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COVID-19 大流行对交通事故流行病学的影响:一项横断面研究。

Impact of the COVID-19 pandemic on the epidemiology of traffic accidents: a cross-sectional study.

机构信息

- Hospital Universitário Cajuru, Liga Acadêmica do Trauma (LATHUC) - Curitiba - PR - Brasil.

- Pontifícia Universidade Católica do Paraná, Escola de Medicina e Ciências da Vida, Departamento de Bioestatística - Curitiba - PR - Brasil.

出版信息

Rev Col Bras Cir. 2022 Dec 12;49:e20223364. doi: 10.1590/0100-6991e-20223364-en. eCollection 2022.

DOI:10.1590/0100-6991e-20223364-en
PMID:36515331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10578847/
Abstract

OBJECTIVE

to assess the epidemiological profile of traffic accident victims in the setting of the Coronavirus Disease 2019 (COVID-19) pandemic and analyze the admissions throughout the different levels of restriction (flags), as well as compare the results with the pre-pandemic period.

METHODS

a cross-sectional study was performed, with probability sampling, in a trauma center in Brazil. Medical records of patients involved in traffic accidents from June 2020 to May 2021 were evaluated. Aside from epidemiological characteristics, variables such as the current flag, the trauma mechanism, the resulting injuries, and the Revised Trauma Score (RTS) were also considered. Data were compared between three different flag periods and the proportion of consultations during the pandemic was compared with that from pre-pandemic time (December 2016 to February 2018).

RESULTS

it was observed that 62.2% of the patients were victims of motorcycle accidents, 77.5% were male, and the mean age was 33 ± 12.4 years. The mean and median RTS were 7.5 and 7.8, respectively. Statistical difference was stated when comparing the number of visits per day between the yellow and red flags (p=0.001) and orange and red flags (p=0.016). A significantly lower number of consultations for traffic accidents was observed in the pandemic when compared to the pre-pandemic period.

CONCLUSIONS

the epidemiological profile of the study consisted mostly of young men who were victims of motorcycle accidents. There was a lower incidence of admissions during red flag periods and a lower proportion of consultations throughout the survey when compared to the pre-pandemic period.

摘要

目的

评估 2019 年冠状病毒病(COVID-19)大流行背景下交通事故受害者的流行病学特征,并分析不同限制级别(警戒级别)下的入院情况,同时将结果与大流行前时期进行比较。

方法

本研究为巴西一家创伤中心进行的一项横断面研究,采用概率抽样方法。评估了 2020 年 6 月至 2021 年 5 月期间涉及交通事故的患者的病历。除了流行病学特征外,还考虑了当前警戒级别、创伤机制、导致的损伤以及修订创伤评分(RTS)等变量。在三个不同警戒级别期间对数据进行了比较,并将大流行期间的就诊比例与大流行前时期(2016 年 12 月至 2018 年 2 月)进行了比较。

结果

研究观察到 62.2%的患者是摩托车事故受害者,77.5%为男性,平均年龄为 33±12.4 岁。平均和中位数 RTS 分别为 7.5 和 7.8。黄、红警戒级别(p=0.001)和橙、红警戒级别(p=0.016)之间的每日就诊次数存在统计学差异。与大流行前时期相比,大流行期间交通事故就诊人数明显减少。

结论

本研究的流行病学特征主要为年轻男性摩托车事故受害者。在红色警戒级别期间入院率较低,且整个调查期间就诊比例均低于大流行前时期。

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