Research Article
Evaluation of extremity and pelvis traumas admitted to the emergency department before and during the pandemic; with laboratory, embolism and mortality data
Abstract
Aim: The purpose of this study was to determine the forms of trauma, demographic features, embolism status and mortality of patients who presented to the emergency department due to extremity and pelvis trauma before and during the pandemic period.
Material and Method: This retrospective study included 319 patients, who presented to the emergency department due to trauma between January 1, 2019, and December 31, 2020. The associations between embolism and mortality after trauma, as well as COVID-19, were investigated.
Results: The mean age of the 319 patients was 55.11±19.02 years, the distribution was 19-90 years and 133 (41.7%) were women. It was determined that 171 (53.7%) of the trauma patients were in the pre-pandemic period and 148(46.3%) were in the pandemic period. Embolism was detected in 19 (11.1%) cases before the pandemic and in 35 (23.6%) cases during the pandemic (p=0.003). Pre-pandemic mortality was observed in 10(5.8%) cases, and in pandemic 21 (14.2%) cases (p=0.010). While embolism was present in 22 (71%) cases in the mortality group, it was not observed in 9(29%) cases (p=0.001).
Conclusion: COVID-19 infection and pandemic can adversely affect the incidence of trauma, embolism and mortality. Embolism and mortality rates have increased significantly with the effects of COVID-19 during the pandemic period.
Supporting Institution
None
References
- Birkmeyer JD, Barnato A, Birkmeyer N, Bessler R, Skinner J. The impact of the COVID-19 pandemic on hospital admissions in the United States. Health Affairs 2020; 39: 2010-7.
- Nourazari S, Davis SR, Granovsky R, et al. Decreased hospital admissions through emergency departments during the COVID-19 pandemic. Am J Emerg Med 2021; 42:203-10.
- Turkish Health Ministry, https://covid19.saglik.gov.tr/ (Access Date: December 01, 2022)
- GBD 2016 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017; 390: 1260-344.
- Brunett PH, Cameron PA. Trauma. In: Tintinalli JE, Stapczynski JS, Ma OJ, Cline DM, Cydulka RK, Meckler GD, eds. Tintinalli’s Emergency Medicine A Comprehensive Study Guide. 7th ed. New York, NY: Mc Graw Hill; 2011: 1671-6.
- Arvieux C, Thony F, Broux C, et al. Current management of severe pelvic and perineal trauma. J Visc Surg 2012; 149: e227-38.
- DiMaggio CJ, Avraham JB, Lee DC, Frangos SG, Wall SP. The epidemiology of emergency department trauma discharges in the United States. Acad Emerg Med 2017; 24: 1244-56
- Sarıkaya S. Approach to the patient with extremity trauma in the emergency department. J Clin Develop 2008; 21: 90-100.
- Kefer MP. Initial evaluation and management of orthopedic injuries . Cline DM, Ma O, Cydulka RK, Meckler GD, Handel DA, Thomas SH. Eds. Tintinalli’s Emergency Medicine Manual, 7e. McGraw Hill. 2012: 843-6.
- Bikdeli B, Madhavan MV, Jimenez D, et al. Global COVID-19 Thrombosis Collaborative Group, endorsed by the ISTH, NATF, ESVM, and the IUA, supported by the ESC Working Group on pulmonary circulation and right ventricular function. COVID-19 and thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020; 75: 2950-73.
- Cannegieter SC, Klok FA. COVID-19 associated coagulopathy and thromboembolic disease: Commentary on an interim expert guidance. Res Pract Thromb Haemost. 2020; 4: 439-45.
- Connors JM, Levy JH. COVID-19 and its implications for thrombosis and anticoagulation. Blood 2020; 135: 2033-40.
- Öztürk Ş, Sevim KZ. The retrospective analysis and the demographics of upper extremity injury patients and their problems in the first 24 hours after operation. Med Bull Sisli Etfal Hosp 2020; 54: 67–72.
- Srivastava AR, Kumar S, Agarwal GG, Ranjan P. Blunt abdominal injury: Serum ALT-A marker of liver injury and a guide to assessment of its severity. Injury 2007; 38: 1069-74.
- Helmi I, Hussein A, Ahmed AH. Abdominal trauma due to road traffic accidents in Qatar. Injury 2001; 32: 105-8.
- Thal ER, Rochon RB. Inner-city trauma centers. Financial burdens or community saviors? Surg Clin North Am 1991; 71: 209-19.
- Liberman M, Mulder DS, Sampalis JS. Increasing volume of patients at level I trauma centres: Is there a need for triage modification in elderly patients with injuries of low severity? Can J Surg 2003; 46: 446-52.
- Bindal A, Patmano M, Cansun F. Laboratory markers used to predict mortality in severe COVID-19. Ann Med Res 2022; 29: 545–9.
- Y Salamanna F, Maglio M, Landini MP, Fini M. Platelet functions and activities as potential hematologic parameters related to Coronavirus Disease 2019 (Covid-19). Platelets 2020; 31: 627-32.
- Rostami M, Mansouritorghabeh H. D-dimer level in COVID-19 infection: a systematic review. Expert Rev Hematol 2020; 13: 1265-75.
- Z Yalçın KS, Yücetürk H, Kasapoğlu B, Kekilli M. The relationship between extended D-dimer elevations and hereditary thrombophilia in COVID-19 patients. J Med Palliat Care 2022; 3: 147-151.
- Kirkpatrick JR, Youmans RL. Trauma index. An aide in the evaluation of injury victims. J Trauma 1971; 11: 711-4.
- Başoğlu A, Akdağ AO, Celik B, Demircan S. Thoracic trauma: an analysis of 521 patients. TJTES 2004; 10: 42-6.
- MacLeod J, Lynn M, McKenney MG, Jeroukhimov I, Cohn SM. Predictors of mortality in trauma patients. Am Surg 2004; 70: 805-10.
- Wladis A, Boström L, Nilsson B. Injuries and mortality in motorcycle and moped accidents in Sweden 1987-1994. Advanced age and male sex are risk factors of fatal moped and motorcycle accidents. Lakartidningen 2003; 100: 1238-41.
- Ma OJ, DeBehnke DJ. Geriatric trauma. In: Tintinalli J, Kelen GD, Stapcznski JS, eds. Emergency Medicine, A Comprehensive Study Guide. 5th ed. New York, NY: McGraw-Hill; 1999:1623-7.
- Richmond TS, Kauder D, Strumpf N, Meredith T. Characteristics and outcomes of serious traumatic injury in older adults. J Am Geriatr Soc 2002; 50: 215-22.
- Klok FA, Kruip MJHA, van der Meer NJM, et al. Confirmation of the high cumulative incidence of thrombotic complications in critically ill ICU patients with COVID-19: An updated analysis. Thromb Res 2020; 191: 148–50.
- Rindi LV, Al Moghazi S, Donno DR, Cataldo MA, Petrosillo N. Predictive scores for the diagnosis of Pulmonary Embolism in COVID-19: A systematic review. Int J Infect Dis. 2022; 115: 93-100.
Year 2023,
Volume: 5 Issue: 2, 84 - 90, 27.03.2023
Abstract
References
- Birkmeyer JD, Barnato A, Birkmeyer N, Bessler R, Skinner J. The impact of the COVID-19 pandemic on hospital admissions in the United States. Health Affairs 2020; 39: 2010-7.
- Nourazari S, Davis SR, Granovsky R, et al. Decreased hospital admissions through emergency departments during the COVID-19 pandemic. Am J Emerg Med 2021; 42:203-10.
- Turkish Health Ministry, https://covid19.saglik.gov.tr/ (Access Date: December 01, 2022)
- GBD 2016 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017; 390: 1260-344.
- Brunett PH, Cameron PA. Trauma. In: Tintinalli JE, Stapczynski JS, Ma OJ, Cline DM, Cydulka RK, Meckler GD, eds. Tintinalli’s Emergency Medicine A Comprehensive Study Guide. 7th ed. New York, NY: Mc Graw Hill; 2011: 1671-6.
- Arvieux C, Thony F, Broux C, et al. Current management of severe pelvic and perineal trauma. J Visc Surg 2012; 149: e227-38.
- DiMaggio CJ, Avraham JB, Lee DC, Frangos SG, Wall SP. The epidemiology of emergency department trauma discharges in the United States. Acad Emerg Med 2017; 24: 1244-56
- Sarıkaya S. Approach to the patient with extremity trauma in the emergency department. J Clin Develop 2008; 21: 90-100.
- Kefer MP. Initial evaluation and management of orthopedic injuries . Cline DM, Ma O, Cydulka RK, Meckler GD, Handel DA, Thomas SH. Eds. Tintinalli’s Emergency Medicine Manual, 7e. McGraw Hill. 2012: 843-6.
- Bikdeli B, Madhavan MV, Jimenez D, et al. Global COVID-19 Thrombosis Collaborative Group, endorsed by the ISTH, NATF, ESVM, and the IUA, supported by the ESC Working Group on pulmonary circulation and right ventricular function. COVID-19 and thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020; 75: 2950-73.
- Cannegieter SC, Klok FA. COVID-19 associated coagulopathy and thromboembolic disease: Commentary on an interim expert guidance. Res Pract Thromb Haemost. 2020; 4: 439-45.
- Connors JM, Levy JH. COVID-19 and its implications for thrombosis and anticoagulation. Blood 2020; 135: 2033-40.
- Öztürk Ş, Sevim KZ. The retrospective analysis and the demographics of upper extremity injury patients and their problems in the first 24 hours after operation. Med Bull Sisli Etfal Hosp 2020; 54: 67–72.
- Srivastava AR, Kumar S, Agarwal GG, Ranjan P. Blunt abdominal injury: Serum ALT-A marker of liver injury and a guide to assessment of its severity. Injury 2007; 38: 1069-74.
- Helmi I, Hussein A, Ahmed AH. Abdominal trauma due to road traffic accidents in Qatar. Injury 2001; 32: 105-8.
- Thal ER, Rochon RB. Inner-city trauma centers. Financial burdens or community saviors? Surg Clin North Am 1991; 71: 209-19.
- Liberman M, Mulder DS, Sampalis JS. Increasing volume of patients at level I trauma centres: Is there a need for triage modification in elderly patients with injuries of low severity? Can J Surg 2003; 46: 446-52.
- Bindal A, Patmano M, Cansun F. Laboratory markers used to predict mortality in severe COVID-19. Ann Med Res 2022; 29: 545–9.
- Y Salamanna F, Maglio M, Landini MP, Fini M. Platelet functions and activities as potential hematologic parameters related to Coronavirus Disease 2019 (Covid-19). Platelets 2020; 31: 627-32.
- Rostami M, Mansouritorghabeh H. D-dimer level in COVID-19 infection: a systematic review. Expert Rev Hematol 2020; 13: 1265-75.
- Z Yalçın KS, Yücetürk H, Kasapoğlu B, Kekilli M. The relationship between extended D-dimer elevations and hereditary thrombophilia in COVID-19 patients. J Med Palliat Care 2022; 3: 147-151.
- Kirkpatrick JR, Youmans RL. Trauma index. An aide in the evaluation of injury victims. J Trauma 1971; 11: 711-4.
- Başoğlu A, Akdağ AO, Celik B, Demircan S. Thoracic trauma: an analysis of 521 patients. TJTES 2004; 10: 42-6.
- MacLeod J, Lynn M, McKenney MG, Jeroukhimov I, Cohn SM. Predictors of mortality in trauma patients. Am Surg 2004; 70: 805-10.
- Wladis A, Boström L, Nilsson B. Injuries and mortality in motorcycle and moped accidents in Sweden 1987-1994. Advanced age and male sex are risk factors of fatal moped and motorcycle accidents. Lakartidningen 2003; 100: 1238-41.
- Ma OJ, DeBehnke DJ. Geriatric trauma. In: Tintinalli J, Kelen GD, Stapcznski JS, eds. Emergency Medicine, A Comprehensive Study Guide. 5th ed. New York, NY: McGraw-Hill; 1999:1623-7.
- Richmond TS, Kauder D, Strumpf N, Meredith T. Characteristics and outcomes of serious traumatic injury in older adults. J Am Geriatr Soc 2002; 50: 215-22.
- Klok FA, Kruip MJHA, van der Meer NJM, et al. Confirmation of the high cumulative incidence of thrombotic complications in critically ill ICU patients with COVID-19: An updated analysis. Thromb Res 2020; 191: 148–50.
- Rindi LV, Al Moghazi S, Donno DR, Cataldo MA, Petrosillo N. Predictive scores for the diagnosis of Pulmonary Embolism in COVID-19: A systematic review. Int J Infect Dis. 2022; 115: 93-100.
There are 29 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | March 27, 2023 |
| Published in Issue | Year 2023 Volume: 5 Issue: 2 |
TR DİZİN ULAKBİM and International Indexes (1b)
Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]
Note: Our journal is not WOS indexed and therefore is not classified as Q.
You can download Council of Higher Education (CoHG) [Yüksek Öğretim Kurumu (YÖK)] Criteria) decisions about predatory/questionable journals and the author's clarification text and journal charge policy from your browser. https://dergipark.org.tr/tr/journal/3449/file/4924/show
Journal Indexes and Platforms:
TR Dizin ULAKBİM, Google Scholar, Crossref, Worldcat (OCLC), DRJI, EuroPub, OpenAIRE, Turkiye Citation Index, Turk Medline, ROAD, ICI World of Journal's, Index Copernicus, ASOS Index, General Impact Factor, Scilit.The indexes of the journal's are;
|
|
|
|
The platforms of the journal's are;
|
|
|
|
The indexes/platforms of the journal are;
TR Dizin Ulakbim, Crossref (DOI), Google Scholar, EuroPub, Directory of Research Journal İndexing (DRJI), Worldcat (OCLC), OpenAIRE, ASOS Index, ROAD, Turkiye Citation Index, ICI World of Journal's, Index Copernicus, Turk Medline, General Impact Factor, Scilit
EBSCO, DOAJ, OAJI is under evaluation.
Journal articles are evaluated as "Double-Blind Peer Review"