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'Staying Home'—Early Changes in Patterns of Neurotrauma in New York City During the COVID-19 Pandemic
- Source :
- World Neurosurgery
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Objective New York City is the epicenter of the novel coronavirus disease 2019 (COVID-19) pandemic in the United States. Traumatic brain injury accounts for a significant proportion of admissions to our trauma center. We sought to characterize the effect of the pandemic on neurotraumas, given the cancellation of nonessential activities during the crisis. Methods Retrospective and prospective reviews were performed from November 2019 to April 2020. General demographics, clinical status, mechanism of trauma, diagnosis, and treatment instituted were recorded. We dichotomized the data between pre−COVID-19 (before 1 March) and COVID-19 periods and compared the differences between the 2 groups. We present the timeline of events since the beginning of the crisis in relation to the number of neurotraumas. Results A total of 150 patients composed our cohort with a mean age of 66.2 years (standard deviation ±18.9), and 66% were male. More males sustained neurotrauma in the COVID-19 period compared with the pre−COVID-19 (60.4% vs. 77.6%, P = 0.03). The most common mechanism of trauma was mechanical fall, but it was observed less frequently compared with the pre−COVID-19 period (61.4% vs. 40.8; P = 0.03). Subdural hematoma, traumatic subarachnoid hemorrhage, and intracerebral contusion accounted for the most common pathologies in both periods. Nonoperative management was selected for most patients (79.2 vs. 87.8%, P = 0.201) in both periods. Conclusions A decrease in the frequency of neurotraumas was observed during the COVID-19 crisis concomitant with the increase in COVID-19 patients in the city. This trend began after the cancellation of nonessential activities and implementation of social distancing recommendations.
- Subjects :
- Male
Traumatic Brain Injury
Poison control
Cohort Studies
0302 clinical medicine
tSAH, Traumatic subarachnoid hemorrhage
SDH, Subdural hematoma
Young adult
DNI/DNR, Do Not Intubate/Do Not Resuscitate
COVID-19, Coronavirus disease 2019
Trauma center
Middle Aged
Psychological Distance
030220 oncology & carcinogenesis
Cohort
LOS, Length of Stay
OSH, Outside hospital
Female
NYC, New York City
MVA, Motor vehicle accident
Cohort study
Adult
medicine.medical_specialty
Subarachnoid hemorrhage
Neurosurgery
Clinical Neurology
Trauma
Article
Young Adult
03 medical and health sciences
ICU, Intensive Care Unit
Injury prevention
medicine
Humans
PPE, Personal protective equipment
ISS, Injury Severity Score
Aged
Retrospective Studies
PUI, Person under investigation
SARS-CoV-2
business.industry
TBI, Traumatic brain injury
PCR, Protein chain reaction
COVID-19
Retrospective cohort study
medicine.disease
Coronavirus
U.S., United States
SCI, Spinal cord injury
Emergency medicine
GCS, Glasgow Coma Scale
Wounds and Injuries
New York City
Surgery
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18788750
- Volume :
- 143
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....1d739c61f7c7281ec1dcdcb14495243f