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

doi:10.1016/j.amjsurg.2022.03.040

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

Surgery

Research output: Contribution to journal › Article › peer-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 language	English
Pages (from-to)	607-611
Number of pages	5
Journal	American Journal of Surgery
Volume	224
Issue number	1
DOIs	https://doi.org/10.1016/j.amjsurg.2022.03.040
State	Published - Jul 2022

Keywords

COVID pandemic
COVID-19
Surgical critical care
Trauma
Trauma surgery

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Meyer, C. H., Grant, A., Sola, R., Gills, K., Mora, A. N., Tracy, B. M., Muralidharan, V. J., Koganti, D., Todd, S. R., Butler, C., Nguyen, J., Hurst, S., Udobi, K., Sciarretta, J., Williams, K., Davis, M., Dente, C., Benjamin, E., Ayoung-Chee, P., & Smith, R. N. (2022). Presentation, clinical course and complications in trauma patients with concomitant COVID-19 infection. American Journal of Surgery, 224(1), 607-611. https://doi.org/10.1016/j.amjsurg.2022.03.040

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

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.",

keywords = "COVID pandemic, COVID-19, Surgical critical care, Trauma, Trauma surgery",

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

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year = "2022",

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doi = "10.1016/j.amjsurg.2022.03.040",

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Meyer, CH, Grant, A, Sola, R, Gills, K, Mora, AN, Tracy, BM, Muralidharan, VJ, Koganti, D, Todd, SR, Butler, C, Nguyen, J, Hurst, S, Udobi, K, Sciarretta, J, Williams, K, Davis, M, Dente, C, Benjamin, E, Ayoung-Chee, P & Smith, RN 2022, 'Presentation, clinical course and complications in trauma patients with concomitant COVID-19 infection', American Journal of Surgery, vol. 224, no. 1, pp. 607-611. https://doi.org/10.1016/j.amjsurg.2022.03.040

TY - JOUR

T1 - Presentation, clinical course and complications in trauma patients with concomitant COVID-19 infection

AU - Meyer, C. H.

AU - Grant, A.

AU - Sola, Richard

AU - Gills, K.

AU - Mora, Ariana N.

AU - Tracy, B. M.

AU - Muralidharan, V. J.

AU - Koganti, D.

AU - Todd, S. R.

AU - Butler, C.

AU - Nguyen, J.

AU - Hurst, S.

AU - Udobi, K.

AU - Sciarretta, J.

AU - Williams, K.

AU - Davis, M.

AU - Dente, C.

AU - Benjamin, E.

AU - Ayoung-Chee, P.

AU - Smith, R. N.

PY - 2022/7

Y1 - 2022/7

N2 - 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.

AB - 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.

KW - COVID pandemic

KW - COVID-19

KW - Surgical critical care

KW - Trauma

KW - Trauma surgery

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DO - 10.1016/j.amjsurg.2022.03.040

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C2 - 35534294

AN - SCOPUS:85129758005

SN - 0002-9610

VL - 224

SP - 607

EP - 611

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 1

ER -

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

Abstract

Keywords

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