Koronavirüs-19 Pandemi Dönemi Kısıtlamalarının Geriatrik Hasta Grubunda Kafa ve Spinal Travma Sayıları Üzerine Etkisi

Amaç: Osteoporoz ve sedatif yaşam nedeniyle geriatrik hastalar travma sonrası yaralanmaya daha açıktırlar. Özellikle düşme sonrası kafa travması ve spinal kemik kırıkları oluşmaktadır. Koronavirüs-19 (Covid-19) pandemisi döneminde ülkemizde alınan önlemlerden ilki 65 yaş ve üzeri sokağa çıkma kısıtlaması olmuştur. Bu çalışmanın amacı sokağa çıkma kısıtlaması olan 21 mart-3 haziran 2020 tarihleri arasında evlerinde kalmak zorunda olan 65 yaş ve üzeri yaş grubunda bir önceki yıla göre kafa travması ve spinal travma sayılarının değişimini değerlendirmektir. Gereç ve Yöntemler: Kafa ve omurga travması nedeniyle şehrimizdeki iki travma merkezi acil servisine ve beyin cerrahisi kliniğine 21 Mart-3 haziran 2020 ve 21 Mart-3 haziran 2019 tarihleri arası başvuran 65 yaş ve üzeri hastalar çalışmaya dahil edildi. Hastalar yaş cinsiyet travma tipi ve tedavi şekli olarak retrospektif olarak değerlendirildi. Bulgular: Çalışmamızda 21 Mart–3 Haziran 2019 tarihleri arasında 95 hasta hastaneye başvururken 21 Mart–3 Haziran 2020 tarihleri arasında 12 hasta hastaneye başvurmuştu (p<0.001). 2019 yılının aynı döneminde hastaneye başvuran toplam 83 hastanın 4’ü erkek 40’ı ise kadın hasta iken 2020 yılında başvuran 12 hastanın 4’ü erkek iken 8’i kadın hastaydı (p=0.232). 2019 yılında başvuran hastaların 37’si izole kranial travma, 27’si izole spinal travma ve 19’u ise spinal+ortopedik travma iken; 2020 yılında başvuran 12 hastanın 3‘ü izole kranial travma, 6’sı izole spinal travma ve 3’ü ise spinal+ortopedik travma şeklindeydi (p=0.33). 2019 yılında ve kısıtlamaların olduğu dönemlerdeki geriatrik yaralanmaların en önemli sebebi düşmeydi. Sonuç: Çalışmamızda gördüğümüz üzere travma en çok ev dışında meydana gelmektedir. Bu sebeple bu yaş grubu popülasyonunun ev dışı travmaya maruziyetinin sebepleri araştırılmalı ve ona göre önlemler alınarak travmayı azaltacak çalışmalar yapılmalıdır.

Anahtar Kelimeler:

Covid-19, geriatri, pandemi, travma

The Impact of Coronavirus-19 Lockdowns on The Number of Cranial and Spinal Trauma Cases in Geriatric Patients

Objective: Geriatric patients are more prone to traumatic injuries, particularly cranial traumas and spinal fractures resulting from falls, due to osteoporosis and sedentary lifestyles. As a primary measure against the Coronavirus-19 (Covid-19) pandemic, Turkey put into effect a lockdown for people aged 65 and above. This study aimed to compare the change in the number of cranial and spinal trauma cases in the age group of 65 and above who were placed under lockdown between 21st March and 3rd June 2020 with the number in the previous year. Materials and Methods: The study included patients aged 65 and above who presented to the emergency departments and neurosurgery clinics of two trauma centers in our city with cranial and spinal traumas between 21st March and 3rd June in 2019 and 2020. The patients were retrospectively categorized in terms of age, gender, type of trauma and treatment. Results: In total, 83 patients presented to the hospital between 21st March and 3rd June 2019 while only 12 patients presented between 21st March and 3rd June 2020 (p<0.001). Of the 83 patients hospitalised in 2019, 43 were male and 40 were female, and of the 12 patients admitted in 2020, 4 were male and 8 were female (p=0.232). In 2019, 37 of the patients presented with isolated cranial trauma, 27 with isolated spinal trauma and 19 with spinal+orthopaedic trauma. In 2020, 3 patients presented with isolated cranial trauma, 6 with isolated spinal trauma and 3 with spinal+orthopaedic trauma (p=0.33). Falls were the most common cause of geriatric injuries in 2019 and during the lockdown period. Conclusion: Our study reported that trauma was most likely to occur outside the home. Therefore, further research should be conducted to identify the causes of trauma outside the home for this age group and measures need to be taken accordingly to the reduce occurrence of such traumas.s.

Keywords:

Covid-19, geriatrics, pandemic, trauma,

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