Retrospective Examination of Trauma Patients Referred to the Emergency Department During the COVID-19 Pandemic Restriction Period

Year 2024, Volume: 7 Issue: 1, 27 - 31, 31.03.2024

Özge Can Sercan Yalçınlı Yusuf Ali Altuncı Murat Ersel

https://doi.org/10.54996/anatolianjem.1366416

Abstract

Aim: The COVID-19 epidemic has affected the entire health system worldwide. Along with many countries,
restrictions have been introduced in our country. We aim to examine the characteristics of trauma patients who applied to the emergency department during the pandemic lockdown.

Material and Methods: We compared the clinical features of the trauma-related admissions in the three month periods (1/3/2020 – 1/6/2020) with the pandemic lockdown and the same period of the previous year (1/3/2019 - 1/6/2019). Demographic characteristics, mechanism of injury, need for hospitalization, and patient outcomes were evaluated.

Results: During the pandemic lockdown period, the patient admission rate decreased by 17.25% compared to the previous year. This decrease was found to be significant, especially for those under 85 years old (<0.05). While there was a significant decrease (<0.05) in cases of forensic cases and traffic accidents in emergency service admissions. There was no significant difference in hospitalizations due to traffic accidents (p=0.257). Patients were mostly hospitalized in the Orthopedics department. There was no statistically significant difference before and during the pandemic (p=0.831).

Conclusion: Similar to the number of emergency service applications during the pandemic period, there was a decrease in applications due to trauma. The absence of significant differences in specific patient groups and hospitalizations should be considered in pandemic planning.

Keywords

Pandemic, lockdown, COVID-19, trauma, emergency department

Ethical Statement

Karar No: 21-3T/44

Supporting Institution

Destekleyen kurum bulunmamaktadır.

COVID-19 Pandemi Kısıtlama Döneminde Acil Servise Başvuran Travma Hastalarının Geriye Dönük İncelenmesi

Abstract

Amaç: COVID-19 salgını dünya genelinde tüm sağlık sistemini etkilemiştir. Birçok ülke ile birlikte, ülkemizde de kısıtlamalar getirilmiştir. Bu çalışma, sokağa çıkma yasağının olduğu dönemlerde acil servise başvuran travma hastalarının özelliklerini incelemeyi amaçlamaktadır.

Gereç ve Yöntem: Kısıtlamaların yoğun olduğu üç aylık period (1/3/2020 – 1/6/2020) ile bir önceki yılın aynı periyodundaki (1/3/2019 - 1/6/2019) travma nedenli başvuruların klinik özellikleri karşılaştırıldı. Demografik özellikleri, yaralanma mekanizması, hastaneye yatış ihtiyacı ve hasta sonlanımları değerlendirildi.

Bulgular: Pandeminin kısıtlama döneminde bir öncesi yıla göre hasta başvuru oranında % 17,25’lik düşüş belirlendi. Bu düşüşün özellikle 85 yaş ve altında anlamlı olduğu bulundu (<0,05). Acil servis başvurularında adli vaka ve trafik kazası ile başvurularda anlamlı azalma (<0,05) saptanırken trafik kazalarına bağlı yatışlarda anlamlı fark saptanmadı (p=0,257). Hastaneye yatışlar en sık Ortopedi bölümüne olurken bu durum pandemi öncesi ve sırasında anlamlı farklılık oluşturmadı (p=0,831).

Sonuç: Pandemi döneminde acil servis başvuru sayılarına benzer şekilde travma nedenli başvurularda da azalma yaşanmıştır. Özellikli hasta grupları ve hastaneye yatışlarda anlamlı fark saptanmaması pandemi planlamalarında göz önünde bulundurulmalıdır.

Keywords

Pandemi, kısıtlama dönemi, COVID 19, travma, acil servis

Ethical Statement

Karar No: 21-3T/44

Supporting Institution

Destekleyen kurum bulunmamaktadır.

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