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Table 2 Prehospital and hospital management patients admitted at Traumacenter in 2020 and compared to the previous years

From: Impact of the SARS-COV-2 outbreak on epidemiology and management of major traumain France: a registry-based study (the COVITRAUMA study)

 

Period

Pre-Lockdown

(February 3rd – March 16th)

Lockdown

(March 17th – May 10th)

Post-Lockdown

(May 11th – June 15th)

Variable

Previous years

2020

Previous years

2020

Previous years

2020

Observed Mortality (in hospital)

35 (8.6)

33 (6.6)

62 (9.9)

21 (5.8)

34 (7.8)

38 (8.7)

Predicted mortality (TRISS) (%)

10.8 (22.7)

10.3 (22.1)

11.0 (23.1)

11.7 (23.6)

10.4 (21.6)

9.4 (21.2)

Variations of the difference between the predicted mortality (TRISS) and observed mortality

0.1 (0.2)

0.1 (0.2)

0.1 (0.2)

0.1 (0.2)

0.1 (0.2)

0.1 (0.2)

Transportation to hospital (helicopter)

49 (12.1)*

39 (7.8)*

84 (13.4)

38 (10.5)

67 (15.4)

67 (15.4)

Pre-hospital orotracheal intubation

85 (21)*

82 (16.4)*

131 (20.9)

70 (19.4)

98 (22.6)

87 (20)

Pre-hospital time (min)

81.9 (71.4)

79.6 (48.2)

80.4 (82.4)

80.0 (45.9)

76.6 (50.4)

81.2 (47.8)

Intra-hospital time (min)

28.4 (26.5)

31.31 (37.0)

29.0 (28.7)*

33.5 (46.0)*

27.2 (26.3)

27.0 (18.0)

Surgery in the first 24 h (%)

193 (47.8)

224 (44.7)

311 (49.5)

181 (50.1)

212 (48.8)

217 (49.8)

Immediate surgical or arteriography intervention

14 (3.5)

6 (1.2)

21 (3.3)

8 (2.2)

15 (3.5)

13 (3)

Length of mechanical ventilation (days)

8.8 (14.3)

7.5 (11.2)

7.5 (11.7)

9.6 (15.9)

8.2 (16.3)

6.5 (9.1)

Length of stay (days)

6.4 (13.5)

5.1 (8.8)

5.8 (14.8)

6.8 (13.8)

6.6 (20.3)

5.2 (8.7)

Admission from non trauma center hospital

72 (17.8)

106 (21.2)

94 (15)

55 (15.2)

65 (15)

76 (17.4)

Patient with decisions of withdrawal of care

23 (5.7)

14 (2.8)

34 (5.4)

18 (5)

19 (4.4)

25 (5.7)

  1. * Difference between 2020 and Previous years significant with p value ≤0.01
  2. Data are N (%), mean (SD)
  3. TRISS Trauma Related Injury Severity Score