Presentation, clinical course and complications in trauma patients with concomitant COVID-19 infection

C. H. Meyer, A. Grant, Richard Sola, K. Gills, Ariana N. Mora, B. M. Tracy, V. J. Muralidharan, D. Koganti, S. R. Todd, C. Butler, J. Nguyen, S. Hurst, K. Udobi, J. Sciarretta, K. Williams, M. Davis, C. Dente, E. Benjamin, P. Ayoung-Chee, R. N. Smith*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background: This study investigated the impact of COVID-19 infection on hospitalized trauma patients. Methods: A retrospective review of hospitalized trauma patients at a level I trauma center was performed from March–December 2020. Data pertaining to patient demographics, presentation and hospital course was compared between COVID positive and negative trauma patients. Results: There were 4,912 patients and 179 (3.64%) were COVID-19 positive. Demographics and clinical presentation did not differ significantly between those with and without concomitant COVID-19. However, COVID positive trauma patients had higher rates of acute kidney injury (p = 0.016), sepsis (p = 0.016), unplanned intubation (p = 0.002) and unplanned return to the ICU (p = 0.01). The COVID positive cohort also had longer hospital stays (p < 0.01) with no significant difference in mortality. Conclusions: In the setting of an ongoing pandemic, awareness of the complications COVID positive trauma patients are predisposed to is important for providers.

Original languageEnglish
Pages (from-to)607-611
Number of pages5
JournalAmerican Journal of Surgery
Volume224
Issue number1
DOIs
StatePublished - Jul 2022
Externally publishedYes

Keywords

  • COVID pandemic
  • COVID-19
  • Surgical critical care
  • Trauma
  • Trauma surgery

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