open access

Vol 8, No 3 (2023)
Research paper
Published online: 2023-07-25
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The impact of the COVID-19 pandemic on the length of management of polytraumatized patients in the emergency department

Nenad Neskovic12, Davor Klepo3, Tamara Janosevic4, Josip Kocur25, Dino Budrovac12, Ivana Harsanji Drenjancevic12
DOI: 10.5603/DEMJ.a2023.0026
·
Disaster Emerg Med J 2023;8(3):151-156.
Affiliations
  1. Osijek University Hospital, Department of Anesthesiology and Intensive Care, Osijek, Croatia
  2. Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
  3. Department of Emergency Medicine of Osijek-Baranja County, Osijek, Croatia
  4. Community Health Center of Osijek-Baranja County, Osijek, Croatia
  5. Osijek University Hospital, Department of Orthopedics and Traumatology, Osijek, Croatia

open access

Vol 8, No 3 (2023)
ORIGINAL ARTICLES
Published online: 2023-07-25

Abstract

INTRODUCTION: The personal protective equipment used by healthcare workers and special institutional protocols during the COVID-19 pandemic could potentially slow down the usual management of trauma patients. To examine the difference in the length of management of polytraumatized patients in the emergency department (ED) before and during the COVID-19 pandemic.

MATERIAL AND METHODS: The study was designed as a case-control study and included 52 polytraumatized patients who were admitted to the intensive care unit (ICU) after being managed in the ED of Osijek University Hospital. Data were collected from the hospital information system and included patients from March 2019 to February 2020 (pre-pandemic group) and from March 2020 to February 2021 (COVID-19 pandemic group).

RESULTS: Differences in the duration of diagnostics in the ED, the duration of surgery, and the time required for admission to the ICU before and during the COVID-19 pandemic were examined. The duration of diagnostics of polytraumatized patients in the ED before vs during the pandemic was 98 (76–120) and 92 (68–167) minutes, p = 0.79, respectively. 16 (64%) patients in the pre-pandemic and 18 (67%) in the pandemic group needed emergency surgery. The time required for admission to the ICU from the beginning of management in the ED, after accounting for the duration of surgery was 128 (91.5–208.5) and 145 (110–755) minutes, p = 0.09, in pre-pandemic vs pandemic group, respectively.

CONCLUSIONS: The COVID-19 pandemic did not have a significant impact on the length of management for polytraumatized patients admitted to the ICU.

Abstract

INTRODUCTION: The personal protective equipment used by healthcare workers and special institutional protocols during the COVID-19 pandemic could potentially slow down the usual management of trauma patients. To examine the difference in the length of management of polytraumatized patients in the emergency department (ED) before and during the COVID-19 pandemic.

MATERIAL AND METHODS: The study was designed as a case-control study and included 52 polytraumatized patients who were admitted to the intensive care unit (ICU) after being managed in the ED of Osijek University Hospital. Data were collected from the hospital information system and included patients from March 2019 to February 2020 (pre-pandemic group) and from March 2020 to February 2021 (COVID-19 pandemic group).

RESULTS: Differences in the duration of diagnostics in the ED, the duration of surgery, and the time required for admission to the ICU before and during the COVID-19 pandemic were examined. The duration of diagnostics of polytraumatized patients in the ED before vs during the pandemic was 98 (76–120) and 92 (68–167) minutes, p = 0.79, respectively. 16 (64%) patients in the pre-pandemic and 18 (67%) in the pandemic group needed emergency surgery. The time required for admission to the ICU from the beginning of management in the ED, after accounting for the duration of surgery was 128 (91.5–208.5) and 145 (110–755) minutes, p = 0.09, in pre-pandemic vs pandemic group, respectively.

CONCLUSIONS: The COVID-19 pandemic did not have a significant impact on the length of management for polytraumatized patients admitted to the ICU.

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Keywords

COVID-19; pandemic; polytrauma; emergency medicine; intensive care

About this article
Title

The impact of the COVID-19 pandemic on the length of management of polytraumatized patients in the emergency department

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 8, No 3 (2023)

Article type

Research paper

Pages

151-156

Published online

2023-07-25

Page views

172

Article views/downloads

202

DOI

10.5603/DEMJ.a2023.0026

Bibliographic record

Disaster Emerg Med J 2023;8(3):151-156.

Keywords

COVID-19
pandemic
polytrauma
emergency medicine
intensive care

Authors

Nenad Neskovic
Davor Klepo
Tamara Janosevic
Josip Kocur
Dino Budrovac
Ivana Harsanji Drenjancevic

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