Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of Iran
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...
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| Format: | Article |
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Kashan University of Medical Sciences
2025-03-01
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| Series: | Archives of Trauma Research |
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| Online Access: | https://archtrauma.kaums.ac.ir/article_217636_8c82eeea52018073cd1cc00bfe6d7026.pdf |
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| author | Hamid Reza Jahantigh Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Vali Baigi Esmaeil Fakharian Hamid Pahlavanhosseini Habibollah Pirnejad Reza Farahmand Rad Salman Daliri Mehdi Nasr Isfahani Moein Khormali Seyed Mohammad Piri sara mirzamohamadi Payman Salamati |
| author_facet | Hamid Reza Jahantigh Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Vali Baigi Esmaeil Fakharian Hamid Pahlavanhosseini Habibollah Pirnejad Reza Farahmand Rad Salman Daliri Mehdi Nasr Isfahani Moein Khormali Seyed Mohammad Piri sara mirzamohamadi Payman Salamati |
| author_sort | Hamid Reza Jahantigh |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2c11a93b0d0e4f6f95a70f88f528abd4 |
| institution | DOAJ |
| issn | 2251-953X 2251-9599 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Kashan University of Medical Sciences |
| record_format | Article |
| series | Archives of Trauma Research |
| spelling | doaj-art-2c11a93b0d0e4f6f95a70f88f528abd42025-08-20T03:12:50ZengKashan University of Medical SciencesArchives of Trauma Research2251-953X2251-95992025-03-01141334010.48307/atr.2025.444497.1094217636Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of IranHamid Reza Jahantigh0Mohammadreza Zafarghandi1Vafa Rahimi-Movaghar2Vali Baigi3Esmaeil Fakharian4Hamid Pahlavanhosseini5Habibollah Pirnejad6Reza Farahmand Rad7Salman Daliri8Mehdi Nasr Isfahani9Moein Khormali10Seyed Mohammad Piri11sara mirzamohamadi12Payman Salamati13Sina 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, ItalySina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina 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, IranTrauma Research Center, Kashan University of Medical Sciences, Kashan, IranTrauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranPatient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, IranClinical Research Development Center, Imam Ali and Taleghani Hospital, Kermanshah University of Medical Sciences, Kermanshah, IranClinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, IranDepartment of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranBackground: 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.https://archtrauma.kaums.ac.ir/article_217636_8c82eeea52018073cd1cc00bfe6d7026.pdfcovid-19cause of traumapandemic |
| spellingShingle | Hamid Reza Jahantigh Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Vali Baigi Esmaeil Fakharian Hamid Pahlavanhosseini Habibollah Pirnejad Reza Farahmand Rad Salman Daliri Mehdi Nasr Isfahani Moein Khormali Seyed Mohammad Piri sara mirzamohamadi Payman Salamati Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of Iran Archives of Trauma Research covid-19 cause of trauma pandemic |
| title | Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of Iran |
| title_full | Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of Iran |
| title_fullStr | Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of Iran |
| title_full_unstemmed | Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of Iran |
| title_short | Did the COVID-19 pandemic change the pattern of trauma and its outcomes? Experiences of the National Trauma Registry of Iran |
| title_sort | did the covid 19 pandemic change the pattern of trauma and its outcomes experiences of the national trauma registry of iran |
| topic | covid-19 cause of trauma pandemic |
| url | https://archtrauma.kaums.ac.ir/article_217636_8c82eeea52018073cd1cc00bfe6d7026.pdf |
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