5
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Impact of the COVID-19 Pandemic on road traffic collision injury patterns and severity in Al-Ain City, United Arab Emirates

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          The COVID-19 Pandemic lockdowns restricted human and traffic mobility impacting the patterns and severity of road traffic collisions (RTCs) . We aimed to study the effects of the COVID-19 Pandemic on incidence, patterns, severity of the injury, and outcomes of hospitalized RTCs trauma patients in Al-Ain City, United Arab Emirates.

          Methods

          We compared the data of two cohorts of patients which were collected over two periods; the Pandemic period (28 March 2020 to 27 March 2021) and the pre-pandemic period (28 March 2019 to 27 March 2020). All RTCs trauma patients who were hospitalized in the two major trauma centers (Al-Ain and Tawam Hospitals) of Al-Ain City were studied.

          Results

          Overall, the incidence of hospitalized RTC trauma patients significantly reduced by 33.5% during the Pandemic compared with the pre-pandemic period. The mechanism of injury was significantly different between the two periods ( p < 0.0001, Fisher’s Exact test). MVCs were less during the Pandemic (60.5% compared with 72%), while motorcycle injuries were more (23.3% compared with 11.2%). The mortality of hospitalized RTC patients was significantly higher during the Pandemic (4.4% compared with 2.3%, p = 0.045, Fisher’s Exact test). Logistic regression showed that the significant factors that predicted mortality were the low GCS ( p < 0.0001), admission to the ICU ( p < 0.0001), and the high ISS ( p = 0.045). COVID-19 Pandemic had a very strong trend ( p = 0.058) for increased mortality.

          Conclusions

          Our study has shown that the numbers of hospitalized RTC trauma patients reduced by 33.5% during the COVID-19 Pandemic compared with the pre-pandemic period in our setting. This was attributed to the reduced motor vehicle, pedestrian and bicycle injuries while motorcycle injuries increased. Mortality was significantly higher during the Pandemic, which was attributed to increased ISS and reduced GCS.

          Related collections

          Most cited references19

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          A new coronavirus associated with human respiratory disease in China

          Emerging infectious diseases, such as severe acute respiratory syndrome (SARS) and Zika virus disease, present a major threat to public health 1–3 . Despite intense research efforts, how, when and where new diseases appear are still a source of considerable uncertainty. A severe respiratory disease was recently reported in Wuhan, Hubei province, China. As of 25 January 2020, at least 1,975 cases had been reported since the first patient was hospitalized on 12 December 2019. Epidemiological investigations have suggested that the outbreak was associated with a seafood market in Wuhan. Here we study a single patient who was a worker at the market and who was admitted to the Central Hospital of Wuhan on 26 December 2019 while experiencing a severe respiratory syndrome that included fever, dizziness and a cough. Metagenomic RNA sequencing 4 of a sample of bronchoalveolar lavage fluid from the patient identified a new RNA virus strain from the family Coronaviridae, which is designated here ‘WH-Human 1’ coronavirus (and has also been referred to as ‘2019-nCoV’). Phylogenetic analysis of the complete viral genome (29,903 nucleotides) revealed that the virus was most closely related (89.1% nucleotide similarity) to a group of SARS-like coronaviruses (genus Betacoronavirus, subgenus Sarbecovirus) that had previously been found in bats in China 5 . This outbreak highlights the ongoing ability of viral spill-over from animals to cause severe disease in humans.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand.

            The aims of this study were to describe the variation in volumes and types of injuries admitted to a level one trauma centre in New Zealand over two 14-day periods before and during the national level 4 lockdown for COVID-19; and highlight communities at risk of preventable injury that may impact negatively on hospital resources.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Common pitfalls in statistical analysis: Logistic regression

              Logistic regression analysis is a statistical technique to evaluate the relationship between various predictor variables (either categorical or continuous) and an outcome which is binary (dichotomous). In this article, we discuss logistic regression analysis and the limitations of this technique.
                Bookmark

                Author and article information

                Contributors
                201990037@uaue.ac.ae
                davidalao@uaeu.ac.ae
                m.grivna@uaeu.ac.ae
                fabuzidan@uaeu.ac.ae
                Journal
                World J Emerg Surg
                World J Emerg Surg
                World Journal of Emergency Surgery : WJES
                BioMed Central (London )
                1749-7922
                19 November 2021
                19 November 2021
                2021
                : 16
                : 57
                Affiliations
                [1 ]GRID grid.43519.3a, ISNI 0000 0001 2193 6666, Institute of Public Health, College of Medicine and Health Sciences, , UAE University, ; Al-Ain, United Arab Emirates
                [2 ]GRID grid.30820.39, ISNI 0000 0001 1539 8988, Department of Environmental Health and Behavioral Sciences, School of Public Health, College of Health Sciences, , Mekelle University, ; Mekelle, Ethiopia
                [3 ]GRID grid.43519.3a, ISNI 0000 0001 2193 6666, Department of Internal Medicine, College of Medicine and Health Sciences, , UAE University, ; Al-Ain, United Arab Emirates
                [4 ]GRID grid.416924.c, ISNI 0000 0004 1771 6937, Emergency Department, , Tawam Hospital, ; Al-Ain, United Arab Emirates
                [5 ]GRID grid.4491.8, ISNI 0000 0004 1937 116X, Department of Public Health and Preventive Medicine, Second Faculty of Medicine, , Charles University, ; Prague, Czech Republic
                [6 ]GRID grid.43519.3a, ISNI 0000 0001 2193 6666, Department of Surgery, College of Medicine and Health Sciences, , UAE University, ; Al-Ain, United Arab Emirates
                Author information
                http://orcid.org/0000-0003-0143-8568
                Article
                401
                10.1186/s13017-021-00401-z
                8602977
                34798873
                0a5ac327-c893-4377-8107-4d61e7839d65
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 13 September 2021
                : 2 November 2021
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2021

                Surgery
                covid-19,road traffic collision,road safety,injury,death,united arab emirates
                Surgery
                covid-19, road traffic collision, road safety, injury, death, united arab emirates

                Comments

                Comment on this article