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The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma

Yıl 2022, , 70 - 75, 31.08.2022
https://doi.org/10.55994/ejcc.1131479

Öz

Background: We compared the pre-COVID-19 (2019–2020) and COVID-19 (2020–2021) periods in terms of the incidence of pediatric head trauma (PHT) cases. The incidence of PHT during the pre- COVID-19 pandemic (PCP) and COVID-19 pandemic (CP) periods was investigated.
Materials and Methods: A total of 6,158 patients with PHT seen in a tertiary emergency department between March 15, 2019 and March 15, 2021 were retrospectively reviewed. 1,198 patients for whom were included in the study. The age, gender, type of trauma, Glasgow Coma Scale score, computerized brain tomography findings, and consultation results of the patients were recorded.
Results: The records of 729 and 469 PHT cases in the PCP and CP periods were analyzed, respectively. The number of patients with PHT was significantly lower in the CP period (p < 0.001). While the incidence rates of falls, traffic accidents, and bicycle accidents were higher in the PCP period (p > 0.05), trauma rates were lower in the CP period (p < 0.001). The incidence of falling from a height was highest in the 7–12 years age group (p < 0.05). Cranial fracture, and epidural, subdural, and intracranial bleeding rates, were higher (p > 0.05) in the PCP period. While the mortality rate was higher in the PCP period, the treatment refusal rate was higher in the CP period (p < 0.001).
Conclusion: The rate of PHT decreased, while treatment refusal rates increased during the CP period. However, mortality rates due to PHTs were higher before the CP.

Destekleyen Kurum

Yoktur.

Proje Numarası

Bursa Yüksek Ihtisas Training and Research Hospital Clinical Researches Ethics Committee (decision no: 2011-KAEK-25 2021/04-15 )

Teşekkür

We would like to thank Melih Yuksel for his contribution.

Kaynakça

  • 1. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223): 470–3. doi: 10.1016/S0140-6736(20)30185-9.
  • 2. Moreland A, Herlihy C, Tynan M.A, Sunshine G, McCord R.F, Hilton C, et al. Timing of State and Territorial COVID-19 Stay-at-Home Orders and Changes in Population Movement-United States, March 1–May 31, 2020. MMWR Morb. Mortal. Wkly. Rep. 2020;69(35):1198-1203. doi: 10.15585/mmwr.mm6935a2.
  • 3. Lewnard JA, Lo NC. Scientific and ethical basis for social-distancing interventions against COVID-19. The Lancet Infectious Diseases, 2020;20(6):631-633. doi: 10.1016/S1473-3099(20)30190-0.
  • 4. Yanagawa Y, Sakamoto T. Characteristics of pediatric trauma in an urban city in Japan. Pediatr Emerg Care 2009;25:572-4. DOI:10.1097/PEC.0b013e3181b4f60e
  • 5. Bowman SM, Bird TM, Aitken ME, Tilford JM. Trends in hospitalizations associated with pediatric traumatic brain injuries. Pediatrics 2008;122(5):988-93.doi: 10.1542/peds.2007-3511.
  • 6. Diamond IR, Parkin PC, Wales PW, Bohn D, Kreller MA, Dykes EH et al. Preventable pediatric trauma deaths in Ontario: a comparative population-based study. J Trauma 2009;66:1189-95. DOI:10.1097/ta.0b013e31819adbb3
  • 7. Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med 2020; 38(9):1732–36 doi: 10.1016/j.ajem.2020.06.007
  • 8. Man CY, Yeung RS, Chung JY, Cameron PA Impact of SARS on an emergency department in Hong Kong. Emerg Med (Fremantle) 2003;15(5–6):418–22 doi: 10.1046/j.1442-2026.2003.00495.x.
  • 9. Oseran AS, Nash D, Kim C, Moisuk S, Lai PY, Pyhtila J, et al. Changes in hospital admissions for urgent conditions during COVID-19 pandemic. Am J Manag Care 2020;26(8):327–28 DOI: 10.37765/ajmc.2020.43837
  • 10. Rodriguez-Leor O, Cid-Álvarez B, Ojeda S Martín-Moreiras J, Rumoroso JR, López-Palop J et al. Impact of the COVID-19 pandemic on interventional cardiology activity in Spain. REC Interv Cardiol 2020;2(2):82-9 https://doi.org/10.24875/RECICE.M20000123
  • 11. Lange SJ, Ritchey MD, Goodman AB, Twentyman E, Fuld J, Schieve LA et al. Potential Indirect Effects of the COVID-19 pandemic on use of emergency departments for acute life-threatening conditions–United States, January-May 2020. MMWR Morb Mortal Wkly Rep 2020;26;69(25):795-800. doi: 10.15585/mmwr.mm6925e2.
  • 12. Park C, Sugand K, Nathwani D, Bhattacharya R, Sarraf KM. Impact of the COVID-19 pandemic on orthopedic trauma workload in a London level 1 trauma center: the “golden month.” Acta Orthop 2020; 91:1–6 DOI: 10.1080/17453674.2020.1783621
  • 13. Sanford EL, Zagory J, Blackwell JM, Szmuk P, Ryan M, Ambardekar A. Changes in Pediatric Trauma during COVID-19 Stay-at-Home Epoch at a Tertiary Pediatric Hospital. J. Pediatr. Surg. 2021;56(5):918-22. doi:10.1016/j.jpedsurg.2021.01.020
  • 14. Sherman WF, Khadra HS, Kale NN, Wu VJ, Gladden PB, Lee OC. How Did the Number and Type of Injuries in Patients Presenting to a Regional Level I Trauma Center Change During the COVID-19 Pandemic with a Stay-at-Home Order? Clin. Orthop. Relat. Res. 2021;479(2):266-75. DOI: 10.1097/CORR.0000000000001484
  • 15. Carroll LJ, Cassidy JD, Holm L, Kraus J, Coronado VG. Methodological issues and research recommendations for mild traumatic brain injury: the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med. 2004;(43 Suppl):113-25. DOI: 10.1080/16501960410023877
  • 16. Schneier AJ, Shields BJ, Hostetler SG, Xiang H, Smith GA. Incidence of pediatric traumatic brain injury and associated hospital resource utilization in the United States. Pediatrics 2006;118:483-92. doi: 10.1542/peds.2005-2588.
  • 17. Klin B, Rosenfeld-Yehoshua N, Abu-Kishk I, Efrati Y, Kozer E, Jeroukhimov I et al. Bicycle-related injuries in children: disturbing profile of a growing problem. Injury 2009;40:1011-3. DOI: 10.1016/j.injury.2009.01.135
  • 18. Melo JR, Di Rocco F, Lemos-Júnior LP, Roujeau T, Thélot B, Sainte-Rose C, et al. Defenestration in children younger than 6 years old: mortality predictors in severe head trauma. Childs Nerv Syst 2009;25:1077-83. DOI: 10.1007/s00381-009-0924-5
  • 19. Yeung JHH, Leung CSM, Poon WS, Cheung NK, Graham CA, Rainer TH. Bicycle related injuries presenting to a trauma center in Hong Kong. Injury, Int. J. Care Injured 2009;40; 555-9. doi: 10.1016/j.injury.2008.08.015
  • 20. Güzel A, Karasalihoğlu S, Küçükuğurluoğlu Y. Evaluation of the fall-related trauma cases applied to our pediatric emergency department. Ulus Travma Acil Cerrahi Derg 2007;13(3):211-6.
  • 21. Kleiven S, Peloso PM, von Holst H. The epidemiology of head injuries in Sweden from 1987 to 2000. Inj Control Saf Promot 2003; 10: 173-80. doi: 10.1076/icsp.10.3.173.14552.
  • 22. Park SH, Cho BM, Oh SM. Head injuries from falls in preschool children. Yonsei Med J 2004; 45: 229-32. DOI: 10.3349/ymj.2004.45.2.229
  • 23. Committee on Injury and Poison Prevention. American Academy of Pediatrics: Falls from heights: windows, roofs, and balconies. Pediatrics 2001; 107: 1188-91.
Yıl 2022, , 70 - 75, 31.08.2022
https://doi.org/10.55994/ejcc.1131479

Öz

Proje Numarası

Bursa Yüksek Ihtisas Training and Research Hospital Clinical Researches Ethics Committee (decision no: 2011-KAEK-25 2021/04-15 )

Kaynakça

  • 1. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223): 470–3. doi: 10.1016/S0140-6736(20)30185-9.
  • 2. Moreland A, Herlihy C, Tynan M.A, Sunshine G, McCord R.F, Hilton C, et al. Timing of State and Territorial COVID-19 Stay-at-Home Orders and Changes in Population Movement-United States, March 1–May 31, 2020. MMWR Morb. Mortal. Wkly. Rep. 2020;69(35):1198-1203. doi: 10.15585/mmwr.mm6935a2.
  • 3. Lewnard JA, Lo NC. Scientific and ethical basis for social-distancing interventions against COVID-19. The Lancet Infectious Diseases, 2020;20(6):631-633. doi: 10.1016/S1473-3099(20)30190-0.
  • 4. Yanagawa Y, Sakamoto T. Characteristics of pediatric trauma in an urban city in Japan. Pediatr Emerg Care 2009;25:572-4. DOI:10.1097/PEC.0b013e3181b4f60e
  • 5. Bowman SM, Bird TM, Aitken ME, Tilford JM. Trends in hospitalizations associated with pediatric traumatic brain injuries. Pediatrics 2008;122(5):988-93.doi: 10.1542/peds.2007-3511.
  • 6. Diamond IR, Parkin PC, Wales PW, Bohn D, Kreller MA, Dykes EH et al. Preventable pediatric trauma deaths in Ontario: a comparative population-based study. J Trauma 2009;66:1189-95. DOI:10.1097/ta.0b013e31819adbb3
  • 7. Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med 2020; 38(9):1732–36 doi: 10.1016/j.ajem.2020.06.007
  • 8. Man CY, Yeung RS, Chung JY, Cameron PA Impact of SARS on an emergency department in Hong Kong. Emerg Med (Fremantle) 2003;15(5–6):418–22 doi: 10.1046/j.1442-2026.2003.00495.x.
  • 9. Oseran AS, Nash D, Kim C, Moisuk S, Lai PY, Pyhtila J, et al. Changes in hospital admissions for urgent conditions during COVID-19 pandemic. Am J Manag Care 2020;26(8):327–28 DOI: 10.37765/ajmc.2020.43837
  • 10. Rodriguez-Leor O, Cid-Álvarez B, Ojeda S Martín-Moreiras J, Rumoroso JR, López-Palop J et al. Impact of the COVID-19 pandemic on interventional cardiology activity in Spain. REC Interv Cardiol 2020;2(2):82-9 https://doi.org/10.24875/RECICE.M20000123
  • 11. Lange SJ, Ritchey MD, Goodman AB, Twentyman E, Fuld J, Schieve LA et al. Potential Indirect Effects of the COVID-19 pandemic on use of emergency departments for acute life-threatening conditions–United States, January-May 2020. MMWR Morb Mortal Wkly Rep 2020;26;69(25):795-800. doi: 10.15585/mmwr.mm6925e2.
  • 12. Park C, Sugand K, Nathwani D, Bhattacharya R, Sarraf KM. Impact of the COVID-19 pandemic on orthopedic trauma workload in a London level 1 trauma center: the “golden month.” Acta Orthop 2020; 91:1–6 DOI: 10.1080/17453674.2020.1783621
  • 13. Sanford EL, Zagory J, Blackwell JM, Szmuk P, Ryan M, Ambardekar A. Changes in Pediatric Trauma during COVID-19 Stay-at-Home Epoch at a Tertiary Pediatric Hospital. J. Pediatr. Surg. 2021;56(5):918-22. doi:10.1016/j.jpedsurg.2021.01.020
  • 14. Sherman WF, Khadra HS, Kale NN, Wu VJ, Gladden PB, Lee OC. How Did the Number and Type of Injuries in Patients Presenting to a Regional Level I Trauma Center Change During the COVID-19 Pandemic with a Stay-at-Home Order? Clin. Orthop. Relat. Res. 2021;479(2):266-75. DOI: 10.1097/CORR.0000000000001484
  • 15. Carroll LJ, Cassidy JD, Holm L, Kraus J, Coronado VG. Methodological issues and research recommendations for mild traumatic brain injury: the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med. 2004;(43 Suppl):113-25. DOI: 10.1080/16501960410023877
  • 16. Schneier AJ, Shields BJ, Hostetler SG, Xiang H, Smith GA. Incidence of pediatric traumatic brain injury and associated hospital resource utilization in the United States. Pediatrics 2006;118:483-92. doi: 10.1542/peds.2005-2588.
  • 17. Klin B, Rosenfeld-Yehoshua N, Abu-Kishk I, Efrati Y, Kozer E, Jeroukhimov I et al. Bicycle-related injuries in children: disturbing profile of a growing problem. Injury 2009;40:1011-3. DOI: 10.1016/j.injury.2009.01.135
  • 18. Melo JR, Di Rocco F, Lemos-Júnior LP, Roujeau T, Thélot B, Sainte-Rose C, et al. Defenestration in children younger than 6 years old: mortality predictors in severe head trauma. Childs Nerv Syst 2009;25:1077-83. DOI: 10.1007/s00381-009-0924-5
  • 19. Yeung JHH, Leung CSM, Poon WS, Cheung NK, Graham CA, Rainer TH. Bicycle related injuries presenting to a trauma center in Hong Kong. Injury, Int. J. Care Injured 2009;40; 555-9. doi: 10.1016/j.injury.2008.08.015
  • 20. Güzel A, Karasalihoğlu S, Küçükuğurluoğlu Y. Evaluation of the fall-related trauma cases applied to our pediatric emergency department. Ulus Travma Acil Cerrahi Derg 2007;13(3):211-6.
  • 21. Kleiven S, Peloso PM, von Holst H. The epidemiology of head injuries in Sweden from 1987 to 2000. Inj Control Saf Promot 2003; 10: 173-80. doi: 10.1076/icsp.10.3.173.14552.
  • 22. Park SH, Cho BM, Oh SM. Head injuries from falls in preschool children. Yonsei Med J 2004; 45: 229-32. DOI: 10.3349/ymj.2004.45.2.229
  • 23. Committee on Injury and Poison Prevention. American Academy of Pediatrics: Falls from heights: windows, roofs, and balconies. Pediatrics 2001; 107: 1188-91.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Original Articles
Yazarlar

Yeşim İşler 0000-0002-6389-5361

Halil Kaya 0000-0003-2005-6100

Proje Numarası Bursa Yüksek Ihtisas Training and Research Hospital Clinical Researches Ethics Committee (decision no: 2011-KAEK-25 2021/04-15 )
Yayımlanma Tarihi 31 Ağustos 2022
Gönderilme Tarihi 15 Haziran 2022
Kabul Tarihi 15 Ağustos 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA İşler, Y., & Kaya, H. (2022). The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma. Eurasian Journal of Critical Care, 4(2), 70-75. https://doi.org/10.55994/ejcc.1131479
AMA İşler Y, Kaya H. The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma. Eurasian j Crit Care. Ağustos 2022;4(2):70-75. doi:10.55994/ejcc.1131479
Chicago İşler, Yeşim, ve Halil Kaya. “The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma”. Eurasian Journal of Critical Care 4, sy. 2 (Ağustos 2022): 70-75. https://doi.org/10.55994/ejcc.1131479.
EndNote İşler Y, Kaya H (01 Ağustos 2022) The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma. Eurasian Journal of Critical Care 4 2 70–75.
IEEE Y. İşler ve H. Kaya, “The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma”, Eurasian j Crit Care, c. 4, sy. 2, ss. 70–75, 2022, doi: 10.55994/ejcc.1131479.
ISNAD İşler, Yeşim - Kaya, Halil. “The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma”. Eurasian Journal of Critical Care 4/2 (Ağustos 2022), 70-75. https://doi.org/10.55994/ejcc.1131479.
JAMA İşler Y, Kaya H. The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma. Eurasian j Crit Care. 2022;4:70–75.
MLA İşler, Yeşim ve Halil Kaya. “The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma”. Eurasian Journal of Critical Care, c. 4, sy. 2, 2022, ss. 70-75, doi:10.55994/ejcc.1131479.
Vancouver İşler Y, Kaya H. The Influence of the COVID‑19 Pandemic on Pediatric Head Trauma. Eurasian j Crit Care. 2022;4(2):70-5.

Indexing and Abstracting

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