Temporal changes in trauma according to alcohol sale restrictions during the South African national COVID-19 lockdown.
Alcohol
COVID-19
Injuries
Restrictions
Trauma
Journal
African journal of emergency medicine : Revue africaine de la medecine d'urgence
ISSN: 2211-4203
Titre abrégé: Afr J Emerg Med
Pays: Netherlands
ID NLM: 101572277
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
26
02
2021
revised:
26
07
2021
accepted:
15
08
2021
pubmed:
8
9
2021
medline:
8
9
2021
entrez:
7
9
2021
Statut:
ppublish
Résumé
The South African government enforced various alcohol sale restrictions during the COVID-19 lockdown in order to reduce hospital admissions related to alcohol-associated injuries. A cross-sectional study was performed to describe the temporal changes in trauma according to alcohol sale restrictions during the South African national COVID-19 lockdown. Data from all trauma-related patients presenting to the emergency centre of Mitchells Plain Hospital from 01/03/2020 till 29/9/2020 and corresponding periods during 2019 were exported from an existing database. The relationship between variables was determined with the χ Total number of trauma presentations were 539 (14.6%) less in 2020 (n = 3160) than in 2019 (n = 3699); the mean number decreased by 2.5 per day (95% CI -2.9 to -2.1). Lockdown levels with an alcohol ban had on average 4.8 less patients per day than corresponding periods in 2019 (p < 0.001). No significant difference was observed in lockdown levels with alcohol sale restrictions (mean difference per day -0.4, p = 0.195). Trauma presentations increased significantly (mean difference per day 7.0 (95% CI 6.5 to 7.5)) from 2020 lockdown levels with alcohol sales ban (mean per day 11.4) to 2020 lockdown levels with alcohol sale restrictions (mean per day 18.4). Significantly less patients (mean -3.2 (95% CI -3.9 to -2.5)) presented during 2020 lockdown level 3b (alcohol sales banned, mean 13.9) compared to level 3 (alcohol sales restricted, mean 17.1). Temporal changes in trauma were observed according to alcohol sale restrictions during South Africa's COVID-19 lockdown periods. Significantly less trauma cases presented during periods with an alcohol ban compared to periods where alcohol sales were only restricted.
Identifiants
pubmed: 34490069
doi: 10.1016/j.afjem.2021.08.001
pii: S2211-419X(21)00058-6
pmc: PMC8410509
doi:
Types de publication
Journal Article
Langues
eng
Pagination
477-482Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
J Am Coll Surg. 2006 Jun;202(6):919-27
pubmed: 16735206
J Stud Alcohol Drugs. 2011 Jan;72(1):34-43
pubmed: 21138709
J Emerg Med. 2010 Jan;38(1):12-7
pubmed: 18547772
J Stud Alcohol. 2003 May;64(3):358-66
pubmed: 12817824
Emerg Med Australas. 2017 Feb;29(1):96-100
pubmed: 27701848
J Trauma Manag Outcomes. 2016 Jan 21;10:2
pubmed: 26807145
Int J Environ Res Public Health. 2019 Apr 25;16(8):
pubmed: 31027255
Addict Behav. 2005 Jan;30(1):103-13
pubmed: 15561452
Alcohol. 2012 Nov;46(7):681-6
pubmed: 22819121
Drug Alcohol Rev. 2021 Jan;40(1):3-7
pubmed: 32835427
Lancet. 2020 Oct 17;396(10258):1204-1222
pubmed: 33069326
Lancet. 2009 Sep 19;374(9694):1011-1022
pubmed: 19709732
Inj Control Saf Promot. 2004 Dec;11(4):265-7
pubmed: 15903161
Addiction. 2006 Mar;101(3):393-403
pubmed: 16499512
Public Health Res Pract. 2016 Sep 30;26(4):
pubmed: 27714387
BMJ Paediatr Open. 2020 Sep 22;4(1):e000801
pubmed: 34192174
J Stud Alcohol. 2000 Mar;61(2):311-9
pubmed: 10757142
S Afr Med J. 2020 Oct 12;110(11):1113-1118
pubmed: 33403989
Afr J Emerg Med. 2020 Dec;10(4):193-196
pubmed: 32837876
Injury. 2019 Dec;50(12):2220-2227
pubmed: 31653499
Injury. 2019 Jan;50(1):33-38
pubmed: 30245280
Addiction. 2005 Jun;100(6):767-76
pubmed: 15918807
Addiction. 2019 Mar;114(3):462-470
pubmed: 30347115
Drug Alcohol Depend. 2011 Nov 1;118(2-3):209-15
pubmed: 21515005
Med J Aust. 2015 Nov 2;203(9):366
pubmed: 26510806