Details

Autor(en) / Beteiligte

• Ball, Chad G

Titel

The Canadian-specific impact of COVID-19 on severe injuries from intentional violence, unintentional trauma and suicide-related causes

Ist Teil von

• Canadian Journal of Surgery, 2021-04, Vol.64 (2), p.E228-E229

Ort / Verlag

Canada: CMA Impact, Inc

Erscheinungsjahr

2021

Link zum Volltext

Quelle

Nexis

Beschreibungen/Notizen

• More specifically, increases in intentional injury (especially gun violence) were noted in the background of fewer overall emergency department (ED) visits and nonintentional trauma cases.2 Interestingly, the authors' explanations for this observation remain contentious (i.e., unprecedented social isolation policies v. other theories such as all-time record firearm sales in the United States). To avoid comparisons biased by seasonal injury, these patients (n = 357) were date-matched with a severely injured patient cohort from the same seasonal timeframe a year earlier (after ensuring that the preceding year matched a 5-year typical patient distribution).3 Interestingly, while the median patient age (50.1 v. 52.3 yr,p > 0.05), Injury Severity Score (ISS; 19 v. 18, p > 0.05) and rate of hemodynamic instability at presentation remained static, the number of severely injured female patients decreased dramatically (29.1% v. 21.0%, p = 0.012). To better prepare for the next global pandemic or medical challenge, we require granular data analysis at a national level that is independent from conclusions made by our neighbours to the south (and other countries) and from the potential bias inherent within less remarkable preceding eras. With luck, these data will provide an even more nuanced and durable evaluation of pandemic-related issues such as overall trauma epidemiology, injury system preparation, suicide, intentional interpersonal violence (domestic and nondomestic), women's health and gun violence prevention.