Title

Violent Trauma as an Indirect Impact of the COVID-19 Pandemic: A Systematic Review of Hospital Reported Trauma

Document Type

Article

Publication Date

11-1-2021

Publication Title

American Journal of Surgery

Abstract

Introduction: The COVID-19 pandemic has exacerbated many social conditions associated with violence. The objective of this systematic review was to examine trends in hospital reported violent trauma associated with the pandemic. Methods: Databases were searched in using terms “trauma” or “violence” and “COVID-19,” yielding 4,473 records (2,194 de-duplicated). Exclusion criteria included non-hospital based studies and studies not reporting on violent trauma. 44 studies were included in the final review. Results: Most studies reported no change in violent trauma incidence. Studies predominately assessed trends with violent trauma as a proportion of all trauma. All studies demonstrating an increase in violent trauma were located in the United States. Conclusions: A disproportionate rise in violence has been reported within the US. However, most studies examined violent trauma as a proportion of all trauma; results may reflect relative changes from lockdowns. Future studies should examine rates of violent trauma to provide additional context.

First Page

922

Last Page

932

DOI

10.1016/j.amjsurg.2021.05.004

Publisher

Elsevier

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