The Detrimental Impact of the COVID-19 Pandemic on Major Trauma Outcomes in the Netherlands: A Comprehensive Nationwide Study

Mitchell L.S. Driessen*, Leontien M. Sturms, Frank W. Bloemers, Henk Jan Ten Duis, Michael J.R. Edwards, Dennis Den Hartog, E. J. Kuipers, Peter A. Leenhouts, Martijn Poeze, Inger B. Schipper, Richard W. Spanjersberg, Klaus W. Wendt, Ralph J. De Wit, Stefan W.A.M. Van Zutphen, Mariska A.C. De Jongh, Luke P.H. Leenen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)
11 Downloads (Pure)

Abstract

Objective:To evaluate the impact of the COVID-19 pandemic on the outcome of major trauma patients in the Netherlands.

Summary Background Data:Major trauma patients highly rely on immediate access to specialized services, including ICUs, shortages caused by the impact of the COVID-19 pandemic may influence their outcome.

Methods:A multi-center observational cohort study, based on the Dutch National Trauma Registry was performed. Characteristics, resource usage, and outcome of major trauma patients (injury severity score ≥16) treated at all trauma-receiving hospitals during the first COVID-19 peak (March 23 through May 10) were compared with those treated from the same period in 2018 and 2019 (reference period).Results:During the peak period, 520 major trauma patients were admitted, versus 570 on average in the pre-COVID-19 years. Significantly fewer patients were admitted to ICU facilities during the peak than during the reference period (49.6% vs 55.8%; P=0.016). Patients with less severe traumatic brain injuries in particular were less often admitted to the ICU during the peak (40.5% vs 52.5%; P=0.005). Moreover, this subgroup showed an increased mortality compared to the reference period (13.5% vs 7.7%; P=0.044). These results were confirmed using multivariable logistic regression analyses. In addition, a significant increase in observed versus predicted mortality was recorded for patients who had a priori predicted mortality of 50% to 75% (P=0.012).

Conclusions:The COVID-19 peak had an adverse effect on trauma care as major trauma patients were less often admitted to ICU and specifically those with minor through moderate brain injury had higher mortality rates.

Original languageEnglish
Pages (from-to)252-258
Number of pages7
JournalAnnals of Surgery
Volume275
Issue number2
DOIs
Publication statusPublished - Feb 2022

Bibliographical note

Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc.

Fingerprint

Dive into the research topics of 'The Detrimental Impact of the COVID-19 Pandemic on Major Trauma Outcomes in the Netherlands: A Comprehensive Nationwide Study'. Together they form a unique fingerprint.

Cite this