COVID-19 in Trauma Victim: A Tertiary Centre Cohort Study

Abstract

elective and emergency services continued based on guidelines by WHO and Government. Trauma is an emergent situation dealt with simultaneously during a lockdown in the country. The present study is a pioneer in trauma associated with COVID-19 disease, aiming to assess the scenario of COVID-19 in trauma patients and its influence on overall outcomes.
Material and Method It is a retrospective study conducted over 49 diagnosed COVID-19 patients by Real-Time Polymerase Chain Reaction (RTPCR) after obtaining nasal and oropharyngeal samples and admitted associated with injury and managed in trauma surgery with the collaboration of COVID-19 hospital. The clinical and biochemical parameters were recorded, and outcomes were analyzed.
Results After classification of patients into mild, moderate, and severe based on disease severity. Based on the type and severity of the trauma, each patient’s injury severity score and modified shock index were calculated and correlated with the severity of COVID presentation along with biochemical parameters such as Platelet count, absolute lymphocyte count, Liver function tests, and duration of hospitalization.
Severely diseased patients were found to have significant thrombocytopenia. 63% of patients had lymphopenia. A significant correlation was also found between abnormal liver function tests and the severity of COVID-19.
Conclusion The study is one of a kind in defining the association of biochemical parameters in trauma victims along with the pre diseased COVID-19 status. The outcome of these candidates depends upon the severity of the illness. If improperly managed could add to the morbidity and mortality, but they are good for a speedy recovery and do not have any chronic sequelae.