engleski

The impact of the COVID-19 pandemic on pediatric trauma - experience of the Children's Hospital Zagreb

Insight into the Hospital Information System, we were interested in how the COVID-19 pandemic affected pediatric trauma. The analysis covered 15 months of the pre-COVID-19 period and 15 months of the COVID-19 period. The number of children with upper and lower extremity injuries was as follows ; upper extremity injuries [pre-COVID-19: 8546 (569.73 ± 139.45) ; COVID-19: 7351 (490.07 ± 171.81)], lower extremity injuries [pre-COVID-19: 6474 (431.60 ± 80.98) ; COVID-19: 4868 (324.53 ± 135.42)]. The total percentage change for upper extremity injuries was -13.98%, while for the lower extremities it was -24.80%. The total number of operations, due to strict measures and reduction of the elective program, decreased statistically significantly in the COVID-19 period [185.47 ± 33.09 -> 115.60 ± 23.57 (p <0.0001)]. The total percentage change was -37.67%. It is interesting to note that the overall percentage change for surgical treatment of fractures increased by 0.6%. There is no doubt that COVID-19 affected the number of examinations in the emergency department, but the number of emergency operations did not change significantly. This clearly indicates that conditions that required surgical treatment were adequately treated, without an increase in the number of complications due to a possible delay in arriving at the emergency department.

COVID-19 ; pandemic ; trauma ; children ; pediatric surgery

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