Purpose In January and February 2021, about 4000 severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) positive patients were treated daily in German intensive care units (ICUs). The number of SARS-CoV-2-positive ICU patients with trauma, however, is not known and neither whether the trauma itself or COVID-19 causes the critical illness. Methods A total of 173 German ICUs, representing 3068 ICU beds, participated in a survey developed by the Trauma Section of the German Interdisciplinary Association of Intensive Care Medicine (DIVI). Results Participating ICUs reported an overall 1-day prevalence of 20 and an overall 7-day prevalence of 35 SARS-CoV-2-positive trauma patients in the ICU. Critical illness was triggered by trauma alone in 50% of cases and by the combination of trauma and COVID-19 in 49% of cases; 70% of patients were older than 65 years and suffered from a single injury, predominantly proximal femur fractures. The distribution of patients was comparable regarding the level of care of the trauma centre (local, regional, and supra-regional). Conclusion The proportion of trauma patients of all SARS-CoV-2-positive critically ill patients is small (~ 1%) but relevant. There is no concentration of these patients at Level 1 trauma centres. However, the traumatic insult is the most relevant cause for ICU treatment in most of these patients. Regarding a new wave of the pandemic, adequate trauma dedicated resources and perioperative structures and expertise have to be provided for COVID-19 trauma patients. Supplementary Information The online version contains supplementary material available at 10.1007/s00068-021-01829-3.
【저자키워드】 COVID-19, SARS-CoV-2, intensive care unit, ICU, trauma, 【초록키워드】 Structure, Critical illness, coronavirus, pandemic, Local, Medicine, Prevalence, Patient, resource, Care, Critical, patients, Combination, Concentration, Injury, level 1, Critically ill patient, acute respiratory syndrome, Older, supplementary material, ICU treatment, ICUs, Section, ICU patient, trauma patients, Result, proportion, reported, provided, treated, suffered, comparable, cause, representing, triggered, positive patient, proximal, distribution of patient, participated, trauma patient, 【제목키워드】 COVID-19 pandemic, patients with SARS-CoV-2,