The Impact of the COVID-19 Pandemic on Plastic Surgery Consultations in the Emergency Department

• Published in: Plastic and reconstructive surgery. Global open Vol. 8; no. 12; p. e3371
• Main Authors: Paiva, Marcelo, Rao, Vinay, Spake, Carole S L, King, Victor A, Crozier, Joseph W, Liu, Paul Y, Woo, Albert S, Schmidt, Scott T, Kalliainen, Loree K
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 01.12.2020; Wolters Kluwer
• Subjects: Plastic Surgery Focus; Special Topic
• DOI: 10.1097/GOX.0000000000003371
• ISSN: 2169-7574

Stay-at-Home (SAH) orders implemented in the United States to combat COVID-19 had a significant impact on health care delivery for patients with all conditions. In this study, we examined the effect SAH orders had on the Emergency Department (ED) consultation volume, injury patterns, and treatment of patients managed by our plastic surgery service. In Rhode Island, SAH orders were instituted from March 28, 2020, to June 30, 2020. A retrospective chart review of patients presenting to our Level-1 academic medical center was performed. Patient demographics, types of injuries, and need for treatment in the ED or operating room (OR) were collected. Tests of significance were conducted using a comparison group spanning the same time period, in 2019. There was a 36% decrease in ED consultations to plastic surgery during SAH orders when compared with those in 2019. No observed differences were noted in patient demographics between time periods. There were significant increases in the proportions of hand injuries secondary to power tools and facial injuries secondary to falls. No observed differences were identified in injury severity and need for either operating-room interventions or ED interventions for patients seen in consultation during SAH orders. SAH orders resulted in a decreased volume of plastic surgery consults in the ED but did not alter patient demographics, injury severity, or need for procedural interventions. There was a 2.9% positivity rate for COVID-19 for asymptomatic patients presenting in the ED with primary hand and facial injuries.