From 1st June, primary schools were re-opened. In the UK, the first easing of the national lockdown was announced on 10th May, as the public were allowed to exercise more than once a day and spend time in parks.
The UK literature also alludes to more concerning effects of lockdown such as a rise in deliberate self-harm (DSH) and assault. Reported reductions in trauma presentation in the UK have ranged from 34 to 61%, with an unsurprising increase in incidents occurring at home with a concomitant reduction in road traffic collisions (RTCs). There have been multiple centres across the United Kingdom (UK) that have documented the alterations in the presentation and management of trauma secondary to the COVID-19 pandemic. Structural changes were in part directed by National Health Service England (NHSE), with further advice published by the British Orthopaedic Association (BOA). Service provision of surgical specialties was restricted by the repurposing of theatres to inpatient beds for COVID-positive patients, redeployment of theatre staff and trainees and staff sickness. The COVID-19 pandemic and subsequent national lockdowns transformed the practice of medicine and surgery, including the delivery of trauma care. This should be acknowledged in resource allocation decisions if future lockdowns are necessitated. After lockdown easing, trauma footfall rapidly rebounded to 2019 levels. This is the first study to document trauma trends through a lockdown and thereafter. In 2020 less patients were assessed by a consultant and trauma team, with a shorter stay in hospital and critical care. When compared with 2019, the 2020 patient age was lower, with less trauma relating to alcohol (7.3% vs. 30.1%, p = 0.038) deliberate self-harm (DSH) increased in period two compared with one and three (6.3% vs. Road traffic collisions increased over periods one–three (18.8% vs.
Footfall declined in April 2020 compared with 2019 (56 vs. Resultsġ249 patients were included 62.2% were male with a mean age of 57.73. Data collected included demographics, mechanism and severity of injury, management and length of stay. The first 47 days of lockdown (23rd March–9th May 2020, period 1) were compared with the next 47 (10th May–26th June 2020, period 2) and last (27th June–13th August 2020, period 3). Methodsĭata was retrospectively analysed from Trauma Audit and Research Network (TARN) on patients presenting to our MTC with trauma. We examined the effect of lockdown easing on trauma presentation and management from one Major Trauma Centre (MTC).
The COVID-19 pandemic transformed the delivery of trauma care.
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