Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran.
Accidents, Traffic
/ statistics & numerical data
Adolescent
COVID-19
/ epidemiology
Child
Child, Preschool
Communicable Disease Control
/ standards
Female
Humans
Iran
/ epidemiology
Male
Pandemics
/ prevention & control
Patient Admission
/ statistics & numerical data
Retrospective Studies
Sex Factors
Trauma Centers
/ standards
Wounds and Injuries
/ epidemiology
Children
Covid-19
Epidemiology
Fracture
Lock-down
Pandemic
Sars-cov-2
Trauma
Journal
Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
30
05
2020
revised:
27
07
2020
accepted:
15
09
2020
pubmed:
23
9
2020
medline:
23
12
2020
entrez:
22
9
2020
Statut:
ppublish
Résumé
In Iran, like most other countries, COVID-19 has had a deep impact on children's lives. Our hypothesis was that, a significant change in the number of pediatric injuries has happened in trauma centers. In the current study, we intend to identify the possible epidemiological shift in pediatric fracture patterns, by comparing the data from 'COVID-19 era' and the mean data from the past 2 years. To the best of our knowledge there are only few reports on epidemiology of pediatric fractures during the COVID-19 outbreak. Data are reported in two sections. In the descriptive section, epidemiological data regarding pediatric fractures referred to Taleghani tertiary trauma center, including demographics, distribution curves, etiologies and fracture types are presented during the 'COVID era', from 1 March 2020 to 15 April 2020. In the comparative section, the aforementioned data are compared with mean data from the past 2 years, the 'non-COVID era'. Altogether 117 of the 288 trauma children (40.62%) had a fractured bone (145 fractures). Patients were mostly boys, with a mean age of 9.87 years (SD=5.27). The three most common fracture types in children included distal radius, mid-forearm and humeral supracondylar fractures. Compared to non-COVID era, the number of pediatric trauma admissions dropped from 589 to 288. No significant change happened in the mean age, male/female ratio and percentage of motor vehicle accidents. Proportion of proximal humeral, proximal forearm, carpal, and hand fractures declined. The number of open fractures significantly dropped (from 12 to 2). In Iran, overall trend of pediatric trauma has been decreasing during the outbreak; but the lack of reduction in proportion of accidents may pose an alarm that an effective lock-down has not been imposed. This study has implications as to preparing appropriate resources particular to common "COVID era fractures".
Identifiants
pubmed: 32958345
pii: S0020-1383(20)30756-7
doi: 10.1016/j.injury.2020.09.015
pmc: PMC7493739
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2811-2815Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None.
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