Araştırma Makalesi
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COVID-19 Sokağa Çıkma Yasağının Çocuk Travmalarının Şiddeti Üzerindeki Etkisi

Yıl 2022, Cilt: 55 Sayı: 1, 45 - 48, 30.04.2022
https://doi.org/10.20492/aeahtd.1009756

Öz

Amaç: COVID-19 karantinasının sonuçlarını çocuk travmaları açısından değerlendirmeyi ve bir yıl önceki aynı dönem ile karantina dönemini karşılaştırarak travmaların nitelik ve şiddetindeki değişimi ortaya koymayı amaçladık.
Gereç ve Yöntem: Kastamonu Eğitim ve Araştırma Hastanesi'nde çocuk travma hastalarının kayıtları geriye dönük olarak incelendi. Belirtilen tarihler arasındaki tüm pediatrik travmaların verilerine ulaşıldı ve çalışmanın örneklemi 1970 hasta olarak hesaplandı. Hastaların tanımlayıcı özellikleri ve travma olayları belirlendi. Hasta verileri yeniden değerlendirilerek Pediatrik Travma Skorları, Pediatrik Glasgow Koma Skalası değerleri ve Yaralanma Şiddet Skorları hesaplandı.
Bulgular: Hastaların 1637'si (%83,1) karantinadan önce, 333'ü karantina döneminde başvurmuştu. Okul çağındaki çocukların, karantina öncesi %76,2 ve karantina döneminde %49,8 oranı ile her iki dönemde de en sık travma hastası olan grubu oluşturduğu tespit edildi. Karantina önlemlerinin açık hava travma vakalarının oranını %63.2'den %43.2'ye düşürdüğü bulundu (p < 0.001). Pediatrik Travma Skoru ve Pediatrik Glasgow Koma Ölçeği puan ortalamalarında istatistiksel olarak anlamlı düşüş saptanırken, Yaralanma Şiddet Skorunda fark saptanmadı.
Sonuç: Normal yaşamımızı her yönüyle değiştiren COVID-19 pandemisi ve kısıtlamalarının pediatrik travmalar üzerinde de etkileri olduğu görülmektedir. Karantina sayesinde sadece travma sayılarının değil, ağır travmaların ve mortalitenin de azaldığı çalışmamızdan fark edildi.

Kaynakça

  • 1. Nicola M, Alsafi Z, Sohrabi C, et al. The socio-economic implications of the coronavirus and COVID-19 pandemic: a review. Int J Surg. 2020;78: 185-93.
  • 2. Nabian MH, Vosoughi F, Najafi F, et al. Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran. Injury. 2020;51: 2811-5.
  • 3. Bram JT, Johnson MA, Magee LC, et al. Where have all the fractures gone? The epidemiology of pediatric fractures during the COVID-19 pandemic. J Pediatr Orthop. 2020;40: 373-9.
  • 4. Keays G, Friedman D, Gagnon I. Original quantitative research-Pediatric injuries in the time of COVID-19. Health Promot Chronic Dis Prev Can. 2020;40: 336-41.
  • 5. World Health Organization. (2014). Injuries and violence: the facts 2014. https://apps.who.int/iris/bitstream/handle/10665/149798/9789241508018_eng.pdf
  • 6. Baker SP, O'Neill B, Haddon Jr W, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma Acute Care Surg. 1974;14: 187-96.
  • 7. Tepas III JJ, Mollitt DL, Talbert JL, et al. The pediatric trauma score as a predictor of injury severity in the injured child. J Pediatr Surg. 1987;22: 14-18.
  • 8. Dean JM, Kaufman ND. Prognostic indicators in pediatric near-drowning: the Glasgow coma scale. Crit Care Med. 1981;9: 536-9.
  • 9. Yousefzadeh-Chabok S, Kazemnejad-Leili E, Kouchakinejad-Eramsadati L, et al. Comparing pediatric trauma, glasgow coma scale and injury severity scores for mortality prediction in traumatic children. Ulus Travma Acil Cerrahi Derg. 2016;22: 328-32.
  • 10. Brown JB, Gestring ML, Leeper CM, et al. The value of the injury severity score in pediatric trauma: Time for a new definition of severe injury?. J Trauma Acute Care Surg. 2017;82: 995-1001.
  • 11. Tambay G, Satar S, Kozaci N, et al. Retrospective analysis of pediatric trauma cases admitted to the emergency medicine department. Eurasian J Med. 2013;12: 8-12.
  • 12. Aldinç H, Gün C. Analysis Of Pediatric Traumas; Characteristics And The Role Of Scoring Systems. Bosphorus Med J. 2020;7: 11-5.
  • 13. Anıl M, Sarıtaş S, Bıcılıoğlu Y, et al. The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. J Pediatr Emerg Intensive Care Med. 2017;4: 1-8.
  • 14. Bal A, Cooper M, Lee A, et al. The Evaluation of Trauma Care: The Comparison of 2 High-Level Pediatric Emergency Departments in the United States and Turkey. Pediatr Emerg Care. 2019;35: 611-7.

The Impact Of The COVID-19 Lockdown On The Severity Of Pediatric Traumas

Yıl 2022, Cilt: 55 Sayı: 1, 45 - 48, 30.04.2022
https://doi.org/10.20492/aeahtd.1009756

Öz

Aim: We aimed to evaluate the results of COVID-19 lockdown in terms of child traumas and to reveal the change in the characteristics and severity of traumas by comparing the lockdown period with the same period one year ago.
Material and Method: The records of pediatric trauma patients at department of Kastamonu Training and Research Hospital were assessed retrospectively. The data of all pediatric traumas between the specified dates were reached and the sample of the study was determined as 1970 patients. Descriptive characteristics of patients and trauma events were determined. Patient data were re-assessed, and Pediatric Trauma Scores, and Pediatric Glasgow Coma Scale values, and Injury Severity Scores were calculated.
Results: Of the patients, 1637 (83.1%) had admitted before the lockdown and 333 admitted during the lockdown period. It was found that the school-age children constituted the group with the most prevalent trauma patients in both periods with a rate of 76.2% before the lockdown and 49.8% in the lockdown period. It was found that the measure of lockdown reduced the rate of outdoor trauma cases from 63.2% to 43.2% (p < 0.001). Whereas a statistically significant decrease was determined in the mean scores of the Pediatric Trauma Score and the Pediatric Glasgow Coma Scale, no difference was determined in the Injury Severity Score.
Conclusion: It is seen that the COVID-19 pandemic and its restrictions, which change our normal life in every aspect, also have effects on pediatric traumas. It is noticed from our study that thanks to the lockdown, not only the number of traumas but also the severe traumas and mortality decreased.

Kaynakça

  • 1. Nicola M, Alsafi Z, Sohrabi C, et al. The socio-economic implications of the coronavirus and COVID-19 pandemic: a review. Int J Surg. 2020;78: 185-93.
  • 2. Nabian MH, Vosoughi F, Najafi F, et al. Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran. Injury. 2020;51: 2811-5.
  • 3. Bram JT, Johnson MA, Magee LC, et al. Where have all the fractures gone? The epidemiology of pediatric fractures during the COVID-19 pandemic. J Pediatr Orthop. 2020;40: 373-9.
  • 4. Keays G, Friedman D, Gagnon I. Original quantitative research-Pediatric injuries in the time of COVID-19. Health Promot Chronic Dis Prev Can. 2020;40: 336-41.
  • 5. World Health Organization. (2014). Injuries and violence: the facts 2014. https://apps.who.int/iris/bitstream/handle/10665/149798/9789241508018_eng.pdf
  • 6. Baker SP, O'Neill B, Haddon Jr W, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma Acute Care Surg. 1974;14: 187-96.
  • 7. Tepas III JJ, Mollitt DL, Talbert JL, et al. The pediatric trauma score as a predictor of injury severity in the injured child. J Pediatr Surg. 1987;22: 14-18.
  • 8. Dean JM, Kaufman ND. Prognostic indicators in pediatric near-drowning: the Glasgow coma scale. Crit Care Med. 1981;9: 536-9.
  • 9. Yousefzadeh-Chabok S, Kazemnejad-Leili E, Kouchakinejad-Eramsadati L, et al. Comparing pediatric trauma, glasgow coma scale and injury severity scores for mortality prediction in traumatic children. Ulus Travma Acil Cerrahi Derg. 2016;22: 328-32.
  • 10. Brown JB, Gestring ML, Leeper CM, et al. The value of the injury severity score in pediatric trauma: Time for a new definition of severe injury?. J Trauma Acute Care Surg. 2017;82: 995-1001.
  • 11. Tambay G, Satar S, Kozaci N, et al. Retrospective analysis of pediatric trauma cases admitted to the emergency medicine department. Eurasian J Med. 2013;12: 8-12.
  • 12. Aldinç H, Gün C. Analysis Of Pediatric Traumas; Characteristics And The Role Of Scoring Systems. Bosphorus Med J. 2020;7: 11-5.
  • 13. Anıl M, Sarıtaş S, Bıcılıoğlu Y, et al. The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. J Pediatr Emerg Intensive Care Med. 2017;4: 1-8.
  • 14. Bal A, Cooper M, Lee A, et al. The Evaluation of Trauma Care: The Comparison of 2 High-Level Pediatric Emergency Departments in the United States and Turkey. Pediatr Emerg Care. 2019;35: 611-7.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Eren Görkem Gün 0000-0002-1555-6429

Mehmet Ali Narsat 0000-0002-6496-1965

Eren Yıldız 0000-0002-8056-5727

Yayımlanma Tarihi 30 Nisan 2022
Gönderilme Tarihi 14 Ekim 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 55 Sayı: 1

Kaynak Göster

AMA Gün EG, Narsat MA, Yıldız E. The Impact Of The COVID-19 Lockdown On The Severity Of Pediatric Traumas. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. Nisan 2022;55(1):45-48. doi:10.20492/aeahtd.1009756