Social Determinants of Health in Patients With Penetrating Trauma Injuries Before and During the COVID-19 Pandemic

NCT06135610 | Completed

• 1 other identifier: 0001143
• Study Type: observational
• Target: 803
• Locations: 1 country
• Sites: 1

Brief Summary

Investigators report on the impact of the COVID-19 stay-at-home order concerning penetrating violence and its association within different socioeconomic regions within the county. The distribution and volume of violent offenses prior to the stay-at-home order was compared to during the stay-at-home order. This bears a crucial significance in our injury prevention and education efforts within our community.

Conditions

Penetrating Injury; COVID-19; Social Determinants of Health

Keywords

Penetrating Trauma; Covid-19; Social Determinants of Health

Outcome Measures

Primary Outcomes (1)

• Penetrating injury rate

  Penetrating injury rate including gunshot wounds, stab wounds or other penetrating assult

  March 2019 - Februrary 2021

Study Arms (2)

Pre-COVID

Patients identified in Kern County who presented to the emergency department with a gunshot wound (GSW), stab wound, or assault between March 2019 and February 2020 The group was further sub-classified based on the incident zip code. Kern County zip codes were combined into urban regions as NW (zip codes:93312, 93314), NE (93301, 93305, 93306, 93308), SW (93311, 93313), and SE (93304, 93307, 93309, 93241), with a separate category defined as rural (outside Bakersfield city limits).

COVID

Patients identified in Kern County who presented to the emergency department with a gunshot wound (GSW), stab wound, or assault between March 2020 - February 2021. The group was then further sub-classified based on the incident zip code. Kern County zip codes were combined into urban regions as NW (zip codes:93312, 93314), NE (93301, 93305, 93306, 93308), SW (93311, 93313), and SE (93304, 93307, 93309, 93241), with a separate category defined as rural (outside Bakersfield city limits).

Diagnostic Test: Postive SAR-CoV-2 PCR nasopharyngeal swab

Interventions

Postive SAR-CoV-2 PCR nasopharyngeal swab DIAGNOSTIC_TEST

Diagnosed Covid-19 confirmed by a positive of SAR-CoV-2 PCR nasopharyngeal swab.

COVID

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients in Kern County who presented to the emergency department with a gunshot wound (GSW), stab wound, or assault between March 2019 and February 2021. All reported blunt injuries, motor vehicle incident-related injuries, suicide attempts, or unintentional injuries were excluded. Each case was categorized as pre-COVID (March 2019 - February 2020) or COVID (March 2020 - February 2021) and further subclassified based on the incident zip code. Kern County zip codes were combined into urban regions as NW (zip codes:93312, 93314), NE (93301, 93305, 93306, 93308), SW (93311, 93313), and SE (93304, 93307, 93309, 93241), with a separate category defined as rural (outside Bakersfield city limits). These regions were also defined by median income as lower income (≤$50k: NW and SW) and higher income (\>$50k: NE, SE, Rural) based on California census data.

You may qualify if:

• emergency department presentation with a gunshot wound (GSW), stab wound, or assault between March 2019 and February 2021.

You may not qualify if:

• All reported blunt injuries, motor vehicle incident-related injuries, suicide attempts, or unintentional injuries were excluded.

Sponsors & Collaborators

• Kern Medical Center: lead

Study Sites (1)

Kern Medical Center

Bakersfield, California, 93306, United States

Location

MeSH Terms

Conditions

Wounds, Penetrating; COVID-19

Condition Hierarchy (Ancestors)

Wounds and Injuries; Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, DO, MPH

Study Record Dates

• First Submitted: November 14, 2023
• First Posted: November 18, 2023
• Study Start: March 1, 2019
• Primary Completion: February 1, 2021
• Study Completion: February 1, 2021
• Last Updated: November 18, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)