Comparison of the outcome and epidemiological pattern of pediatric trauma with adult trauma in the covid pandemic

Abstract

Trauma is one of the major health problems associated with death and a wide range of disabilities, and all societies with different economic levels are involved with this problem, and trauma is the first cause of death and one of the main causes of disability.

Methods: This study is a cross-sectional-descriptive-analytical retrospective study, which includes the files of all adults over 18 years of age and children under 18 years of trauma who referred to the emergency department of Imam Reza Hospital from March 2016 to March 2018 (pre-Covid era) and March 2018. Until Asfand 1400 (Covid Pandemic period) is investigated and the inclusion criteria for the target population are evaluated and people who do not meet the inclusion criteria are excluded from the study and the data of adults are compared with the data of children during the period of the Covid Pandemic. Also, the two groups of the covid pandemic and the pre-covid period have also been evaluated and compared in terms of the prevalence of trauma patients and frequency of gender and mechanisms of trauma.

Results: The most common and important mechanism of trauma in trauma adults in both the period of the covid pandemic and before covid is vehicle accidents. The noteworthy point in comparing the two time periods is the significant and significant reduction in the number of accidents with vehicles during the covid pandemic period. On the other hand, in traumatized children, the most common and most important mechanism of trauma in both the period of the covid pandemic and before covid, unlike adults, is falling from a height. It is noteworthy that both in the adult age group and children under 18 years of age, most of the trauma patients referred to the emergency room of Imam Reza Medical Center (AS) were discharged with the order of the emergency doctor.