In addition to making people sick and ending the lives of millions of people around the world, COVID-19 complicated patient care in a number of less direct ways, from increased incidence of heart attacks to decreased heart rate. cancer testing. According to new research from the Perelman School of Medicine, the virus also increased the risk of complications and death among patients traumatized by injuries from car accidents, falls or other accidents or victims of violent injuries such as shooting and stabbing. Recently published at the University of Pennsylvania The Journal of Trauma and Agute Surgery.
The findings reveal that patients with trauma Centers in the state of Pennsylvania that also tested positive for COVID-19 had a six-fold higher risk of death than patients with similar lesions without COVID. Patients with COVID positive also demonstrated twice the likelihood of complications such as venous thromboembolism, renal failure, need for intubation and unforeseen admission to the ICU, as well as more than five times the odds of lung complications. These risks were even greater in patients over 65 years of age.
“COVID-19 had the greatest impact on patients whose injuries were relatively mild and we would otherwise have expected them to be fine,” said lead author Elinore Kaufman, MD, MSHP, adjunct professor at Critical Injury and Surgery Division and Emergency Surgery at Penn Medicine. “Our findings underscore the importance for hospitals to constantly test inpatients, so that providers can be aware of this additional risk and treat patients with additional care and surveillance.”
The researchers conducted a retrospective study of 15,550 patients admitted to Pennsylvania trauma centers from March 21, 2020 (when Gov. Tom Wolf ordered the closure of non-essential businesses statewide) to July 31, 2020. Of the 15,550 patients, 8,170 were tested for the virus and 219 tested positive. . During this period, the researchers evaluated the length of stay, complications, and overall outcomes of patients who tested positive for COVID compared to patients who did not have the virus. They found that test rates increased over time, from 34% in April 2020 to 56% in July. However, test rates varied substantially between centers, with an average of 56.2% and a range of 0% to 96.4%.
“First, we need to research the best way to care for these high-risk patients and establish standard protocols to minimize the risks,” said lead author Niels D. Martin, head of Critical Care Surgery Surgical and Associate Professor in the Division of Trauma, Critical Surgical Care and Emergency Surgery. “Second, we need more data on the risks associated with patients with COVID symptoms, compared with those who are asymptomatic, so we can administer properly tested treatments and increase the likelihood of survival with minimal complications.”
Elinore J. Kaufman et al, The Impact of COVID-19 Infection on Outcomes After Injuries in a State Trauma System, Journal of Trauma and Agute Care Surgery (2021). DOI: 10.1097 / TA.0000000000003310
Citation: Patients with trauma with COVID-19 have an increased risk of complications and death (2021, June 28) recovered on June 28, 2021 at https://medicalxpress.com/news/2021-06-trauma-patients- covid-greater-complications.html
This document is subject to copyright. Apart from any fair treatment for the purposes of private study or research, no part may be reproduced without written permission. Content is provided for informational purposes only.