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Open Access

Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC

Marc Chodos, Babak Sarani, Andrew Sparks, Brandon Bruns, Shailvi Gupta, Christopher P Michetti, Joshua Crane, Erin Hall, Christine T Trankiem, Chadi Abouassaly, Elliott R Haut, Eric Etchill, Mark L Kovler, Mallory Williams, Ahmad Zeineddin, Jordan Estroff
DOI: 10.1136/tsaco-2020-000659 Published 19 January 2021
Marc Chodos
1Orthopedic Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
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Babak Sarani
2Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
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Andrew Sparks
2Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
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Brandon Bruns
3Surgery, University of Maryland Medical System, Baltimore, Maryland, USA
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Shailvi Gupta
3Surgery, University of Maryland Medical System, Baltimore, Maryland, USA
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Christopher P Michetti
4Surgery, Inova Fairfax Hospital, Falls Church, Virginia, USA
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Joshua Crane
5Surgery, MedStar Washington Hospital Center, Washington, DC, USA
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Erin Hall
6Department of Surgery, MedStar Washington Hospital Center, Washington, DC, USA
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Christine T Trankiem
5Surgery, MedStar Washington Hospital Center, Washington, DC, USA
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Chadi Abouassaly
5Surgery, MedStar Washington Hospital Center, Washington, DC, USA
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Elliott R Haut
7Surgery, Johns Hopkins Medicine School of Medicine, Baltimore, Maryland, USA
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Eric Etchill
8Surgery, Johns Hopkins Medicine, Baltimore, Maryland, USA
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Mark L Kovler
8Surgery, Johns Hopkins Medicine, Baltimore, Maryland, USA
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Mallory Williams
9Surgery, Howard University Hospital, Washington, DC, USA
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Ahmad Zeineddin
9Surgery, Howard University Hospital, Washington, DC, USA
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Jordan Estroff
2Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
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    Figure 1

    Timeline of COVID-19 in the National Capital Region (NCR). DC, District of Columbia; MD, Maryland; VA, Virginia.

Tables

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  • Table 1

    Mechanism of injury, pre-COVID-19 and COVID-19 compared with 2019*

    January to February2019 (n=1837)2020 (n=1900)P value
    Blunt (%)1558 (84.8)1583 (83.3)0.228
    Assault (%)128 (7.0)154 (8.1)0.210
    FFS (%)446 (24.3)388 (20.4)0.005
    MVC (%)546 (29.7)577 (30.4)0.693
    Penetrating (%)279 (15.2)317 (16.7)0.228
    GSW (%)143 (7.8)150 (7.9)0.949
    SW (%)109 (5.9)142 (7.5)0.070
    March to May2019 (n=3299)2020 (n=2559)P value
    Blunt (%)2801 (84.9)1981 (77.4)<0.001
    Assault (%)262 (7.9)232 (9.1)0.137
    FFS (%)678 (20.6)514 (20.1)0.684
    MVC (%)1056 (32.0)784 (30.6)0.274
    Penetrating (%)498 (15.1)578 (22.6)<0.001
    GSW (%)223 (6.8)303 (11.8)<0.001
    SW (%)229 (6.9)236 (9.2)0.002
    • Statistically significant associations are noted in bold print

    • *Because the specific injury mechanism subcategories examined are not inclusive of all possible mechanisms of injury, their sum will not equal the total number of contacts in the blunt or penetrating trauma category.

    • FFS, fall from standing; GSW, gunshot wound; MVC, motor vehicle collision; SW, stab wound.

  • Table 2

    Suburban vs. urban location: mechanism of injury, pre-COVID-19 and COVID-19 compared with 2019*

    SuburbanUrban
    January to February2019
    (n=519)
    2020
    (n=522)
    |Δ|P value2019
    (n=1318)
    2020
    (n=1378)
    |Δ|P value
    Blunt (%)485 (93.4)486 (93.1)0.3%0.9211073
    (81.4)
    1097
    (79.6)
    1.8%0.258
    Assault (%)20 (3.9)11 (2.1)1.8%0.140108
    (8.2)
    143
    (10.4)
    2.2%0.060
    FFS (%)207
    (39.9)
    186
    (35.6)
    4.3%0.177239
    (18.1)
    202
    (14.7)
    3.4%0.017
    MVC (%)194
    (37.4)
    219
    (42.0)
    4.6%0.148352
    (26.7)
    358
    (26.0)
    0.7%0.700
    Penetrating (%)34
    (6.6)
    36
    (6.9)
    0.3%0.921245
    (18.6)
    281
    (20.4)
    1.8%0.258
    GSW (%)10 (1.9)9
    (1.7)
    0.2%0.990133
    (10.1)
    141
    (10.2)
    0.1%0.954
    SW (%)23
    (4.4)
    23
    (4.4)
    0%0.99986
    (6.5)
    119
    (8.6)
    2.1%0.046
    March to May2019
    (n=911)
    2020
    (n=642)
    |Δ|P value2019
    (n=2388)
    2020
    (n=1998)
    |Δ|P value
    Blunt (%)844 (92.6)558 (86.9)5.7%<0.0011957
    (82.0)
    1498
    (75.0)
    7%<0.001
    Assault (%)26 (2.9)18 (2.8)0.1%0.999236
    (9.9)
    214
    (10.7)
    0.8%0.395
    FFS (%)327
    (35.9)
    232
    (36.1)
    0.2%0.965351
    (14.7)
    292
    (14.6)
    0.1%0.972
    MVC (%)271 (29.7)273 (42.5)12.8%<0.001705
    (29.5)
    539
    (27.0)
    2.5%0.067
    Penetrating (%)67
    (7.4)
    84
    (13.1)
    5.7%<0.001431
    (18.0)
    500
    (25.0)
    7%<0.001
    GSW (%)24 (2.6)18 (2.8)0.2%0.965199
    (8.3)
    275
    (13.8)
    5.5%<0.001
    SW (%)39
    (4.3)
    52
    (8.1)
    3.8%0.002190
    (8.0)
    186
    (9.3)
    1.3%0.124
    • Statistically significant associations are noted in bold print

    • *Because the specific injury mechanism subcategories examined are not inclusive of all possible mechanisms of injury, their sum will not equal the total number of contacts in the blunt or penetrating trauma category.

    • FFS, fall from standing; GSW, gunshot wound; MVC, motor vehicle collision; SW, stab wound.

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Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC
Marc Chodos, Babak Sarani, Andrew Sparks, Brandon Bruns, Shailvi Gupta, Christopher P Michetti, Joshua Crane, Erin Hall, Christine T Trankiem, Chadi Abouassaly, Elliott R Haut, Eric Etchill, Mark L Kovler, Mallory Williams, Ahmad Zeineddin, Jordan Estroff
Trauma Surg Acute Care Open Jan 2021, 6 (1) e000659; DOI: 10.1136/tsaco-2020-000659

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Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC
Marc Chodos, Babak Sarani, Andrew Sparks, Brandon Bruns, Shailvi Gupta, Christopher P Michetti, Joshua Crane, Erin Hall, Christine T Trankiem, Chadi Abouassaly, Elliott R Haut, Eric Etchill, Mark L Kovler, Mallory Williams, Ahmad Zeineddin, Jordan Estroff
Trauma Surg Acute Care Open Jan 2021, 6 (1) e000659; DOI: 10.1136/tsaco-2020-000659
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Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC
Marc Chodos, Babak Sarani, Andrew Sparks, Brandon Bruns, Shailvi Gupta, Christopher P Michetti, Joshua Crane, Erin Hall, Christine T Trankiem, Chadi Abouassaly, Elliott R Haut, Eric Etchill, Mark L Kovler, Mallory Williams, Ahmad Zeineddin, Jordan Estroff
Trauma Surgery & Acute Care Open Jan 2021, 6 (1) e000659; DOI: 10.1136/tsaco-2020-000659
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