Presentation, clinical course and complications in trauma patients with concomitant COVID-19 infection - 20/06/22
, A. Grant a, b , Richard Sola a, d , K. Gills a, d , Ariana N. Mora b, c , B.M. Tracy e , V.J. Muralidharan b , D. Koganti a, b , S.R. Todd a, b , C. Butler a, d , J. Nguyen a, d , S. Hurst a, b , K. Udobi a, d , J. Sciarretta a, b , K. Williams a, b , M. Davis a, b , C. Dente a, b , E. Benjamin a, b , P. Ayoung-Chee a, d , R.N. Smith a, b, c, ⁎
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Graphical abstract |
Designed by Naomi Whitaker (Emory Rollins School of Public Health).
Abstract |
Background |
This study investigated the impact of COVID-19 infection on hospitalized trauma patients.
Methods |
A retrospective review of hospitalized trauma patients at a level I trauma center was performed from March–December 2020. Data pertaining to patient demographics, presentation and hospital course was compared between COVID positive and negative trauma patients.
Results |
There were 4,912 patients and 179 (3.64%) were COVID-19 positive. Demographics and clinical presentation did not differ significantly between those with and without concomitant COVID-19. However, COVID positive trauma patients had higher rates of acute kidney injury (p = 0.016), sepsis (p = 0.016), unplanned intubation (p = 0.002) and unplanned return to the ICU (p = 0.01). The COVID positive cohort also had longer hospital stays (p < 0.01) with no significant difference in mortality.
Conclusions |
In the setting of an ongoing pandemic, awareness of the complications COVID positive trauma patients are predisposed to is important for providers.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Literature regarding the impact of COVID-19 on hospitalized trauma patients is scare. |
• | Trauma patients with COVID-19 had higher rates of in-hospital complications. |
• | Trauma patients with COVID-19 had longer ICU and hospital lengths of stay. |
• | Understanding the intersection of COVID-19 and trauma is prudent for providers. |
Keywords : COVID pandemic, COVID-19, Trauma, Trauma surgery, Surgical critical care
Plan
Vol 224 - N° 1PB
P. 607-611 - juillet 2022 Retour au numéro
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