Ulus Travma Acil Cerrahi Derg. 2022; 28(1): 94-98 | DOI: 10.14744/tjtes.2020.67681

An evaluation of the characteristics of orthopedic pediatric traumas during the COVID-19 pandemic lockdown period

Alper Köksal¹, Yalkin Çamurcu², Ferdi Dýrvar¹, Furkan Yapýcý³, Hakan Akgün¹, Ozan Kaya^1
1Department of Orthopaedics and Traumatology, University of Health Sciences, Baltalimaný Bone Diseases Training and Research Hospital, Ýstanbul-Turke
²Department of Orthopaedics and Traumatology, Ýstanbul Atlas University Faculty of Medicine, Ýstanbul-Turkey
³Department of Orthopaedics and Traumatology, Erzincan Binali Yýldýrým University Faculty of Medicine, Erzincan-Turkey

BACKGROUND: The purpose of this study is to investigate the effects of implemented social isolation measures on the characteristics of orthopedic pediatric traumas during this COVID-19 pandemic lockdown period.
METHODS: Patients who were admitted at our center between two time periods: April 3, 2019–May 31, 2019 (no lockdown period) and April 3, 2020–May 31, 2020 (lockdown period) were included to the study. Group 1 comprised 743 patients who were treated during no lockdown period, whereas Group 2 comprised 615 patients who were treated during lockdown period. Patients’ medical records and radiographs were reviewed through our hospital’s computer database. In addition, we recorded each patients’ age and gender, their definite diagnosis, the anatomic location of the trauma, the type of trauma (fracture, dislocation, tendon injury, ligament injury, fracture dislocation, open fracture, etc.), the type of pediatric fracture (displaced fracture, torus fracture, epiphyseal fracture, pathological fracture, etc.), and the treatment method (non-operative/operative).
RESULTS: The mean age of the patients was significantly lower in Group 2 (p<0.001). There were significant differences between the groups in terms of anatomic locations of the traumas (p<0.001). The types of the traumas, pediatric traumas, and treatment were significantly different between the groups (p<0.001, p<0.001, and p<0.001, respectively). The frequency of operative treatment was significantly higher in Group 2 (p<0.001).
CONCLUSION: Our results demonstrated significant differences in patients’ demographics as well as trauma characteristics during COVID-19 pandemic.

Keywords: Demographics, lockdown, pandemic; pediatric fractures; trauma.

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COVID-19 pandemisi karantina döneminde pediatrik kýrýklarýn özelliklerinin deðerlendirilmesi

Alper Köksal¹, Yalkin Çamurcu², Ferdi Dýrvar¹, Furkan Yapýcý³, Hakan Akgün¹, Ozan Kaya^1
1Saðlýk Bilimleri Üniversitesi, Baltalimaný Kemik Hastalýklarý Eðitim ve Araþtýrma Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalý, Ýstanbul
²Ýstanbul Atlas Üniversitesi Týp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalý, Ýstanbul Türkiye
³Erzincan Binali Yildirim Üniversitesi Týp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalý, Erzincan

AMAÇ: Bu çalýþmanýn amacý, uygulanan sosyal izolasyon önlemlerinin COVID-19 pandemisine baðlý karantina döneminde pediatrik kýrýklarýn özellikleri üzerindeki etkilerini araþtýrmaktýr.
GEREÇ VE YÖNTEM: Merkezimize 3 Nisan 2019–31 Mayýs 2019 (karantina olmayan dönem) ve 3 Nisan 2020–31 Mayýs 2020 (karantina dönemi) olmak üzere iki dönem arasýnda baþvuran hastalar çalýþmaya dahil edildi. Grup 1, karantina olmayan dönemde tedavi edilen 743 hastadan oluþurken, Grup 2, karantina döneminde tedavi edilen 615 hastadan oluþuyordu. Hastalarýn týbbi kayýtlarý ve radyografileri hastanemizin bilgisayar veri tabaný üzerinden gözden geçirildi. Ek olarak, hastalarýn yaþý, cinsiyeti, kesin taný, travmanýn anatomik yeri, travma tipi (kýrýk, çýkýk, tendon yaralanmasý, bað yaralanmasý, kýrýklý çýkýk, açýk kýrýk vb.), pediatrik kýrýk tipi (deplase kýrýk, torus kýrýðý, epifiz kýrýðý, patolojik kýrýk, vb.) ve tedavi yöntemi (konservatif/cerrahi) kaydedildi.
BULGULAR: Hastalarýn ortalama yaþý Grup 2’de anlamlý olarak daha düþüktü (p<0.001). Gruplar arasýnda travmalarýn anatomik lokalizasyonu açýsýndan anlamlý farklýlýklar vardý (p<0.001). Travma tipleri, pediatrik travma ve tedavi gruplar arasýnda anlamlý olarak farklýydý (sýrasýyla, p<0.001, p<0.001 ve p<0.001). Cerrahi tedavi sýklýðý Grup 2’de anlamlý olarak daha yüksekti (p<0.001).
TARTIÞMA: Sonuçlarýmýz, COVID-19 pandemisi sýrasýnda hasta demografisinde ve kýrýk özelliklerinde önemli farklýlýklar göstermiþtir.

Anahtar Kelimeler: Demografik, karantina, pandemi; pediatrik kýrýklar.

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