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Table 1 Demographic data of patients transported to the three hubs

From: Impact of the COVID-19 outbreak on severe trauma trends and healthcare system reassessment in Lombardia, Italy: an analysis from the regional trauma registry

 

COVID-19

no COVID-19

P value

Total trauma transported by EMS

744

1150

 

Total transported to the hubs [n (%)]

345 (46.4)

325 (28.3)

0.001*

Male [n (%)]

262 (75.9)

248 (76.3)

0.92

Age [median (IQR)]

48

(34-64)

43.0

(27-62)

0.017*

Penetrating [n (%)]

32 (9.3)

17 (5.2)

0.063

Triage code 1 [n (%)]

103 (29.9)

111 (34.2)

0.267

Triage code 2 [n (%)]

235 (68.1)

201 (61.8)

0.105

Triage code 3[n (%)]

7 (2.0)

13 (4.0)

0.204

Admitted [n (%)]

266 (77.1)

237 (72.9)

0.32

ISS (of admitted pts)

[median (IQR)]

13

8-21.75

14

8-25

0.44

ISS < 16 [n (%)]

150 (56.4)

131 (55.3)

0.871

ISS 16-24 [n (%)]

61 (22.9)

46 (19.4)

0.393

ISS > 24 [n (%)]

55 (20.7)

60 (25.3)

0.258

Helicopter ALS with doctor [n (%)]

100 (29)

71 (21.8)

0.042*

Ground ALS with nurse [n (%)]

20 (5.8)

25 (7.7)

0.409

Ground ALS with doctor [n (%)]

136 (39.4)

155 (47.7)

0.037*

Ground BLS with paramedic [n (%)]

80 (23.2)

64 (19.7)

0.314

Transfer from other Hospital [n (%)]

9 (2.6)

10 (3.1)

0.895

AIS ≥ 3 head and neck [n (%)]

99 (37.2)

92 (34.6)

0.782

AIS ≥ 3 chest [n (%)]

103 (38.7)

88 (33.1)

0.783

AIS ≥ 3 abdomen [n (%)]

62 (23.3)

48 (18)

0.472

AIS ≥ 3 skeletal [n (%)]

106 (39.8)

95 (35.7)

1.000

ICU admission [n (%)]

92 (34.6)

98 (41.4)

0.142

Surgery < 24 h (%)

35 (13.2)

33 (13.9)

0.904

Died on ED [n (%)]

5 (1.9)

1 (0.4)

0.275

Died in the hospital [n (%)]

18 (6.8)

19 (8)

0.715

TRISS expected hospital mortality (%)

9.9

11.5

0.901

Observed hospital mortality (%)

6.8

8

0.634

Delta between observed and expected hospital mortality

−3.1

−3.5

1.000

  1. *: ≤ 0.05
  2. EMS emergency medical system, ISS injury severity score, AIS abbreviated injury scale, ED emergency department, ALS advanced life support, BLS basic life support, TRISS trauma and injury score