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The effect of lockdown on intentional and nonintentional injury during the COVID-19 pandemic in Cape Town, South Africa: A preliminary report.
S Afr Med J. 2020 12 14; 0(0):13183.SA

Abstract

BACKGROUND

In response to the coronavirus pandemic, lockdown restrictions and a ban on alcohol sales were introduced in South Africa. Objectives. To investigate the impact of lockdown measures on the number of patients who visited a tertiary urban trauma centre. Methods. The period of investigation was from 1 February to 30 June 2020 and was segmented into three intervals: pre-lockdown (February and March 2020), hard lockdown (April and May 2020) and immediately post lockdown (June 2020). The electronic HECTIS health record registry was interrogated for the total number of patients that were seen per month. These were further categorised according to mechanism of injury (stab, gunshot, blunt assault and road traffic injuries). Penetrating (stab and gunshot) and blunt assault victims were collectively grouped as violent trauma. Results. The mean total number of patients seen decreased by 53% during the hard lockdown period. There was a moderate reduction (15%) in patients with gunshot injuries seen during the hard lockdown phase, but there was an 80% increase in the post-lockdown period. The proportion of patients injured in road traffic collisions pre lockdown, hard lockdown and immediate post lockdown was 16.4%, 8.9% and 11.1%, respectively. Patients injured in road traffic collisions decreased by 74% during the hard lockdown period and maintained a reduction of 32% during the immediate post-lockdown period. The mean total number of patients who visited the trauma unit returned to pre-lockdown levels in June. Conclusions. There was an overall trend of reduced number of patients who visited the trauma unit during the hard lockdown period; however, these numbers returned to pre-lockdown levels during the immediate post-lockdown period. The number of road traffic injury admissions remained reduced during all three phases of lockdown, while the number of gunshot victims increased substantially during the post-lockdown period.

Authors+Show Affiliations

Trauma Centre, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa; Trauma Advocacy Group, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa. pradeep.navsaria@uct.ac.za.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33334392

Citation

Navsaria, P H., et al. "The Effect of Lockdown On Intentional and Nonintentional Injury During the COVID-19 Pandemic in Cape Town, South Africa: a Preliminary Report." South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, vol. 0, no. 0, 2020, p. 13183.
Navsaria PH, Nicol AJ, Parry CDH, et al. The effect of lockdown on intentional and nonintentional injury during the COVID-19 pandemic in Cape Town, South Africa: A preliminary report. S Afr Med J. 2020;0(0):13183.
Navsaria, P. H., Nicol, A. J., Parry, C. D. H., Matzopoulos, R., Maqungo, S., & Gaudin, R. (2020). The effect of lockdown on intentional and nonintentional injury during the COVID-19 pandemic in Cape Town, South Africa: A preliminary report. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 0(0), 13183.
Navsaria PH, et al. The Effect of Lockdown On Intentional and Nonintentional Injury During the COVID-19 Pandemic in Cape Town, South Africa: a Preliminary Report. S Afr Med J. 2020 12 14;0(0):13183. PubMed PMID: 33334392.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of lockdown on intentional and nonintentional injury during the COVID-19 pandemic in Cape Town, South Africa: A preliminary report. AU - Navsaria,P H, AU - Nicol,A J, AU - Parry,C D H, AU - Matzopoulos,R, AU - Maqungo,S, AU - Gaudin,R, Y1 - 2020/12/14/ PY - 2020/12/14/received PY - 2020/12/14/accepted PY - 2020/12/18/entrez PY - 2020/12/19/pubmed PY - 2020/12/29/medline SP - 13183 EP - 13183 JF - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JO - S Afr Med J VL - 0 IS - 0 N2 - BACKGROUND: In response to the coronavirus pandemic, lockdown restrictions and a ban on alcohol sales were introduced in South Africa. Objectives. To investigate the impact of lockdown measures on the number of patients who visited a tertiary urban trauma centre. Methods. The period of investigation was from 1 February to 30 June 2020 and was segmented into three intervals: pre-lockdown (February and March 2020), hard lockdown (April and May 2020) and immediately post lockdown (June 2020). The electronic HECTIS health record registry was interrogated for the total number of patients that were seen per month. These were further categorised according to mechanism of injury (stab, gunshot, blunt assault and road traffic injuries). Penetrating (stab and gunshot) and blunt assault victims were collectively grouped as violent trauma. Results. The mean total number of patients seen decreased by 53% during the hard lockdown period. There was a moderate reduction (15%) in patients with gunshot injuries seen during the hard lockdown phase, but there was an 80% increase in the post-lockdown period. The proportion of patients injured in road traffic collisions pre lockdown, hard lockdown and immediate post lockdown was 16.4%, 8.9% and 11.1%, respectively. Patients injured in road traffic collisions decreased by 74% during the hard lockdown period and maintained a reduction of 32% during the immediate post-lockdown period. The mean total number of patients who visited the trauma unit returned to pre-lockdown levels in June. Conclusions. There was an overall trend of reduced number of patients who visited the trauma unit during the hard lockdown period; however, these numbers returned to pre-lockdown levels during the immediate post-lockdown period. The number of road traffic injury admissions remained reduced during all three phases of lockdown, while the number of gunshot victims increased substantially during the post-lockdown period. SN - 2078-5135 UR - https://www.unboundmedicine.com/medline/citation/33334392/The_effect_of_lockdown_on_intentional_and_nonintentional_injury_during_the_COVID_19_pandemic_in_Cape_Town_South_Africa:_A_preliminary_report_ L2 - http://www.samj.org.za/index.php/samj/article/view/13183 DB - PRIME DP - Unbound Medicine ER -