PURPOSE: The effects of the first pandemic wave on a German Level I Trauma Center should be evaluated to find ways to redistribute structural, personnel, and financial resources in a targeted manner in preparation for the assumed second pandemic wave .
METHODS: We examined the repercussions of the first wave of the pandemic on the trauma surgery clinic of a Level I Trauma Center and compared the data with data from 58 other trauma clinics . The results could aid in orientating the distribution of structural, financial, and human resources (HR) during the second wave . The period between March 16 and April 30 , 2020 was compared with the data over the same period during 2019 . Information was collected from the HR department, central revenue management, and internal documentation .
RESULTS: The proportion of trauma surgical patients in the emergency room decreased by 22% . The number of polytrauma cases increased by 53% . Hospital days of trauma surgery patients in the intensive and intermediate care wards increased by 90% . The number of operations decreased by 15%, although the operating time outside of normal working hours increased by 44% . Clinics with more than 600 beds recorded a decrease in cases and emergencies by 8 and 9%, respectively, while the Trauma Center showed an increase of 19 and 12% . The results reflect the importance of level I trauma centers in the lockdown phase .
CONCLUSION: To reduce the risk of an increased burden on the healthcare infrastructure, it suggests the care of trauma and COVID-19 patients should be separated locally, when possible.