Increased proportion of alcohol-related trauma in a South London major trauma centre during lockdown:A cohort study

作     者：Oliver S.Brown Toby O.Smith Andrew J.Gaukroger Prodromos Tsinaslanidis Caroline B.Hing Oliver S. Brown;Toby O. Smith;Andrew J. Gaukroger;Prodromos Tsinaslanidis;Caroline B. Hing

作者机构：St George's University Hospitals NHS Foundation TrustLondonUnited Kingdom Faculty of Medicine and Health SciencesUniversity of East AngliaNonwvichUnited Kingdom 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2022年第25卷第5期

页      面：277-282页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：Trauma Alcohol Lockdown COVID-19 Major trauma centre 

摘      要：Purpose:Alcohol has been associated with 10%—35%trauma admissions and 40%trauma-related deaths globally.In response to the COVID-19 pandemic,the United Kingdom entered a state oflockdownon March 23,2020.Restrictions were most significantly eased on June 1,2020,when shops and schools re-opened.The purpose of this study was to quantify the effect of lockdown on alcohol-related trauma admissions.Methods:All adult patients admitted astrauma callsto a London major trauma centre during April 2018 and April 2019(pre-lockdown,n=316),and 1st April—31st May 2020(lockdown,n=191)had electronic patient records analysed retrospectively.Patients’blood alcohol level and records of intoxication were used to identify alcohol-related trauma.Trauma admissions from pre-lockdown and lockdown cohorts were compared using multiple regression analyses.Results:Alcohol-related trauma was present in a significantly higher proportion of adult trauma calls during lockdown(lockdown 60/191(31.4%),vs.pre-lockdown 62/316(19.6%);(odds ratio(OR):0.83,95%CI:0.38—1.28,p0.05).Conclusions:The United Kingdom lockdown was independently associated with an increased proportion of alcohol-related trauma.Trauma admissions were increased during the weekend when staffing levels are reduced.With the possibility of further globalwavesof COVID-19,the long-term repercussions of dangerous alcohol-related behaviour to public health must be addressed.