acute trauma patients who were grouped into two five weeks preceding total lockdown and five weeks of total lockdown. Statistical analysis was done using the statistical package for social sciences (SPSS) version 24.0 while results were presented in tables and a figure.

RESULTS:

a total of 229 patients were recruited into the study with age range 1 to 62 years, mean age of 28 ± 13 and male to female ratio of 3.87. The patient volume reduced by 41.31% during the lockdown. Though motor vehicular crash (MVC) was the predominant mechanism of injury in both groups making up 37.65% and 23.88% respectively, penetrating assault was more during the lockdown period (17.91% versus 6.17%). The lockdown was further associated with more delayed presentation (52.24% versus 48.15%), more referrals (53.73% versus 32.72%), less severe injury score (29.6% versus 56.7%) and no death in the resuscitation room (0% versus 1.85%).

CONCLUSION:

despite the reduction in the volume of trauma presentations by 41.31%, patients got the required care with less mortality. Efforts should be directed at sustaining access to acute trauma care in all circumstances to reduce preventable trauma deaths.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wounds and Injuries / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Young adult Country/Region as subject: Africa Language: English Journal: Pan Afr Med J Year: 2021 Document Type: Article Affiliation country: Pamj.2021.38.414.28431

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wounds and Injuries / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Young adult Country/Region as subject: Africa Language: English Journal: Pan Afr Med J Year: 2021 Document Type: Article Affiliation country: Pamj.2021.38.414.28431