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Trauma 2021

Olga L. Bednarek, Mike O’Leary,Sean Hurley,Caleb Cummings,R. Bird, Sidney Frattini,Stacey McEachern,Susan Benjamin, Asha Pereira,William Brigode,A. MacLean,Lynne Moore,Amy Makish, Joanne Sadler,Samantha Albacete,Hayley Forbes,S. Grzelak,Rachel Strauss,Yashita Upadhyaya,Vivian Leung,Joseph Tropiano,Marcus Moore,Jennifer Greene,Judah Goldstein,E. Schmitz,Ioana Bratu, Abdulrahman Saleh Alballa,P. Dawe,Judi Malone,A. Javidan, Leah Allen,R. M. Curtis,Karen Ssebazza,M. Schellenberg,J. Lampron,Brandy Tanenbaum,Allison Chisholm,J. Ringuette,Ian Watson,Daniel Shi,Avneesh Bhangu,B. Moffat,Deanna Fong,Simon Farquharson, Sadiq Al Khaboori, Agathe Lorthios-Guilledroit,C. Côté,John McPherson,Alexandre Tran,M. Guttman,Matthew Yeung,Renée-Anne Poirier,M. Siddiqi,Teresa Evans,Keren Guiab,Nori Bradley,Cara G. Elliott,Adam Power,Andrew W. Kirkpatrick, Alex Merkle,S. Jessula,Samuel Minor,Jason Emsley, C. Sameoto,Eleanor Fitzpatrick,Mete Erdogan,Robert Green,A. Sibley,Trevor Jain,B. Nicholson,H. Stryhn,C. Karsli,R. Stuhler,Elaine Ng,A. Coates,Paul Engels,Akke Neel Talsma,Michelle Lobchuk,Vipavee Thongpriwan,Shawn Cahill,Justin Mis, F. Starr,F. Bokhari,A. Ladak,Ryan Snelgrove,Haili Wang,Hollie Power,Laura Allen,R. Leeper,Neil Parry,Ian Ball,K. Vogt,Danielle Rawls,Geoff Ramler, Ellie Andres,Nasira Lakha,Angie Brisson,Jennah Merchant,S. Widder,M. Bérubé,M. Gagnon,S. Pelet,Etienne L Belzile,Amie T Kron,J. Callum,C. Armali,Dimpy Modi,L. Notario,Pablo Perez,B. Tillmann,Dylan Pannell,A. Beckett,H. Tien,A. Nathens,L. D. da Luz,Laure Perrier,Isabella Menchetti,E. Blondal,Henry Peng,Wendy Sullivan-Kwantes,Neal Irfan,T. Razek,Ann Wilson,Derek Goltz,Sonshire Figueira,Heather Knight,Dana V. Devine,Craig Jenkins,Judah Goldstien,Yves Leroux, Jen McVey,Ryan Brown,J. Swain,Alix Carter,D. Fidgen, Suzanne Baker, Francine Butts, Scott McCulloch,Izabella Opra,Jan Jensen,Andrew Travers,Pantelis Andreou,Marie Earl,Grace Warner,Mojgan Rezaaifar, Doug Wilkins,Krista Lai, Aleena Amjad Hafeez,Scott Goldberg,E. Abahuje,C. Pozner,Steven Yule,Sarah Parker,Roger Dias,Richard Simons,É. Joos, Victoria Vogt Haines, Jacqueline Linder,Andrew Cameron,Graham Cleghorn,Tim Chaplin,F. Priestap,A. Mujoomdar,Stewart Kribs,Crystal Kearley, Joshua LeBlanc,Natthida Owattanapanich,J. Getrajdman, K. Matsushima,L. Lam,Kenji Inaba,D. Eagles,Lara Khoury,M. Nemnom,Joy Moors,D. Kriellaars,Drew Mitchell,Lisa Totton,Leisa Ouelett,Janet Vautour,T. Pishe,Christie McLaren,Chris Evans,W. Thomas-Boaz,C. Freedman,Christine Li,Cathy Yoshy,Daniele Wiseman,Randi Mao, Eva Yiguan Liu,Lucy Lan,Takhliq Amir, Jimmy Yan,Kevin Singh,A. Allard-Coutu,M. Hameed,N. Garraway,George Isac,Hussein D Kanji,Gordon Finlayson,G. Tansley,Alex Lee,C. Gonthier,Amina Belcaïd,Marie-France Duranceau,C. Truchon,F. Lauzier,Gregory Berry,Lorraine Tremblay,Marc Martel,Gabrielle Pagé,A. Pinard, David Evans,Kadija Perreault,Caroline Sirois,Alexis F. Turgeon,Max Talbot,Christopher Kennedy,Rich Hilsden,G. Slobogean,Tyler Lamb,M. Matar,Shannon M. Fernando,Jeffrey Perry,Christian Vaillancourt,Justin Nathens,Andrea Phillips,Barbara Haas,Brent Hage,N. Yanchar,James McKay,Francesca Bryan,Asma Qureshi,G. Saadat,Andrew Khalifa,M. Kaminsky,Aly,Andrew Roberts,Matt Kaminsky, Jasmine Zahid,T. Messer, Robyn Keen,Kyla Hoogers,Martin Johnston,Kristen Morch,Lauren Scott, Ni Lam,Asha Parekh,Corey Tomlinson,Nigel Donley,Jessica L. Mckee,Juan Wachs,Mike Kay,Seth Holland

Canadian journal of surgery(2021)

Cited 0|Views41
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Abstract
Background: The COVID-19 pandemic has been linked to increased mental health issues and interpersonal violence. Both psychiatric diagnoses and young males are overrepresented in the trauma population. Our objective was to characterize injury characteristics and their relationship to psychiatric diagnoses after the COVID-19 lockdown at a trauma centre in Edmonton, Alberta. Specifically, we queried relationships between gender, age, length of stay and intentionally violent injuries, and we reviewed access to inpatient and outpatient mental health and addiction resources. Method(s): We performed a retrospective chart audit for trauma patients aged 18-64 years admitted to the University of Alberta Hospital Trauma Service from June 1 to Aug. 31, 2020. Variables included demographics, injury characteristics, psychiatric history, substance use disorder history and presence of psychiatry and addictions consultations. Treatment plans and follow-up were assessed. Frequencies and basic descriptives were calculated. Univariate analyses were performed to identify relationships between psychiatric or addiction diagnosis (or both) and injury patterns. Result(s): A total of 176 patients met the inclusion criteria. Patients were young (mean age 39.7 yr) and male (73%), and blunt injury was most common (82%). Sixty-three patients (36%) had a psychiatric (29 patients) or addiction (59 patients) history. Twenty-eight patients (15%) received consults to the psychiatry service. At discharge, follow-up included mental health team (10 patients, 36%), family physician (2 patients, 7%) or self-referral resources (8 patients, 29%). Eight patients were not provided follow-up. Fifty-nine patients (34%) had 1 or more addictions history. Nineteen patients (32%) received consultations to psychiatry (18 patients) or addictions (1 patient). Otherwise, 6 patients (10%) were provided community resources at tertiary survey, 6 patients (10%) declined offered resources and 6 patients (10%) had traumatic brain injury (addiction resources deferred). Twenty-five patients (42%) either were not offered resources or documentation was unclear. On univariate analysis of patients with psychiatry consult, age was similar, but females were more likely to be represented (42% v. 24%, p = 0.06). Average length of stay was 17 days versus 9.7 days (p = 0.05). Having a psychiatric consultation or addictions history (or both) was associated with a violent mechanism of injury (35% v. 18%, p < 0.02). Conclusion(s): Over one-third of trauma patients aged 18-64 years had a psychiatric or addiction history (or both) and were significantly more likely to have a violent injury mechanism. Psychiatric consultation was common, more so in female patients, and linked to increased length of stay. Community follow-up was suboptimal, especially for patients with addiction history. Resource access and provision must be optimized to improve care, reduce recidivism and target interpersonal violence during this time of increased individual and system stress..
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