Comparing epidemiologic features,outcomes,and diagnostic and therapeutic procedures of traumatic patients before and during COVID-19 pandemic:Data from the National Trauma Registry of Iran  

作　　者：Maryam Baradaran-Binazir Vali Baigi Mohammad Reza Zafarghandi Vafa Rahimi-Movaghar Moein Khormali Payman Salamati 

机构地区：[1]Community and Family Medicine Department,Faculty of Medicine,Tabriz University of Medical Sciences,Tabriz,Iran [2]Sina Trauma and Surgery Research Center,Tehran University of Medical Sciences,Tehran,Iran

出　　处：《Chinese Journal of Traumatology》2023年第2期68-72,共5页中华创伤杂志（英文版）

基　　金：Sina Trauma and Surgery Research Center,Tehran University of Medical Sciences(grant number:50495)。

摘　　要：Purpose:To prepare for future possible communicable disease epidemics/pandemics,health care providers should know how the COVID-19 pandemic influenced injured patients.This study aimed to compare epidemiologic features,outcomes,and diagnostic and therapeutic procedures of trauma patients admitted to a university-affiliated hospital before and during the pandemic.Methods:This retrospective study was performed on data from the National Trauma Registry of Iran.All injured patients admitted to the hospital from July 25,2016 to March 10,2021 were included in the study.The patients were excluded if they had hospital length of stay less than 24 h.The injury outcomes,trauma mechanisms,and therapeutic and diagnostic procedures of the 2 periods:before(from July 25,2016 to February 18,2020)and during(from February 19,2020 to March 10,2021)COVID-19 pandemic were compared.All analyses were performed using STATA version 14.0 software(Stata Corporation,College Station,TX).Results:Totally,5014 patients were included in the registry.Of them,773(15.4%)were registered after the beginning of the COVID-19 pandemic on February 19,2020,while 4241 were registered before that.Gender,education level,and cause of injury were significantly different among the patients before and after the beginning of the pandemic(p<0.001).In the≤15 years and≥65 years age groups,injuries decreased significantly during the COVID-19 pandemic(p<0.001).The frequency of intensive care unit(ICU)admission decreased from 694(16.4%)to 88(11.4%)(p<0.001).The mean length of stay at the hospital(days)and at the ICU(days)declined as follow:8.3(SD=17.2)vs.5.5(SD=6.1),p<0.001 and 7.5(SD=11.5)vs.4.5(SD=6.3),p<0.022.The frequency of diagnostic and therapeutic procedures before and during the pandemic was as follows,respectively:ultrasonography 905(21.3%)vs.417(53.9%)(p<0.001),echocardiography 313(7.4%)vs.107(13.8%)(p<0.001),angiography 1597(37.7%)vs.534(69.1%)(p<0.001),MRI 166(3.9%)vs.51(6.6%)(p<0.001),surgery 3407(80.3%)vs.654(84.6%)(p<0.001),and internal/external fixa

关 键 词：Wounds and injuries COVID-19 PANDEMIC REGISTRY 

分 类 号：R641[医药卫生—外科学]