Aydın Orkun, Hanalıoğlu Damla, Ünal Bahri, Güngör Emre, Kaynak Mustafa Oğuz, Yiğit Hande, Mercan Umut Berk, Kuzu Aslı, Teksam Özlem
Department of Pediatrics, Division of Pediatric Emergency, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Turk Arch Pediatr. 2022 Jul;57(4):453-458. doi: 10.5152/TurkArchPediatr.2022.22032.
The coronavirus disease 2019 pandemic affected the healthcare systems worldwide. In this study, we aimed to examine the impact of the coronavirus disease 2019 pandemic on injury-related visits.
We conducted a retrospective analysis of 7648 injury-related pediatric emergency department visits between March 11 and June 30, 2018, 2019, and 2020, and com- pared the total number of visits, triage levels, distributions of injury mechanisms, and admission rates during the pandemic in 2020 to the same period in 2018 and 2019.
In the first 4 months of the pandemic, there was a 69.5% drop in all pediatric emer- gency department visits compared to the previous 2 years. Despite this decrease, the propor- tion of injury-related pediatric emergency department visits increased from 14% to 20.9% in 2020 (P < .001). There was a 3.8% increase in the frequencies of patients with high triage acuity levels (T1, T2, and T3) and a 3.8% decrease in patients with low triage acuity levels (P < .001). The domestic injury rate increased from 40% to 60% during the pandemic period (P < .001). Hospitalization rates increased from 6% to 11.5% and admission to intensive care units increased from 0.9% to 3.3%. The differences were statistically significant (P < .001). Visits due to burn increased from 2.7% to 5.2% (P < .001), poisoning from 3.4% to 5.5% (P < .001), bicycle accidents from 3.3% to 6.8% (P < .001), while injuries due to motor vehicle accidents decreased from 2.6% to 1.3% (P = .004) and sports injuries decreased from 8% to 2.1% (P < .001).
This study revealed that despite the significant decrease in total pediatric emer- gency department visits, percentages of injury-related visits increased during the pandemic.
2019年冠状病毒病大流行影响了全球医疗系统。在本研究中，我们旨在探讨2019年冠状病毒病大流行对与损伤相关就诊的影响。
我们对2018年、2019年和2020年3月11日至6月30日期间7648例与损伤相关的儿科急诊科就诊病例进行了回顾性分析，并将2020年大流行期间的就诊总数、分诊级别、损伤机制分布和住院率与2018年和2019年同期进行了比较。
在大流行的前4个月，与前两年相比，所有儿科急诊科就诊病例下降了69.5%。尽管有所下降，但2020年与损伤相关的儿科急诊科就诊比例从14%上升至20.9%（P < 0.001）。高分诊敏锐度水平（T1、T2和T3）患者的就诊频率增加了3.8%，低分诊敏锐度水平患者的就诊频率下降了3.8%（P < 0.001）。大流行期间家庭损伤率从40%上升至60%（P < 0.001）。住院率从6%上升至11.5%，重症监护病房收治率从0.9%上升至3.3%。差异具有统计学意义（P < 0.001）。烧伤导致的就诊从2.7%升至5.2%（P < 0.001），中毒从3.4%升至5.5%（P < 0.001），自行车事故从3.3%升至6.8%（P < 0.001），而机动车事故导致的损伤从2.6%降至1.3%（P = 0.004），运动损伤从8%降至2.1%（P < 0.001）。
本研究表明，尽管儿科急诊科就诊总数显著下降，但大流行期间与损伤相关的就诊比例有所上升。
