INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY

Oliver Brown; Andrew Gaukroger; Toby Smith; Prodromos Tsinaslanidis; Caroline Hing

doi:10.1302/1358-992X.2022.1.026

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General Orthopaedics

INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY

The British Indian Orthopaedic Society (BIOS) Annual Scientific Meeting, Cardiff, Wales, 2–3 July 2021.

Oliver Brown
Andrew Gaukroger
Toby Smith
Prodromos Tsinaslanidis
Caroline Hing

INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY

Brown O, Gaukroger A, Smith T, Tsinaslanidis P, Hing C. INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY. Orthop Procs. 2022;104-B(SUPP_1):26-26. doi:10.1302/1358-992X.2022.1.026

Brown, Oliver, et al. “INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY.” Orthopaedic Proceedings, vol. 104-B, no. SUPP_1, 2022, pp. 26-26., https://doi.org/10.1302/1358-992X.2022.1.026

Brown, O., Gaukroger, A., Smith, T., Tsinaslanidis, P., & Hing, C. (2022). INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY. Orthopaedic Proceedings, 104-B(SUPP_1), 26-26. https://doi.org/10.1302/1358-992X.2022.1.026

Brown, O., Gaukroger, A., Smith, T., Tsinaslanidis, P. and Hing, C. (2022) “INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY.” Orthopaedic Proceedings, 104-B(SUPP_1), pp. 26-26. Available at: https://doi.org/10.1302/1358-992X.2022.1.026

Brown, Oliver, Andrew Gaukroger, Toby Smith, Prodromos Tsinaslanidis, and Caroline Hing. “INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY.” Orthopaedic Proceedings 104-B, no. SUPP_1 (2022): 26-26. https://doi.org/10.1302/1358-992X.2022.1.026

Brown O, Gaukroger A, Smith T, Tsinaslanidis P, Hing C. INCREASED PROPORTION OF ALCOHOL-RELATED TRAUMA IN A SOUTH LONDON MAJOR TRAUMA CENTRE DURING LOCKDOWN: A COHORT STUDY. Orthop Procs. 2022 Jan 1;104-B(SUPP_1):26-26. https://doi.org/10.1302/1358-992X.2022.1.026

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Abstract

Background

Alcohol has been associated with up to 40% trauma-related deaths globally. In response to the Covid-19 pandemic, the United Kingdom (UK) entered a state of ‘lockdown’ on 23^rd March 2020. Restrictions were most significantly eased on 1^st June 2020, when shops and schools re-opened. This study aimed to quantify the effect of lockdown on trauma admissions specifically regarding alcohol-related trauma.

Methods

All adult patients admitted as ‘trauma calls’ to a London Major Trauma Centre (MTC) during April 2018 and April 2019 (pre-lockdown; N=316), and 1^st April – 31^st May 2020 (lockdown; N=191) had electronic patient records (EPR) analysed. Patients’ blood alcohol level (BAC) combined with records of intoxication were used to identify alcohol-related trauma. Multiple regression analyses were performed to compare pre- and post-lockdown alcohol-related trauma admissions.

Results

Alcohol-related trauma was present in a significantly higher proportion of adult trauma calls during lockdown (lockdown 60/191 (31.4%), versus pre-lockdown 62/316 (19.6%); Odds Ratio (OR 0.83, 95% CI 0.38 to 1.28, p<0.001). Lockdown was also associated with increased weekend admissions of trauma (lockdown 125/191 weekend (65.5%) vs pre-lockdown 179/316 (56.7%); OR -0.40, 95% CI -0.79 to -0.02, p=0.041). No significant difference existed between the age, gender, or mechanism between pre-lockdown and lockdown cohorts (p>0.05).

Conclusion

UK lockdown was independently associated with an increased proportion of alcohol-related trauma. Furthermore, trauma admissions were increased during the weekend when staffing levels are reduced. With the possibility of multiple global ‘waves’ of Covid-19, the risk of long-term repercussions of dangerous alcohol-related behaviour must be addressed.