Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?
Abstract Background During the SARS-CoV-2 pandemic, the French Government imposed various containment strategies, such as severe lockdown (SL) or moderate lockdown (ML). The aim of this study was to evaluate the effect of both strategies on severe trauma admissions and ICU capacity in Ile-de-France...
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doaj-1749f0a33c75465d8473e339c3fd3b752021-09-19T11:22:34ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412021-09-012911410.1186/s13049-021-00918-xEffect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?Jean-Denis Moyer0Paer-Selim Abback1Sophie Hamada2Thibault Martinez3Marie Werner4Arthur James5the Traumabase®GroupDepartment of Anesthesiology and Critical Care, Beaujon Hospital, DMU Parabol, AP-HP.NordDepartment of Anesthesiology and Critical Care, Beaujon Hospital, DMU Parabol, AP-HP.NordDepartment of Anesthesiology and Critical Care, Hôpital Européen Georges Pompidou, AP-HPIntensive Care Unit, Percy Military Teaching HospitalDepartment of Anesthesiology and Critical Care, AP-HP, Bicêtre Hôpitaux Universitaires Paris-Sud, Université Paris SaclayGRC 29, AP-HP, DMU DREAM, Department of Anaesthesiology and critical care, Pitié-Salpêtrière Hospital, Sorbonne UniversityAbstract Background During the SARS-CoV-2 pandemic, the French Government imposed various containment strategies, such as severe lockdown (SL) or moderate lockdown (ML). The aim of this study was to evaluate the effect of both strategies on severe trauma admissions and ICU capacity in Ile-de-France region (Paris Area). Main text We conducted a multicenter cohort-based observational study from 1stJanuary 2017 to 31th December 2020, including all consecutive trauma patients admitted to the trauma centers of Ile-de-France region participating in the national registry (Traumabase®). Two periods were defined, the “non-pandemic period” (NPP) from 2017 to 2019, and the “pandemic period” (PP) concerning those admitted in 2020. The number of ICU beds released during 2020 pandemic period (overall period, SL and ML) was estimated by multiplying difference in trauma admissions by the median length of stay during the same week of pandemic period (ICU day-beds in 2020). A 15% yearly reduction of trauma patients was observed during the PP, associated with the release of 6422 ICU day-beds in 2020. During SL and ML, the observed decrease in trauma admission was respectively 49 and 39% compared with similar dates of the NPP. The number of beds released was 1531 days-beds in SL and 679 day-beds in ML. Those reductions respectively accounted for 4.5 and 6.0% of the overall ICU admission for COVID-19 in Ile-de-France. Conclusion The lockdown strategies during pandemic resulted in a reduction of severe trauma admissions. In addition to the social distancing effect, lockdown strategies freed up an important number of ICU beds in trauma centers, available for severe COVID-19 patients.https://doi.org/10.1186/s13049-021-00918-xCOVID-19TraumaFranceTraumacenterICU capacity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jean-Denis Moyer Paer-Selim Abback Sophie Hamada Thibault Martinez Marie Werner Arthur James the Traumabase®Group |
spellingShingle |
Jean-Denis Moyer Paer-Selim Abback Sophie Hamada Thibault Martinez Marie Werner Arthur James the Traumabase®Group Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown? Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine COVID-19 Trauma France Traumacenter ICU capacity |
author_facet |
Jean-Denis Moyer Paer-Selim Abback Sophie Hamada Thibault Martinez Marie Werner Arthur James the Traumabase®Group |
author_sort |
Jean-Denis Moyer |
title |
Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown? |
title_short |
Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown? |
title_full |
Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown? |
title_fullStr |
Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown? |
title_full_unstemmed |
Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown? |
title_sort |
effect of 2020 containment strategies on trauma workflow in ile-de-france region: another benefit of lockdown? |
publisher |
BMC |
series |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
issn |
1757-7241 |
publishDate |
2021-09-01 |
description |
Abstract Background During the SARS-CoV-2 pandemic, the French Government imposed various containment strategies, such as severe lockdown (SL) or moderate lockdown (ML). The aim of this study was to evaluate the effect of both strategies on severe trauma admissions and ICU capacity in Ile-de-France region (Paris Area). Main text We conducted a multicenter cohort-based observational study from 1stJanuary 2017 to 31th December 2020, including all consecutive trauma patients admitted to the trauma centers of Ile-de-France region participating in the national registry (Traumabase®). Two periods were defined, the “non-pandemic period” (NPP) from 2017 to 2019, and the “pandemic period” (PP) concerning those admitted in 2020. The number of ICU beds released during 2020 pandemic period (overall period, SL and ML) was estimated by multiplying difference in trauma admissions by the median length of stay during the same week of pandemic period (ICU day-beds in 2020). A 15% yearly reduction of trauma patients was observed during the PP, associated with the release of 6422 ICU day-beds in 2020. During SL and ML, the observed decrease in trauma admission was respectively 49 and 39% compared with similar dates of the NPP. The number of beds released was 1531 days-beds in SL and 679 day-beds in ML. Those reductions respectively accounted for 4.5 and 6.0% of the overall ICU admission for COVID-19 in Ile-de-France. Conclusion The lockdown strategies during pandemic resulted in a reduction of severe trauma admissions. In addition to the social distancing effect, lockdown strategies freed up an important number of ICU beds in trauma centers, available for severe COVID-19 patients. |
topic |
COVID-19 Trauma France Traumacenter ICU capacity |
url |
https://doi.org/10.1186/s13049-021-00918-x |
work_keys_str_mv |
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