Ignite Creation Date:
2024-05-06 @ 7:48 PM
Last Modification Date:
2024-10-26 @ 3:14 PM
Study NCT ID:
NCT06135610
Status:
COMPLETED
Last Update Posted:
2023-11-18
First Post:
2023-11-14
Brief Title:
Social Determinants of Health in Patients With Penetrating Trauma Injuries Before and During the COVID-19 Pandemic
Sponsor:
Kern Medical Center
Organization:
Kern Medical Center
Study Overview
Official Title:
The Impact of Social Determinants of Health in a Cohort of Patients With Penetrating Trauma Injuries Before and During the COVID-19 Pandemic
Status:
COMPLETED
Status Verified Date:
2023-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
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
Detailed Description:
Investigators hypothesized that the COVID-19 Stay At Home order contributed to an increase in the incidence of violent traumatic injuries particularly in areas with lower socioeconomic status in Kern County as measured by census data which was previously shown to be true in other areas of America Investigators conducted a retrospective analysis of injuries sustained before and during the pandemic and further explored the median income of the area of injury to determine if socioeconomic status was a determinant of violent crime incidence rates This study aims to better understand the causality of the increase in crime further analyze the results and identify trends in future public health crises
This retrospective cross-sectional minimal risk study utilized the Kern Medicals trauma registry to identify 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 codes93312 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 This study was approved by the Institutional Review board of Kern Medical Hospital
Tabulated data were analyzed using odds ratios chi-square tests of Independence Woolfs test for homogeneity of Odds Ratios Fishers exact test and the Generalized Cochran-Mantel-Haenszel test Regions were identified with median incomes of 50k and 50K then were analyzed using a Cochran-Mantel-Haenszel test with an ad hoc analysis looking at the occurrence of GSWs and stab wounds pre-COVID and during COVID A Bonferroni p-value adjustment was performed for all multiple comparison p-values Additional demographic variables were collected including patient demographics follow-up and death but they were not included in these analyses
This retrospective cross-sectional minimal risk study utilized the Kern Medicals trauma registry to identify 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 codes93312 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 This study was approved by the Institutional Review board of Kern Medical Hospital
Tabulated data were analyzed using odds ratios chi-square tests of Independence Woolfs test for homogeneity of Odds Ratios Fishers exact test and the Generalized Cochran-Mantel-Haenszel test Regions were identified with median incomes of 50k and 50K then were analyzed using a Cochran-Mantel-Haenszel test with an ad hoc analysis looking at the occurrence of GSWs and stab wounds pre-COVID and during COVID A Bonferroni p-value adjustment was performed for all multiple comparison p-values Additional demographic variables were collected including patient demographics follow-up and death but they were not included in these analyses
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None