Detaillierte Beitrags-Information

Zurück zur Liste

Beitragstitel High-energy blunt pelvic ring injury incidence and polytrauma case load in a single level-1 trauma center during CoVid-19 related pseudo-lockdown measures: a registry study.
Beitragscode P25
Autoren
  1. Vanessa Morello Vortragender
  2. Matthieu Zingg HUG Hôpitaux Universitaires Genève
  3. Elisabeth Andereggen
  4. Alexandre Ansorge
  5. Silvia Valisena
  6. Axel Gamulin Hôpitaux Universitaires de Genève
Präsentationsform Poster
Themengebiete
  • A04 - Hüfte
Abstract Introduction
Pelvis ring injuries are potentially lethal lesions associated to polytrauma patients (PP) needing a present and efficient trauma team for their management.
The purpose of this study was to evaluate the incidence of blunt pelvic ring injuries type B or C (PRI B/C), according to the OTA/AO classification, in a defined population and the absolute number of PP in a single level-1 trauma center during the CoVid-19 pandemic related pseudo-lockdown period.

Methods
This retrospective cohort study was conducted in a level-1 trauma center (~500000 inhabitants). A nation-wide pseudo-lockdown was established from March 16th to June 19th 2020.
Data on PRI B/C incidence and PP were obtained for each year period (y.p.) from 2014 to 2020 using the institutional Severely Injured Patients’ Registry.
PRI B/C inclusion criteria were ≥16 years old and blunt PRI; exclusion criteria were patients pronounced dead before admission, transferred from another institution >24hours after trauma or living outside the defined institution’s catchment area and penetrating/blast/burn/electrical injuries.
PP inclusion criteria were ≥16 years old and ISS ≥16; exclusion criteria were patients pronounced dead before admission or transferred from another institution >24hours after trauma. 
Descriptive comparisons were made between the pseudo-lockdown period and corresponding periods in 2014-2019, and between the 2020 y.p. and each y.p. from 2014 to 2019.

Results
The pseudo-lockdown period 2020 had 6 PRI B/C: incidence = 5.4 per 100,000 persons per year, which was in range with the corresponding periods in 2014-2019: 4(2014,2015)-10(2019), incidence = 3.8-9.1 per 100,000 persons per year.
The 2020 y.p. had 14 PRI B/C: incidence = 3.3 per 100,000 persons per year, which was in range with each y.p. from 2014 to 2019: 14(2014)-26(2017), incidence = 3.3-6.2 per 100,000 persons per year.
The pseudo-lockdown period 2020 had 34 PP which was in range with the corresponding periods in 2014-2019: 20(2015)-42(2016).
The 2020 y.p. had 129 PP which was in range with each y.p. from 2014 to 2019: 109(2015)-151(2017).

Conclusion
Although pseudo-lockdown was installed among other goals to decrease trauma-related hospital admissions, PRI B/C incidence and the absolute number of PP remained within the range of previous years. This information could help for future health strategy planification.