@article{ref1,
title="How did the COVID-19 pandemic affect trends in facial trauma?",
journal="Craniomaxillofacial trauma and reconstruction",
year="2022",
author="Stanisce, Luke and Fisher, Alec H. and Choi, Bo Young and Newman, Andrew and Wang, Ju Lin and Koshkareva, Yekaterina",
volume="15",
number="2",
pages="132-138",
abstract="STUDY DESIGN: Retrospective cohort analysis. <br><br>OBJECTIVE: To examine the impact the COVID-19 pandemic and its accompanying societal measures had on the incidence, characteristics, and management of maxillofacial traumatic injuries. <br><br>METHODS: This cohort analysis compared facial trauma injuries presenting to the highest-volume Level I Trauma Center in New Jersey, USA from January 1 to July 31 in 2020 and 2019. Differences in demographics, mechanisms, and interventions were compared between the pandemic period (March 16-July 31, 2020) and the equivalent pre-pandemic date period in 2019 using X (2), Fishers Exact, and Mann-Whitney U testing. <br><br>RESULTS: In total, 616 subjects were included. The daily incidence of facial trauma consults during the 2020 pandemic (1.81 ± 1.1) decreased compared to 2019 (2.15 ± 1.3) (p = 0.042). During the outbreak, there was an increase in the proportion of subjects with positive urine drug screens (21.5% vs. 12.2%; p = 0.011) and injuries related to domestic violence (10.2% vs. 4.5%; p = 0.023). Patients were 30% less likely to be transferred from local hospitals (RR, 0.70 [0.53-0.93]; p = 0.014). Although subjects had a 25% increased risk of presenting with injuries deemed procedural (RR, 1.25 [95% CI, 1.05-1.56]; p = 0.048), a greater proportion were discharged with operative procedures scheduled as outpatients (16.0% vs. 4.9%; p = 0.005). <br><br>CONCLUSIONS: The COVID-19 pandemic has impacted both the epidemiology and management of maxillofacial traumatic injuries, perhaps secondary to modifications in personal and community behaviors or the effects on healthcare systems in our region.<p /> <p>Language: en</p>",
language="en",
issn="1943-3875",
doi="10.1177/19433875211022574",
url="http://dx.doi.org/10.1177/19433875211022574"
}