1. COVID-19 in trauma: a propensity-matched analysis of COVID and non-COVID trauma patients
- Author
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Yeates, Eric O, Grigorian, Areg, Schellenberg, Morgan, Owattanapanich, Natthida, Barmparas, Galinos, Margulies, Daniel, Juillard, Catherine, Garber, Kent, Cryer, Henry, Tillou, Areti, Burruss, Sigrid, Figueras, Ryan Arthur, Mladenov, Georgi, Brenner, Megan, Firek, Christopher, Costantini, Todd, Santorelli, Jarrett, Curry, Terry, Wintz, Diane, Biffl, Walter L, Schaffer, Kathryn B, Duncan, Thomas K, Barbaro, Casey, Diaz, Graal, Johnson, Arianne, Chinn, Justine, Naaseh, Ariana, Leung, Amanda, Grabar, Christina, and Nahmias, Jeffry
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Physical Injury - Accidents and Adverse Effects ,Lung ,Clinical Research ,Patient Safety ,Good Health and Well Being ,COVID-19 ,Humans ,Injury Severity Score ,Intensive Care Units ,Length of Stay ,Retrospective Studies ,SARS-CoV-2 ,Trauma Centers ,Coronavirus ,Trauma ,Mortality ,Pneumonia ,Length of stay ,Emergency & Critical Care Medicine ,Orthopedics ,Clinical sciences - Abstract
PurposeThere is mounting evidence that surgical patients with COVID-19 have higher morbidity and mortality than patients without COVID-19. Infection is prevalent amongst the trauma population, but any effect of COVID-19 on trauma patients is unknown. We aimed to evaluate the effect of COVID-19 on a trauma population, hypothesizing increased mortality and pulmonary complications for COVID-19-positive (COVID) trauma patients compared to propensity-matched COVID-19-negative (non-COVID) patients.MethodsA retrospective analysis of trauma patients presenting to 11 Level-I and II trauma centers in California between 1/1/2019-6/30/2019 and 1/1/2020-6/30/2020 was performed. A 1:2 propensity score model was used to match COVID to non-COVID trauma patients using age, blunt/penetrating mechanism, injury severity score, Glasgow Coma Scale score, systolic blood pressure, respiratory rate, and heart rate. Outcomes were compared between the two groups.ResultsA total of 20,448 trauma patients were identified during the study period. 53 COVID trauma patients were matched with 106 non-COVID trauma patients. COVID patients had higher rates of mortality (9.4% vs 1.9%, p = 0.029) and pneumonia (7.5% vs. 0.0%, p = 0.011), as well as a longer mean length of stay (LOS) (7.47 vs 3.28 days, p
- Published
- 2021