92 Increased Proportion of Alcohol-Related Trauma in A South London Major Trauma Centre During Lockdown, A Cohort Study

Abstract Background Alcohol has been associated with 10-35% trauma admissions and 40% trauma-related deaths globally. In response to the Covid-19 pandemic, United Kingdom (UK) entered a state of ‘lockdown’ on 23rd March 2020. Restrictions were most significantly eased 1st June 2020, when shops schools re-opened. The purpose this study was quantify effect lockdown alcohol-related admissions. Method All adult patients admitted as ‘trauma calls’ London Major Trauma Centre (MTC) during April 2018 2019 (pre-lockdown; N = 316), – 31st May 2020 (lockdown; 191) had electronic patient records analysed. Patients’ blood alcohol level intoxication used identify trauma. from pre- post-lockdown cohorts compared using multiple regression analyses. Results Alcohol-related present in higher proportion calls (lockdown 60/191 (31.4%), versus pre-lockdown 62/316 (19.6%); (Odds Ratio (OR) 0.83, 95% CI 0.38 1.28, p < 0.001). Lockdown also increased weekend 125/191 (65.5%) vs 179/316 (56.7%); OR -0.40, -0.79 -0.02, 0.041). No significant difference existed age, gender, or mechanism between (p > 0.05). Conclusions UK independently an staffing levels are reduced. With possibility subsequent global ‘waves’ Covid-19, risk long-term repercussions dangerous behaviour public health must be addressed.