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Research Article
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Year 2023, Volume: 45 Issue: 1, 96 - 102, 31.03.2023

Ramazan Sami Aktaş , Eyüp Çetin

https://doi.org/10.7197/cmj.1148308

Abstract

References

  • 1. Peeters W, van den Brande R, Polinder S, et al. Epidemiology of traumatic brain injury in Europe. Acta Neurochir. 2015;157:1683-96.
  • 2. Mateu NC. Traumatic brain injury in Denmark 2008–2012. Scand J Public Health. 2020;48:331-7.
  • 3. Heydari F, Golban M, Majidinejad S. Traumatic brain injury in older adults presenting to the emergency department: epidemiology, outcomes and risk factors predicting the prognosis. Adv J Emerg Med. 2020;4.
  • 4. Pérez K, Novoa AM, Santamariña-Rubio E, et al. Incidence trends of traumatic spinal cord injury and traumatic brain injury in Spain, 2000-2009. Accid Anal Prev. 2012;46:37-44.
  • 5. World Health Organization: Novel Coronavirus (2019-nCoV) technical guidance. 2020.
  • 6. Centers for Disease Control and Prevention: Interim clinical guidance for management of patients with confirmed coronavirus disease (COVID-19). https://search.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/en/ppcovidwho-2607. 2020.
  • 7. Ahoniemi E, Alaranta H, Hokkinen E-M, Kautiainen H. Incidence of traumatic spinal cord injuries in Finland over a 30-year period. Spinal cord. 2008;46:781-4.
  • 8. Numminen H. The incidence of traumatic brain injury in an adult population–how to classify mild cases? Eur J Neurol. 2011;18:460-4.
  • 9. Onwuchekwa RC, Echem RC. An epidemiologic study of traumatic head injuries in the emergency department of a tertiary health institution. J Med Trop. 2018;20:24.
  • 10. Shivaji T, Lee A, Dougall N, et al. The epidemiology of hospital treated traumatic brain injury in Scotland. BMC Neurol. 2014;14:2.
  • 11. Ostermann RC, Joestl J, Tiefenboeck TM, et al. Risk factors predicting prognosis and outcome of elderly patients with isolated traumatic brain injury. J Orthop Surg Res. 2018;13:277.
  • 12. Masoumi B, Heydari F, Hatamabadi H, et al. The relationship between risk factors of head trauma with CT scan findings in children with minor head trauma admitted to hospital. Open Access Maced J Med Sci. 2017;5:319.
  • 13. Krause M. Pediatric Traumatic Brain Injury and Cervical Spine Injuries. Pearls and Tricks in Pediatric Surgery: Springer. 2021;379-86.
  • 14. Knútsdóttir S, Thorisdottir H, Sigvaldason K, et al. Epidemiology of traumatic spinal cord injuries in Iceland from 1975 to 2009. Spinal Cord. 2012; 50:123-6.
  • 15. Hamidi C, Göya C, Yavuz A, et al. C. Göya et al. Low dose CT in multiple trauma patients The diagnostic efficacy of low-dose cervical and thoracic CT in multiple trauma patients Multipl travmada servikal ve torakal düşük doz spiral BT’nin tanısal etkinliği. Dicle Med J www.diclemedj.org Cilt. 2013;40(3):357-363. doi:10.5798/diclemedj.0921.2013.03.0289
  • 16. Çetin E Akyol ME. Journal of Experimental and Clinical Medicine » Submission » Effect of COVID-19 quarantine on patients admitted to neurosurgery outpatient. J Exp Clin Med. Published online January 1,2022;149-155.

Effects of COVID-19 Isolation Practices on Neurosurgical Traumas

Year 2023, Volume: 45 Issue: 1, 96 - 102, 31.03.2023

Ramazan Sami Aktaş , Eyüp Çetin

https://doi.org/10.7197/cmj.1148308

Abstract

Aim: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. We aimed to investigate the frequency of head and spinal injuries caused by trauma before and after the pandemic. To identify the situations that should be taken into account in isolation measures due to the possibility of the emergence of such epidemics in the globalizing world.
Material and Method: Medical records of 2595 patients were accessed and 1309 patients with missing patient data were excluded from the study. Normal distribution of continuous variables was assessed using Kolmogorov-Smirnov test. Continuous variables were compared using Mann-Whitney U test and categorical variables were compared using Chi-square test or Fisher’s exact test.
Results: Data of 1286 patients were analyzed. Some parameters differ before and after the pandemic, age, injury mechanism, type of lesion, spinal trauma. The average age is 33.9 and the male-female ratio is 3/2. The most frequent admission to the emergency room was in the summer. In our data, there were significant differences in age, gunshot wounds in the trauma mechanism, soft tissue injury and contusion in lesions, and spinal trauma.
Conclusion: The Covid pandemic has caused imperative changes in every aspect of life. This situation also caused a change in the reasons for applying to hospitals. It has been shown that the isolations performed because of Covid-19 did not affect the diagnosis, treatment, and mortality of the patients, although they changed the mechanisms of head and spine trauma. Even with compulsory isolation for public health, the approach to neurosurgical traumas that may occur should not change. It should not be forgotten that in the presence of the Covid 19 pandemic, it continues in other clinical situations.

Keywords

Emergency covid-19 neurosurgical trauma isolation pandemic

References

  • 1. Peeters W, van den Brande R, Polinder S, et al. Epidemiology of traumatic brain injury in Europe. Acta Neurochir. 2015;157:1683-96.
  • 2. Mateu NC. Traumatic brain injury in Denmark 2008–2012. Scand J Public Health. 2020;48:331-7.
  • 3. Heydari F, Golban M, Majidinejad S. Traumatic brain injury in older adults presenting to the emergency department: epidemiology, outcomes and risk factors predicting the prognosis. Adv J Emerg Med. 2020;4.
  • 4. Pérez K, Novoa AM, Santamariña-Rubio E, et al. Incidence trends of traumatic spinal cord injury and traumatic brain injury in Spain, 2000-2009. Accid Anal Prev. 2012;46:37-44.
  • 5. World Health Organization: Novel Coronavirus (2019-nCoV) technical guidance. 2020.
  • 6. Centers for Disease Control and Prevention: Interim clinical guidance for management of patients with confirmed coronavirus disease (COVID-19). https://search.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/en/ppcovidwho-2607. 2020.
  • 7. Ahoniemi E, Alaranta H, Hokkinen E-M, Kautiainen H. Incidence of traumatic spinal cord injuries in Finland over a 30-year period. Spinal cord. 2008;46:781-4.
  • 8. Numminen H. The incidence of traumatic brain injury in an adult population–how to classify mild cases? Eur J Neurol. 2011;18:460-4.
  • 9. Onwuchekwa RC, Echem RC. An epidemiologic study of traumatic head injuries in the emergency department of a tertiary health institution. J Med Trop. 2018;20:24.
  • 10. Shivaji T, Lee A, Dougall N, et al. The epidemiology of hospital treated traumatic brain injury in Scotland. BMC Neurol. 2014;14:2.
  • 11. Ostermann RC, Joestl J, Tiefenboeck TM, et al. Risk factors predicting prognosis and outcome of elderly patients with isolated traumatic brain injury. J Orthop Surg Res. 2018;13:277.
  • 12. Masoumi B, Heydari F, Hatamabadi H, et al. The relationship between risk factors of head trauma with CT scan findings in children with minor head trauma admitted to hospital. Open Access Maced J Med Sci. 2017;5:319.
  • 13. Krause M. Pediatric Traumatic Brain Injury and Cervical Spine Injuries. Pearls and Tricks in Pediatric Surgery: Springer. 2021;379-86.
  • 14. Knútsdóttir S, Thorisdottir H, Sigvaldason K, et al. Epidemiology of traumatic spinal cord injuries in Iceland from 1975 to 2009. Spinal Cord. 2012; 50:123-6.
  • 15. Hamidi C, Göya C, Yavuz A, et al. C. Göya et al. Low dose CT in multiple trauma patients The diagnostic efficacy of low-dose cervical and thoracic CT in multiple trauma patients Multipl travmada servikal ve torakal düşük doz spiral BT’nin tanısal etkinliği. Dicle Med J www.diclemedj.org Cilt. 2013;40(3):357-363. doi:10.5798/diclemedj.0921.2013.03.0289
  • 16. Çetin E Akyol ME. Journal of Experimental and Clinical Medicine » Submission » Effect of COVID-19 quarantine on patients admitted to neurosurgery outpatient. J Exp Clin Med. Published online January 1,2022;149-155.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Surgical Science Research Articles
Authors

Ramazan Sami Aktaş 0000-0003-1072-382X

Eyüp Çetin 0000-0002-2045-6721

Publication Date March 31, 2023
Acceptance Date March 22, 2023
Published in Issue Year 2023 Volume: 45 Issue: 1

Cite

AMA Aktaş RS, Çetin E. Effects of COVID-19 Isolation Practices on Neurosurgical Traumas. CMJ. March 2023;45(1):96-102. doi:10.7197/cmj.1148308
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