Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of Iran
نویسندگان
1 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
2 Sina Trauma and Surgery Research Centre, Tehran University of Medical Sciences, Tehran, Iran Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3 Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
4 Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
5 Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
6 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
7 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
8 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran AND Interdisciplinary Department of Medicine-Section of Occupational Medicine, University of Bari, 70124 Bari, Italy
9 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
10 Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
11 Clinical Research Development Center, Imam Ali and Taleghani Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
12 Department of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
13 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
14 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
doi
10.48307/atr.2025.444497.1094چکیده
Background: This study aimed to compare the characteristics of traumatic injuries before and during the COVID-19 pandemic.Methods: In this study, data of trauma patients admitted to the six hospitals affiliated with the National Trauma Registry of Iran (NTRI) before (from April 21, 2017, to February 19, 2020) and during (from February 20, 2020, to November 30, 2021) the COVID-19 pandemic were used. The data were collected by interviewing and patients’ documents, including demographic data, cause of injury, in-hospital mortality, and diagnostic and therapeutic procedures.Results: Seventeen thousand four traumatic patients were included in the registry. The mean of monthly admitted patients declined from 360 patients before the COVID-19 pandemic to 213 patients during the pandemic. The percentage of conflict/interpersonal violence and self-harm/suicide among all registered traumas increased from 2.9% and 0.8% before the COVID-19 pandemic to 5.3% and 2.4 during the COVID-19 pandemic, respectively (Ps<0.001). Additionally, the percentage of registered patients with fall injuries before the COVID-19 pandemic was 27.5% and reached 24.6% during the COVID-19 pandemic. Moreover, before the pandemic, ICU admissions and in-hospital mortality were 9.8% and 1.1%, respectively, and reached 12.7% and 1.8% during the pandemic (Ps <0.001). Furthermore, the HLOS decreased from 148.5 (SD=570.7) hours to 117.4 (SD=226.6) hours (p<0.001).Conclusion: The findings reveal that the COVID-19 pandemic led to several significant changes in the patterns of trauma patients admitted to the NTRI centers, including gender, age, and cause of trauma and it increased the ICU admissions and in-hospital mortalities and reduced HLOS.
