@article{ref1,
title="Epidemiology of trauma presentations to a major trauma centre in the North West of England during the COVID-19 level 4 lockdown",
journal="European journal of trauma and emergency surgery",
year="2020",
author="Rajput, Kunal and Sud, Ajay and Rees, Michael and Rutka, Olga",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: The COVID-19 pandemic has impacted healthcare systems globally, little is known about the trauma patterns during a national lockdown.   The aim of this study is to delineate the trauma patterns and outcomes at Aintree University Teaching Hospital level 1 Major Trauma Centre (MTC) during the COVID-19 lockdown imposed by the U.K. government.   METHODS: A retrospective cohort study data from the Merseyside and Cheshire Trauma Audit and Research Network database were analysed. The 7-week 'lockdown period' was compared to a 7-week period prior to the lockdown and also to an equivalent 7-week period corresponding to the previous year.   RESULTS: A total of 488 patients were included in the study. Overall, there was 37.6% and 30.0% reduction in the number of traumatic injuries during lockdown. Road traffic collisions (RTC) reduced by 42.6% and 46.6%. RTC involving a car significantly reduced during lockdown, conversely, bike-related RTC significantly increased. No significant changes were noted in deliberate self-harm, trauma severity and crude mortality during lockdown. There was 1 mortality from COVID-19 infection in the lockdown cohort.   CONCLUSION: Trauma continues during lockdown, our MTC has continued to provide a full service during lockdown. However, trauma patterns have changed and departments should adapt to balance these alongside the COVID-19 pandemic. As the U.K. starts its cautious transition out of lockdown, trauma services are required to be flexible during changes in national social restrictions and changing trauma patterns. COVID-19 and lockdown state were found to have no significant impact on survival outcomes for trauma.  Keywords: CoViD-19-Road-Traffic<p /> <p>Language: en</p>",
language="en",
issn="1863-9933",
doi="10.1007/s00068-020-01507-w",
url="http://dx.doi.org/10.1007/s00068-020-01507-w"
}