The Effect of 2019 Coronavirus Stay-at-Home Order on Geriatric Trauma Patients in Southern California-Reference-Cited by-同舟云学术

The Effect of 2019 Coronavirus Stay-at-Home Order on Geriatric Trauma Patients in Southern California

Published:2023-06-22 Issue:12 Volume:89 Page:6053-6059
ISSN:0003-1348
Container-title:The American Surgeon™
language:en
Short-container-title:The American Surgeon™

Author:

Manasa Morgan¹^ORCID,Yeates Eric O¹,Grigorian Areg²,Barrios Cristobal¹,Schellenberg Morgan²,Owattanapanich Natthida²,Barmparas Galinos³,Margulies Daniel³,Juillard Catherine⁴,Garber Kent⁴,Cryer Henry⁴,Tillou Areti⁴,Burruss Sigrid⁵,Penaloza-Villalobos Liz⁵,Lin Ann⁵,Figueras Ryan Arthur⁵,Coimbra Raul⁶,Brenner Megan⁶,Costantini Todd⁷,Santorelli Jarrett⁷,Curry Terry⁷,Wintz Diane⁸,Biffl Walter L⁹,Schaffer Kathryn B⁹^ORCID,Duncan Thomas K.¹⁰,Barbaro Casey¹⁰,Diaz Graal¹⁰,Johnson Arianne¹¹,Tay-Lasso Erika¹,Chinn Justine¹,Naaseh Ariana¹,Leung Amanda¹,Grabar Christina¹,Nahmias Jeffry¹

Affiliation:

1. Department of Surgery, University of California, Irvine (UCI), Orange, CA, USA

2. Department of Surgery, University of Southern California (USC), Los Angeles, CA, USA

3. Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

4. Department of Surgery, University of California Los Angeles (UCLA), Los Angeles, CA, USA

5. Department of Surgery, Loma Linda University, Loma Linda, CA, USA

6. Riverside University Health System, Moreno Valley, CA, USA

7. Department of Surgery, University of California, San Diego (UCSD), San Diego, CA, USA

8. Department of Surgery, Sharp Memorial Hospital, San Diego, CA, USA

9. Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA

10. Department of Surgery, Ventura County Medical Center, Ventura, CA, USA

11. Santa Barbara Cottage Hospital, Santa Barbara, CA, USA

Abstract

Background California issued stay-at-home (SAH) orders to mitigate COVID-19 spread. Previous studies demonstrated a shift in mechanisms of injuries (MOIs) and decreased length of stay (LOS) for the general trauma population after SAH orders. This study aimed to evaluate the effects of SAH orders on geriatric trauma patients (GTPs), hypothesizing decreased motor vehicle collisions (MVCs) and LOS. Methods A post-hoc analysis of GTPs (≥65 years old) from 11 level-I/II trauma centers was performed, stratifying patients into 3 groups: before SAH (1/1/2020-3/18/2020) (PRE), after SAH (3/19/2020-6/30/2020) (POST), and a historical control (3/19/2019-6/30/2019) (CONTROL). Bivariate comparisons were performed. Results 5486 GTPs were included (PRE-1756; POST-1706; CONTROL-2024). POST had a decreased rate of MVCs (7.6% vs 10.6%, P = .001; vs 11.9%, P < .001) and pedestrian struck (3.4% vs 5.8%, P = .001; vs 5.2%, P = .006) compared with PRE and CONTROL. Other mechanisms of injury, LOS, mortality, and operations performed were similar between cohorts. However, POST had a lower rate of discharge to skilled nursing facility (SNF) (20% vs 24.5%, P = .001; and 20% vs 24.4%, P = .001). Conclusion This retrospective multicenter study demonstrated lower rates of MVCs and pedestrian struck for GTPs, which may be explained by decreased population movement as a result of SAH orders. Contrary to previous studies on the generalized adult population, no differences in other MOIs and LOS were observed after SAH orders. However, there was a lower rate of discharge to SNF, which may be related to a lack of resources due to the COVID-19 pandemic, and thus potentially negatively impacted recovery of GTPs. Keywords

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/00031348221124329

Reference20 articles.

1. Timing of State and Territorial COVID-19 Stay-at-Home Orders and Changes in Population Movement — United States, March 1–May 31, 2020

2. The psychological impact of quarantine and how to reduce it: rapid review of the evidence

3. Drug and alcohol positivity of traumatically injured patients related to COVID-19 stay-at-home orders

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