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Table 2 Injuries and their respective management during the non-COVID and COVID-19 period

From: Trauma care during the COVID-19 pandemic in the Netherlands: a level 1 trauma multicenter cohort study

 

Non-COVID (n = 2423)

COVID-19 (n = 1531)

p value

Number of injuries, n (%)

  

0.781

 Isolated injuries)

2115(87.4%)

1324 (86.7%)

 

 Multiple injuries

234 (9.7%)

158 (10.3%)

 

 Admitted without injuries*

70 (2.9%)

45 (2.9%)

 

ISS scores after HET

12.0

17.3

0.006

Polytrauma (ISS ≥ 16), n (%**)

40 (17.1%)

45 (28.5%)

0.009

Injury region and management

   

 Head, n (% of total)

174 (7.2%)

150 (9.8%)

0.002

 Nonoperative, n (%)

163 (94.2%)

139 (93.9%)

0.552

 Face, n (% of total)

120 (5.0%)

99 (6.5%)

0.026

 Operative, n (%)

11 (9.2%)

20 (20.2%)

0.016

 Neck, n (% of total)

13 (0.5%)

19 (1.2%)

0.014

 Nonoperative, n (%)

11 (84.6%)

17 (89.5%)

0.542

 Thorax, n (% of total)

152 (6.3%)

103 (6.7%)

0.307

 Nonoperative, n (%)

141 (92.8%)

97 (94.2%)

0.431

 Abdomen, n (% of total)

32 (1.3%)

33 (2.2%)

0.031

 Conservative, n (%)

16 (50.0%)

23 (69.7%)

0.086

 Spine, n (% of total)

88 (3.6%)

51 (3.3%)

0.342

 Nonoperative, n (%)

80 (90.9%)

43(84.3%)

0.184

 Upper extremity, n (% of total)

1188 (49.0%)

779 (50.9%)

0.267

 Operative, n (%)

148 (12.5%)

138 (17.6%)

0.002

 Lower extremity, n (% of total)

874 (36.1%)

512 (33.4%)

0.095

 Operative, n (%)

201 (23.0%)

157 (30.7%)

0.002

 Skin, n (% of total)

55 (2.3%)

18 (1.2%)

0.008

 Operative, n (%)

5 (9.1%)

3 (17.6%)

0.281

Surgery

   

 Surgery performed, n (%)

402 (16.6%)

327 (21.4%)

 < 0.001

 Total number of surgeries, n

439

388

-

 Multiple surgeries, n (%)

30 (2.3%)

36 (3.1%)

0.158

 Days till surgery, days (± std)

3.7 (± 5.1)

2.6 (± 4.0)

0.001

 Delayed surgery (> 48 h.), n (%)

153 (12.1%)

94 (8.5%)

0.002

Admission for injuries

582 (24.0%)

474 (31.0%)

 < 0.001

Hospital stay, days

6.0 (± 8.5)

5.1 (± 7.0)

0.054

Outpatient follow-up, n (%)

1885 (79.1%)

1167 (78.0%)

0.221

 Physical follow-up, n (%)

1854 (76.5%)

880 (57.5%)

 < 0.001

  1. n (%) number of patients and proportion of number in percentage, n (% of total) number of patients and percentage of injuries treated operatively or nonoperatively as a percentage of total, hrs. hours, std standard deviation
  2. *Patients admitted to a ward after a HET of social indications without obvious injuries
  3. **As a percentage of patients sustaining multiple injuries