Evidence map›Paper›PMID 32958345›Full record

ArticleInjury2020

Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran.

Mohammad Hossein Nabian, Fardis Vosoughi, Farid Najafi, Seyyed Saeed Khabiri, Maziar Nafisi, Javad Veisi, Vahid Rastgou, Salam Ghamari, Amir Aakhashi, Nader Bahrami and 3 more

Abstract read
In one paragraph

Article in Injury, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
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  5. Observational
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  7. Article
  8. Article
  9. Paediatric Trauma during the COVID-19 Pandemic.African journal of paediatric surgery : AJPS · 2023
    Article
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  19. Use of external fixators in developing countries: a short socioeconomic analysis.Cost effectiveness and resource allocation : C/E · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Mohammad Hossein NabianDepartment of Orthopaedic and trauma surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: dr.nabian@gmail.com.
Fardis VosoughiDepartment of Orthopaedic and trauma surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: fardis.vosoughi@gmail.com.
Farid NajafiResearch Center for Environmental Determinants of Health (RCEDH), Health Institute, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: fnajafi@kums.ac.ir.
Seyyed Saeed KhabiriDepartment of Orthopedic surgery, Clinical Research Development Centre, Taleghani and Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: saeed.khabiri@gmail.com.
Maziar NafisiJoint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: maziarnafisi@gmail.com.
Javad VeisiDepartment of Orthopedic surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: dr.javadveisi@gmail.com.
Vahid RastgouDepartment of Orthopedic surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: vahid.rastgou68@gmail.com.
Salam GhamariDepartment of Orthopedic surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: drsalamghamari@gmail.com.
Amir AakhashiDepartment of Orthopedic surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: amir.akhashi@gmail.com.
Nader BahramiDepartment of Orthopedic surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: naderbahrami87@gmail.com.
Mehdi NaderiClinical Research Development Centre, Taleghani and Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: m.naderi51@yahoo.com.
Shokofeh MalekiClinical Research Development Centre, Taleghani and Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: malekis99@yahoo.com.
Mir Saeed YekaninejadDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: yekaninejad@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Iran, like most other countries, COVID-19 has had a deep impact on children's lives. Our hypothesis was that, a significant change in the number of pediatric injuries has happened in trauma centers. In the current study, we intend to identify the possible epidemiological shift in pediatric fracture patterns, by comparing the data from 'COVID-19 era' and the mean data from the past 2 years. To the best of our knowledge there are only few reports on epidemiology of pediatric fractures during the COVID-19 outbreak.

methodsData are reported in two sections. In the descriptive section, epidemiological data regarding pediatric fractures referred to Taleghani tertiary trauma center, including demographics, distribution curves, etiologies and fracture types are presented during the 'COVID era', from 1 March 2020 to 15 April 2020. In the comparative section, the aforementioned data are compared with mean data from the past 2 years, the 'non-COVID era'.

resultsAltogether 117 of the 288 trauma children (40.62%) had a fractured bone (145 fractures). Patients were mostly boys, with a mean age of 9.87 years (SD=5.27). The three most common fracture types in children included distal radius, mid-forearm and humeral supracondylar fractures. Compared to non-COVID era, the number of pediatric trauma admissions dropped from 589 to 288. No significant change happened in the mean age, male/female ratio and percentage of motor vehicle accidents. Proportion of proximal humeral, proximal forearm, carpal, and hand fractures declined. The number of open fractures significantly dropped (from 12 to 2).

conclusionsIn Iran, overall trend of pediatric trauma has been decreasing during the outbreak; but the lack of reduction in proportion of accidents may pose an alarm that an effective lock-down has not been imposed. This study has implications as to preparing appropriate resources particular to common "COVID era fractures".

Indexed as

Accidents, TrafficAdolescentChildChild, PreschoolCommunicable Disease ControlCOVID-19FemaleHumansIranMalePandemicsPatient AdmissionRetrospective StudiesSex FactorsTrauma CentersWounds and InjuriesChildrenCovid-19EpidemiologyFractureLock-downPandemicSars-cov-2Trauma

Identifiers

PMID32958345
PMCPMC7493739

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.