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Analysis of Penetrating Neck Injuries (PNIs) at a South London Trauma Centre before and after the first national lockdown.
  • Gabriela Di Scenza,
  • Katrina Mason,
  • Georgios Oikonomou
Gabriela Di Scenza
Poole Hospital

Corresponding Author:gdiscenza@doctors.org.uk

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Katrina Mason
Evelina London Children's Healthcare
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Georgios Oikonomou
St George's University Hospitals NHS Foundation Trust
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Abstract

•A 28-month retrospective review from February 2019 to April 2021 of penetrating neck injuries (PNIs) at our trauma centre revealed a 48% (n=25 to n=37) increase in PNIs ‘post-lockdown’ (lockdown date = 23rd March 2020). •The aetiology of PNI changed over time, with an increase in the proportion of Deliberate Self Harm’ (DSH) cases from 1/3 to 2/3rds of case (n=9 to n=25), an overall 177.8% increase ‘post-lockdown’. An increase in mortality was also seen with no deaths ‘pre-lockdown’, and 3 deaths ‘post-lockdown’. •‘Accidental Injuries’ (AI) increased from 4% to 10% of cases (n=1 to n=4) post lockdown, with ‘grievous bodily harm (GBH) reducing from half to 1/5th of all cases (n=13 to n=8), and ‘domestic violence’ from 8% of cases to no cases post lockdown (DV) ‘post lockdown’. •‘Pre-lockdown’ 10% of DSH patients (n=1) were noted to have a prior mental health diagnosis or psychiatric care, ‘post-lockdown’ this increased to 61.5% (n=16) of DSH patients. •Data from our tertiary trauma centre in London has shown a change in aetiology, psychiatric co-morbidity and number of PNIs pre and post lockdown.
27 Sep 2021Submitted to Clinical Otolaryngology
28 Sep 2021Submission Checks Completed
28 Sep 2021Assigned to Editor
05 Nov 2021Reviewer(s) Assigned
23 Mar 2022Review(s) Completed, Editorial Evaluation Pending
10 Apr 2022Editorial Decision: Revise Major
07 Aug 20221st Revision Received
24 Aug 2022Submission Checks Completed
24 Aug 2022Assigned to Editor
02 Oct 2022Reviewer(s) Assigned
04 Oct 2022Review(s) Completed, Editorial Evaluation Pending
13 Nov 2022Editorial Decision: Revise Minor
16 Nov 20222nd Revision Received
22 Nov 2022Submission Checks Completed
22 Nov 2022Assigned to Editor
28 Nov 2022Reviewer(s) Assigned
30 Nov 2022Review(s) Completed, Editorial Evaluation Pending
10 Dec 2022Editorial Decision: Accept