Emergencies do not shut down during a pandemic: COVID pandemic impact on Acute Care Surgery volume and mortality at a level I trauma center - 08/12/22
, Jason C. McCartt , Kyle W. Cunningham , Caroline E. Reinke , Kyle J. Thompson , John M. Green , Bradley W. Thomas , David G. Jacobs , Addison K. May , A. Britton Christmas , Ronald F. Sing
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Abstract |
Background |
The aim of this study was to evaluate the impact of the COVID-19 pandemic on volume and outcomes of Acute Care Surgery patients, and we hypothesized that inpatient mortality would increase due to COVID+ and resource constraints.
Methods |
An American College of Surgeons verified Level I Trauma Center's trauma and operative emergency general surgery (EGS) registries were queried for all patients from Jan. 2019 to Dec. 2020. April 1st, 2020, was the demarcation date for pre- and during COVID pandemic. Primary outcome was inpatient mortality.
Results |
There were 14,460 trauma and 3091 EGS patients, and month-over-month volumes of both remained similar (p > 0.05). Blunt trauma decreased by 7.4% and penetrating increased by 31%, with a concomitant 25% increase in initial operative management (p < 0.001). Despite this, trauma (3.7%) and EGS (2.9–3.0%) mortality rates remained stable which was confirmed on multivariate analysis; p > 0.05. COVID + mortality was 8.8% and 3.7% in trauma and EGS patients, respectively.
Conclusion |
Acute Care Surgeons provided high quality care to trauma and EGS patients during the pandemic without allowing excess mortality despite many hardships and resource constraints.
Le texte complet de cet article est disponible en PDF.Highlights |
• | COVID pandemic impact on Acute Care Surgery volume and outcomes was evaluated: 2019–2020. |
• | Trauma and operative EGS overall volume were similar. Blunt decreased, penetrating increased. |
• | Despite surges, resources, and bed constraints trauma (3.7%) and EGS (3.0%) mortality was similar. |
• | COVID + mortality was 8.8% and 3.7% respectively for trauma and EGS patients. |
• | Acute Care Surgeons provided excellent quality care without excess mortality during a pandemic. |
Keywords : Acute care surgery, COVID, Mortality, Pandemic, Trauma, Emergency general surgery
Plan
Vol 224 - N° 6
P. 1409-1416 - décembre 2022 Retour au numéro
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