Impact of Covid-19 Pandemic on Trauma Triage Level 1 Patients in Emergency Room Krathumbaen Hospital During 2020–2021

Authors

  • Suthee Kongkiatpaiboon M.D., Krathumbaen Hospital

Keywords:

COVID-19, emergency room, trauma patient

Abstract

Objective: The aim was to study impact of COVID-19 pandemic on trauma triage Level 1 patients to length of stays in emergency room, hospital stays and mortality rate in Krathumbaen Hospital.

 Methods: Data were collected by retrospective chart review of traumatic patients who visited during 1 January 2019–31 December 2021 and divided into 3

Results: A total of 113 traumatic level 1 patients included in this study, with 43 patients in 2019, 42 patients in 2020, and 28 patients in 2021. The median age of patients was 32, 33, and 40 years, with majority being male. Most of patients were brought to hospital by EMS system (81.4%, 81.0%, and 85.7% respectively). Traffic accidents were the major cause of trauma (72.1%, 71.4%, and 64.3% respectively). No differences of vital signs, GCS, ISS, RTS, TRISS, and treatment care processes in patients were found, except screening of COVID-19 in year 2020 (4.8%) and 2021 (100%). No COVID-19 found in traumatic level 1 patients during year 2020–2021. No statistical differences were found in length of stay in the emergency room, hospital length of stay, and survival rate.

Conclusion: No statistical differences of length of stay in emergency room, hospital stay and survival rate of traumatic level 1 patients between groups during COVID-19 pandemic at Krathumbaen Hospital.

References

Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727–33.

Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed 2020;91(1):157–60.

กรมการแพทย์ กระทรวงสาธารณสุข . MOPH ED. Triage. นนทบุรี: สำนักวิชาการแพทย์ กรมการแพทย์ กระทรวงสาธารณสุข; 2561: หน้า 5–20.

Chang YH, Shih HM, Chen CY, et al. Association of sudden in-hospital cardiac arrest with emergency department crowding. Resuscitation. 2019;138:106–9.

Sartini M, Carbone A, Demartini A, et al. Overcrowding in Emergency Department: Causes, Consequences, and Solutions-A Narrative Review. Healthcare (Basel). 2022;10(9).

DiFazio LT, Curran T, Bilaniuk JW, et al. The Impact of the COVID-19 Pandemic on Hospital Admissions for Trauma and Acute Care Surgery. Am Surg. 2020;86(8):901–3.

Boutin S, Elder J, Sothilingam N, et al. Epidemiology and outcomes for level 1 and 2 traumas during the first wave of COVID19 in a Canadian centre. Sci Rep. 2022;12(1):20345.

Vaishya R, Vaish A, Kumar A. Impact of COVID-19 on the practice of orthopaedics and trauma-an epidemiological study of the full pandemic year of a tertiary care centre of New Delhi. Int Orthop. 2021;45(6):1391–7.

Kreis CA, Ortmann B, Freistuehler M, et al. Impact of the first COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center. Eur J Trauma Emerg Surg. 2021;47(3):665–75.

Yeates EO, Grigorian A, Schellenberg M, et al. Decreased hospital length of stay and intensive care unit admissions for non-COVID blunt trauma patients during the COVID-19 pandemic. Am J Surg. 2022;224(1 Pt A):90–5

Published

2023-06-30

How to Cite

1.
Kongkiatpaiboon S. Impact of Covid-19 Pandemic on Trauma Triage Level 1 Patients in Emergency Room Krathumbaen Hospital During 2020–2021. Reg 4-5 Med J [internet]. 2023 Jun. 30 [cited 2026 Jan. 2];42(2):177-86. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/263921