Trauma patients with COVID-19 face increased risk of complications and death

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PHILADELPHIA CREAM- In addition to disgusting and killing millions of people around the world, COVID-19 complicated patient care in a variety of less direct ways, ranging from increased incidence of heart attacks at decrease in cancer screenings. The virus has also increased the risk of complications and death in trauma patients who suffered injuries from car crashes, falls or other accidents, or who suffered violent injuries such as gunshots and stab wounds, according to new research from the University’s Perelman School of Medicine. from Pennsylvania, recently published in The Journal of Acute Trauma and Surgery.

The results reveal that patients at trauma centers in the state of Pennsylvania who also tested positive for COVID-19 had a six times higher risk of death than patients with similar injuries without COVID. COVID-positive patients have also been shown to double the likelihood of complications such as venous thromboembolism, kidney failure, the need for intubation and unplanned admission to intensive care, as well as more than five times the likelihood of pulmonary complications. These risks were even greater in patients over 65 years of age.

“COVID-19 had the greatest impact on patients whose injuries were relatively minor, and whom we otherwise would have expected to do well,“said the main author Elinore Kaufman, MD, MSHP, Assistant Professor in the Division of Trauma, Surgical Critical Care and Emergency Surgery at Penn Medicine. “Our results underscore how important it is for hospitals to systematically test admitted patients, so providers can be aware of this additional risk and treat patients with more care and vigilance. “

Researchers conducted a retrospective study of 15,550 patients admitted to trauma centers in Pennsylvania from March 21, 2020 (when Governor Tom Wolf ordered the shutdown of non-essential businesses statewide) through July 31, 2020. On of the 15,550 patients, 8,170 tested for the virus, and 219 tested positive. During this period, the researchers assessed the length of stay, complications, and overall results of patients who tested positive for COVID, compared to patients who did not have the virus. They found that testing rates increased over time, from 34% in April 2020 to 56% in July. However, testing rates varied considerably from center to center, with a median of 56.2% and a range of 0% to 96.4%.

“First of all, we need to study how best to treat these high-risk patients and establish standard protocols to minimize the risks,” said the lead author. Niels D. Martin, MD, head of surgical intensive care and associate professor in the division of trauma, surgical intensive care and emergency surgery. “Second, we need more data on the risks associated with patients who show symptoms of COVID, compared to those who are asymptomatic, so that we can administer proven treatments appropriately and increase the odds of survival with one. minimum of complications. “

Penn Medicine is one of the world’s leading academic medical centers, dedicated to the related missions of medical education, biomedical research and excellence in patient care. Penn Medicine consists of Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania (founded in 1765 as the country’s first medical school) and the University of Pennsylvania Health System, which together form an $ 8.9 billion company.

The Perelman School of Medicine has been ranked among the top medical schools in the United States for more than 20 years, according to the US News & World Report’s survey of research-driven medical schools. The school is consistently among the top recipients of funding from the National Institutes of Health, with $ 496 million awarded in fiscal 2020.

Patient care facilities in the University of Pennsylvania Health System include: University of Pennsylvania Hospital and Penn Presbyterian Medical Center, recognized as one of the nation’s top hospitals by US News & World Report: Chester County Hospital; Lancaster General Health; Penn Medicine Princeton Health; and Pennsylvania Hospital, the country’s first hospital, founded in 1751. Other facilities and businesses include Good Shepherd Penn Partners, Penn Medicine at Home, Lancaster Behavioral Health Hospital, and Princeton House Behavioral Health, among others.

Penn Medicine is fueled by a talented and dedicated workforce of over 44,000 people. The organization has also forged alliances with top community health systems in southeastern Pennsylvania and southern New Jersey, creating more options for patients no matter where they live.

Penn Medicine is committed to improving lives and health through a variety of community programs and activities. In fiscal 2020, Penn Medicine provided over $ 563 million to benefit our community.


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