Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 6, 2023; 11(10): 2237-2245
Published online Apr 6, 2023. doi: 10.12998/wjcc.v11.i10.2237
Impact of lockdown policies during the COVID-19 outbreak on a trauma center of a tertiary hospital in China
Bi-Sheng Shen, Wei-Yin Cheng, Zhang-Rong Liang, Qi Tang, Kuang-Yi Li
Bi-Sheng Shen, Zhang-Rong Liang, Qi Tang, Kuang-Yi Li, Department of Emergency Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China
Wei-Yin Cheng, Department of Clinical Nutrition, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China
Author contributions: Shen BS and Li KY designed topics, programs and drafted writing, as the main contributor and share the first authorship; Cheng WY participated in data statistics and analysis; Liang ZR and Tang Q produced metadata for initial use and later reuse.
Institutional review board statement: The study was reviewed and approved by the Foshan Hospital of TCM Institutional Review Board, No. KY[2023]024.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: This manuscript has not been submitted elsewhere for publication, in whole or in part, and all authors have contributed to read, and approved the enclosed manuscript. No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bi-Sheng Shen, MMeD, Doctor, Department of Emergency Medicine, Foshan Hospital of Traditional Chinese Medicine, No. 6 Qinren Road, Chancheng District, Foshan 528000, Guangdong Province, China. 736366461@qq.com
Received: October 20, 2022
Peer-review started: October 20, 2022
First decision: December 26, 2022
Revised: January 3, 2023
Accepted: March 15, 2023
Article in press: March 15, 2023
Published online: April 6, 2023
Processing time: 161 Days and 3.7 Hours
ARTICLE HIGHLIGHTS
Research background

Coronavirus disease 2019 (COVID-19) was spread rapidly worldwide and emerged as a pandemic, posing a major threat to the health of all populations.

Research motivation

It is unknown whether these lockdown policies reduced the demand on the health care system and the occurrence of trauma injuries. As a result, we conducted a study to investigate the impact of the lockdown policies on the level I trauma center of a tertiary comprehensive hospital of traditional Chinese medicine (TCM).

Research objectives

This study aimed to investigate the impact of China’s lockdown policies during the COVID-19 outbreak on the level I trauma center of a tertiary comprehensive hospital of TCM.

Research methods

All patients admitted to our trauma center during a lockdown in 2020 and the same period in 2019 were enrolled. We collected data on demographics, daily visits, injury type, injury mechanism, injury severity score, and patient management for comparative analysis.

Research results

The total number of patients in the trauma center of our hospital decreased by 50.38% during the COVID-19 Lockdown in 2020 compared to the same period in 2019. The average number of trauma visits per day in 2019 was 47.94, compared to 23.79 in 2020. Comparing the patients’ demographic data, loss of employment was the most predominate characteristic in 2020 compared to 2019, while there was no significant difference in gender, age, and marital status between both periods. During the lockdown period, the proportion of traffic accident-related injuries, injuries due to falls greater than 1.5 m, and mechanical injuries decreased significantly, whereas the proportion of injuries caused by falls less than 1.5 m, cuts, assault, bites, and suicidal tendencies and other injuries increased relatively. In addition, the proportion of patients with minor injuries increased and serious injuries decreased during the lockdown. The hospitalization rate increased significantly, and there was no significant difference in emergency surgery and death rates.

Research conclusions

The lockdown policies during the COVID-19 outbreak significantly altered the number and mechanism of traumatic events in our hospital, which can be monitored regularly. Our results suggest that mandatory public health prevention and control measures by the government can reduce the incidence of traumatic events and the severity of traumatic injuries. Increased due to factors such as family injury and penetrating injury, emergency surgery and death rates remain high, and hospitalization rates have increased significantly.

Research perspectives

Therefore, our trauma center still needs to be fully staffed. Finally, from the perspective of the injury mechanism, indoor trauma is a major risk during a lockdown, and it is particularly important to develop prevention strategies for such trauma to reduce the medical burden of the next catastrophic epidemic.