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The Effect of 2019 Coronavirus Stay-at-Home Order on Geriatric Trauma Patients in Southern California.
Manasa, Morgan; Yeates, Eric O; Grigorian, Areg; Barrios, Cristobal; Schellenberg, Morgan; Owattanapanich, Natthida; Barmparas, Galinos; Margulies, Daniel; Juillard, Catherine; Garber, Kent; Cryer, Henry; Tillou, Areti; Burruss, Sigrid; Penaloza-Villalobos, Liz; Lin, Ann; Figueras, Ryan Arthur; Coimbra, Raul; Brenner, Megan; Costantini, Todd; Santorelli, Jarrett; Curry, Terry; Wintz, Diane; Biffl, Walter L; Schaffer, Kathryn B; Duncan, Thomas K; Barbaro, Casey; Diaz, Graal; Johnson, Arianne; Tay-Lasso, Erika; Chinn, Justine; Naaseh, Ariana; Leung, Amanda; Grabar, Christina; Nahmias, Jeffry.
Afiliación
  • Manasa M; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
  • Yeates EO; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
  • Grigorian A; Department of Surgery, University of Southern California (USC), Los Angeles, CA, USA.
  • Barrios C; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
  • Schellenberg M; Department of Surgery, University of Southern California (USC), Los Angeles, CA, USA.
  • Owattanapanich N; Department of Surgery, University of Southern California (USC), Los Angeles, CA, USA.
  • Barmparas G; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Margulies D; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Juillard C; Department of Surgery, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
  • Garber K; Department of Surgery, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
  • Cryer H; Department of Surgery, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
  • Tillou A; Department of Surgery, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
  • Burruss S; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Penaloza-Villalobos L; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Lin A; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Figueras RA; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Coimbra R; Riverside University Health System, Moreno Valley, CA, USA.
  • Brenner M; Riverside University Health System, Moreno Valley, CA, USA.
  • Costantini T; Department of Surgery, University of California, San Diego (UCSD), San Diego, CA, USA.
  • Santorelli J; Department of Surgery, University of California, San Diego (UCSD), San Diego, CA, USA.
  • Curry T; Department of Surgery, University of California, San Diego (UCSD), San Diego, CA, USA.
  • Wintz D; Department of Surgery, Sharp Memorial Hospital, San Diego, CA, USA.
  • Biffl WL; Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
  • Schaffer KB; Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
  • Duncan TK; Department of Surgery, Ventura County Medical Center, Ventura, CA, USA.
  • Barbaro C; Department of Surgery, Ventura County Medical Center, Ventura, CA, USA.
  • Diaz G; Department of Surgery, Ventura County Medical Center, Ventura, CA, USA.
  • Johnson A; Santa Barbara Cottage Hospital, Santa Barbara, CA, USA.
  • Tay-Lasso E; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
  • Chinn J; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
  • Naaseh A; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
  • Leung A; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
  • Grabar C; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
  • Nahmias J; Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA.
Am Surg ; 89(12): 6053-6059, 2023 Dec.
Article en En | MEDLINE | ID: mdl-37347234
ABSTRACT

BACKGROUND:

California issued stay-at-home (SAH) orders to mitigate COVID-19 spread. Previous studies demonstrated a shift in mechanisms of injuries (MOIs) and decreased length of stay (LOS) for the general trauma population after SAH orders. This study aimed to evaluate the effects of SAH orders on geriatric trauma patients (GTPs), hypothesizing decreased motor vehicle collisions (MVCs) and LOS.

METHODS:

A post-hoc analysis of GTPs (≥65 years old) from 11 level-I/II trauma centers was performed, stratifying patients into 3 groups before SAH (1/1/2020-3/18/2020) (PRE), after SAH (3/19/2020-6/30/2020) (POST), and a historical control (3/19/2019-6/30/2019) (CONTROL). Bivariate comparisons were performed.

RESULTS:

5486 GTPs were included (PRE-1756; POST-1706; CONTROL-2024). POST had a decreased rate of MVCs (7.6% vs 10.6%, P = .001; vs 11.9%, P < .001) and pedestrian struck (3.4% vs 5.8%, P = .001; vs 5.2%, P = .006) compared with PRE and CONTROL. Other mechanisms of injury, LOS, mortality, and operations performed were similar between cohorts. However, POST had a lower rate of discharge to skilled nursing facility (SNF) (20% vs 24.5%, P = .001; and 20% vs 24.4%, P = .001).

CONCLUSION:

This retrospective multicenter study demonstrated lower rates of MVCs and pedestrian struck for GTPs, which may be explained by decreased population movement as a result of SAH orders. Contrary to previous studies on the generalized adult population, no differences in other MOIs and LOS were observed after SAH orders. However, there was a lower rate of discharge to SNF, which may be related to a lack of resources due to the COVID-19 pandemic, and thus potentially negatively impacted recovery of GTPs.Keywords.
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Texto completo: 1 Base de datos: MEDLINE Asunto principal: Pandemias / COVID-19 Tipo de estudio: Clinical_trials Límite: Adult / Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Am Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos
Texto completo
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Pandemias / COVID-19 Tipo de estudio: Clinical_trials Límite: Adult / Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Am Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos