Effect of COVID 19 pandemic on time to care, use of ambulance, admission characteristics, demography, injury characteristics, management and outcome of Paediatric Orthopaedic trauma patients admitted to the trauma centre

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dc.contributor.authorBharat, Aen_US
dc.contributor.authorVerma, Ven_US
dc.contributor.authorAfaque, SFen_US
dc.contributor.authorRaikwar, Aen_US
dc.contributor.authorChand, Sen_US
dc.contributor.authorSingh, A.en_US
dc.date.accessioned2023-08-09T06:11:50Z
dc.date.available2023-08-09T06:11:50Z
dc.date.issued2022-09
dc.description.abstractBackground: Lockdown imposed to limit the spread of COVID 19 may have had a significant effect on the time to care, demography, injury causation, injury characteristics, volume and nature of admission, management and outcome of paediatric orthopaedic trauma patients. Objective: To document the effect of lockdown on the time to care at KGMU, use of ambulance, volume and type of admissions, demography, injury causation, injury characteristics, management and outcome of paediatric orthopaedic trauma patients. Methods:. This record review compared age, sex, type of admission, mechanism of injury, injury characteristics, type of treatment, vehicle used for transport, and outcome among patients admitted in prelockdown, lockdown and post lockdown. Results: Lockdown was associated with decrease in the number of cases (p<0.01), increase in the time since injury to reception (p<0.040), a rise in the share of referred admission (p<0.040), time since reception at KGMU, time to definitive care (p<0.001), high energy falls (p<0.001), injuries at home (p<0.001), higher ISS (p<0.001), non operative treatment (p=0.038) and greater use of ambulance (p=0.003). Conclusion: Lockdown resulted in a significant change in the causation and management of injury, significant delays in timeliness of care, reduction in the volume of admissions, an increase in injury severity and share of referral admissions.en_US
dc.identifier.affiliationsSenior Resident, Department of Paediatric Orthopaedics, King George Medical University, Lucknow, Uttar Pradeshen_US
dc.identifier.affiliationsAssociate Professor, Department of Paediatric Orthopaedics, King George Medical University, Lucknow, Uttar Pradeshen_US
dc.identifier.affiliationsAssistant Professor, Department of Paediatric Orthopaedics, King George Medical University, Lucknow, Uttar Pradeshen_US
dc.identifier.affiliationsResearch Scholar, Department of Paediatric Orthopaedics, King George Medical University, Lucknow, Uttar Pradeshen_US
dc.identifier.affiliationsAssistant Professor, Department of Paediatric Orthopaedics, King George Medical University, Lucknow, Uttar Pradeshen_US
dc.identifier.affiliationsProfessor, Department of Paediatric Orthopaedics, King George Medical University, Lucknow, Uttar Pradeshen_US
dc.identifier.citationBharat A, Verma V, Afaque SF, Raikwar A, Chand S, Singh A.. Effect of COVID 19 pandemic on time to care, use of ambulance, admission characteristics, demography, injury characteristics, management and outcome of Paediatric Orthopaedic trauma patients admitted to the trauma centre. Indian Journal of Community Health. 2022 Sept; 34(3): 374 – 380en_US
dc.identifier.issn0971-7587
dc.identifier.issn2248-9509
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/221964
dc.languageenen_US
dc.publisherMRI Publication Pvt. Ltd.en_US
dc.relation.issuenumber3en_US
dc.relation.volume34en_US
dc.source.urihttps://doi.org/10.47203/IJCH.2022.v34i03.010en_US
dc.subjectPediatricen_US
dc.subjectOrthopedicen_US
dc.subjectInjuryen_US
dc.subjectCovid-19en_US
dc.titleEffect of COVID 19 pandemic on time to care, use of ambulance, admission characteristics, demography, injury characteristics, management and outcome of Paediatric Orthopaedic trauma patients admitted to the trauma centreen_US
dc.typeJournal Articleen_US
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