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DOI: 10.1055/s-0042-1744243
Effect of Lockdown on Neurosurgery Trauma Patients in a Tertiary Care Hospital in India
Abstract
Background With an increasing number of cases of COVID-19 disease, the Indian government announced a complete lockdown on March 24, 2020, and the country remained under complete lockdown in April 2020. After ramping up health infrastructure and although cases were on the rise, the lockdown was ordered to gradually lift in May 2020.
Methodology It was a retrospective cross-sectional study of all patients admitted to our medical college trauma center in April 2020 and who were compared with April 2019. We studied the prevalence and outcome of road traffic accidents (RTA), assault, and fall from height (FFH) victims admitted to our trauma center. Data were collected using an Excel sheet, and statistical analysis was done using the latest available SSPS software.
Results Our study groups included 124 trauma patients from April 2020 as compared with 322 trauma patients from April 2019. The intense lockdown resulted in a decrease in the number of RTA (−72%), FFH (–29%), and assault patients (–7%). There was no statistically significant change in patients' care and management at our center in terms of mortality and morbidity. No Covid-19-positive neurosurgery trauma patients were admitted in April 2020 to our center.
Conclusion During the stringent lockdown period of April 2020, there was a significant decrease in the number of trauma victims, especially RTAs. The intense lockdown resulted in a significant decrease in the proportion of trauma victims under the influence of alcohol, head injuries, fractures, and dislocations along with a decrease in the number of cases of assaults and FFH as compared with the unlock period.
Publication History
Article published online:
27 September 2022
© 2022. Neurological Surgeons' Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 CNN HR Esha Mitra and Swati Gupta. India places millions under lockdown to fight coronavirus. CNN; . Accessed May 22, 2021. https://www.cnn.com/2020/03/23/asia/coronavirus-covid-19-update-india-intl-hnk/index.html
- 2 Hebbar N. PM Modi announces 21-day lockdown as COVID-19 toll touches 12. The Hindu. https://www.thehindu.com/news/national/pm-announces-21-day-lockdown-as-covid-19-toll-touches-10/article31156691.ece . Published March 24, 2020. Accessed May 22, 2021
- 3 Gettleman J, Schultz K. Modi Orders 3-Week Total Lockdown for All 1.3 Billion Indians. The New York Times. https://www.nytimes.com/2020/03/24/world/asia/india-coronavirus-lockdown.html . Published March 24, 2020. Accessed May 22, 2021
- 4 Road accidents in India: This is what makes Indian roads deadliest - Times of India. The Times of India. . Accessed May 22, 2021. https://timesofindia.indiatimes.com/india/this-is-what-makes-indian-roads-deadliest/articleshow/78870630.cms
- 5 Lockdown in India. Lockdown cuts road deaths by 62% | India News - Times of India. . Accessed May 24, 2021. https://timesofindia.indiatimes.com/india/covid-lockdown-saved-nearly-9000-lives-26000-injuries-on-roads/articleshow/76637367.cms
- 6 Harne NM, Maraskolhe DS, Pandhare ML, Rathod BT. Lockdown versus epidemiology of orthopedic injuries: our experience at tertiary care center in Central India. International Journal of Contemporary Medical Research 2020; 7 (11) K1-K3
- 7 UK road travel falls to 1955 levels as Covid-19 lockdown takes hold | Transport | The Guardian. Accessed May 24, 2021. https://www.theguardian.com/uk-news/2020/apr/03/uk-road-travel-falls-to-1955-levels-as-covid-19-lockdown-takes-hold-coronavirus-traffic
- 8 Christey G, Amey J, Campbell A, Smith A. 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. N Z Med J 2020; 133 (1513): 81-88
- 9 Hernigou J, Morel X, Callewier A, Bath O, Hernigou P. Staying home during “COVID-19” decreased fractures, but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the “tsunami of recommendations” could not lockdown twelve elective operations. Int Orthop 2020; 44 (08) 1473-1480\
- 10 Jacob S, Mwagiru D, Thakur I, Moghadam A, Oh T, Hsu J. Impact of societal restrictions and lockdown on trauma admissions during the COVID-19 pandemic: a single-centre cross-sectional observational study. ANZ J Surg 2020; 90 (11) 2227-2231 DOI: 10.1111/ans.16307.
- 11 Hatchimonji JS, Swendiman RA, Seamon MJ, Nance ML. Trauma does not quarantine: violence during the COVID-19 pandemic. Ann Surg 2020; 272 (02) e53-e54
- 12 Lockdown is the world's biggest psychological experiment - and we will pay the price. World Economic Forum. . Accessed May 24, 2021. https://www.weforum.org/agenda/2020/04/this-is-the-psychological-side-of-the-covid-19-pandemic-that-were-ignoring/
- 13 Brooks SK, Webster RK, Smith LE. et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020; 395 (10227): 912-920