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Impact of the COVID-19 Pandemic on road traffic collision injury patterns and severity in Al-Ain City, United Arab Emirates
World Journal of Emergency Surgery ( IF 8 ) Pub Date : 2021-11-19 , DOI: 10.1186/s13017-021-00401-z
Yasin J Yasin 1, 2 , David O Alao 3, 4 , Michal Grivna 1, 5 , Fikri M Abu-Zidan 6
Affiliation  

The COVID-19 Pandemic lockdowns restricted human and traffic mobility impacting the patterns and severity of road traffic collisions (RTCs). We aimed to study the effects of the COVID-19 Pandemic on incidence, patterns, severity of the injury, and outcomes of hospitalized RTCs trauma patients in Al-Ain City, United Arab Emirates. We compared the data of two cohorts of patients which were collected over two periods; the Pandemic period (28 March 2020 to 27 March 2021) and the pre-pandemic period (28 March 2019 to 27 March 2020). All RTCs trauma patients who were hospitalized in the two major trauma centers (Al-Ain and Tawam Hospitals) of Al-Ain City were studied. Overall, the incidence of hospitalized RTC trauma patients significantly reduced by 33.5% during the Pandemic compared with the pre-pandemic period. The mechanism of injury was significantly different between the two periods (p < 0.0001, Fisher’s Exact test). MVCs were less during the Pandemic (60.5% compared with 72%), while motorcycle injuries were more (23.3% compared with 11.2%). The mortality of hospitalized RTC patients was significantly higher during the Pandemic (4.4% compared with 2.3%, p = 0.045, Fisher’s Exact test). Logistic regression showed that the significant factors that predicted mortality were the low GCS (p < 0.0001), admission to the ICU (p < 0.0001), and the high ISS (p = 0.045). COVID-19 Pandemic had a very strong trend (p = 0.058) for increased mortality. Our study has shown that the numbers of hospitalized RTC trauma patients reduced by 33.5% during the COVID-19 Pandemic compared with the pre-pandemic period in our setting. This was attributed to the reduced motor vehicle, pedestrian and bicycle injuries while motorcycle injuries increased. Mortality was significantly higher during the Pandemic, which was attributed to increased ISS and reduced GCS.

中文翻译:

COVID-19 大流行对阿拉伯联合酋长国艾因市道路交通碰撞伤害模式和严重程度的影响

COVID-19 大流行的封锁限制了人员和交通的流动性,影响了道路交通碰撞 (RTC) 的模式和严重程度。我们旨在研究 COVID-19 大流行对阿拉伯联合酋长国艾因市住院 RTC 创伤患者的发病率、模式、损伤严重程度和结果的影响。我们比较了两个时期收集的两组患者的数据;大流行时期(2020 年 3 月 28 日至 2021 年 3 月 27 日)和大流行前时期(2019 年 3 月 28 日至 2020 年 3 月 27 日)。研究了在艾因市的两个主要创伤中心(艾因和塔瓦姆医院)住院的所有 RTC 创伤患者。总体而言,与大流行前相比,大流行期间住院 RTC 创伤患者的发生率显着降低了 33.5%。两个时期的损伤机制显着不同(p < 0.0001,Fisher 精确检验)。大流行期间 MVC 较少(60.5% 与 72%),而摩托车伤害较多(23.3% 与 11.2%)。大流行期间住院 RTC 患者的死亡率显着升高(4.4% 与 2.3%,p = 0.045,Fisher 精确检验)。Logistic 回归显示,预测死亡率的重要因素是低 GCS (p < 0.0001)、入住 ICU (p < 0.0001) 和高 ISS (p = 0.045)。COVID-19 大流行的死亡率上升趋势非常强烈(p = 0.058)。我们的研究表明,与我们环境中的大流行前时期相比,在 COVID-19 大流行期间住院的 RTC 创伤患者人数减少了 33.5%。这归因于机动车辆、行人和自行车伤害减少,而摩托车伤害增加。大流行期间死亡率显着升高,这归因于 ISS 增加和 GCS 减少。
更新日期:2021-11-19
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