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Published in: BMC Emergency Medicine 1/2023

Open Access 01-12-2023 | COVID-19 | Research

Effects of the COVID-19 pandemic on trauma-related emergency medical service in older people: a retrospective cohort study

Authors: Mohammadreza Sabbaghi, Kheizaran Miri, Mohammad Namazinia

Published in: BMC Emergency Medicine | Issue 1/2023

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Abstract

Introduction

The ever-increasing human life expectancy has currently resulted in a noticeable rise in the world’s older population. Addressing the healthcare needs of the older people has become a significant concern for many countries. Moreover, the older people are particularly vulnerable to traumatic events. This study aimed to examine the impact of the COVID-19 pandemic on prehospital care provided by Emergency Medical Services (EMS) for trauma-related cases among the older people in Iran.

Methods

This retrospective cohort study involved analyzing the medical records of 1,111 older people aged above 60 who experienced traumatic injuries and received pre-hospital emergency services from March 2018 to March 2022. In order to collect the data, the checklist made by the researcher was used and data analysis in SPSS16 was done using the Chi-square test and Fisher’s exact test.

Results

The age group of 60–74 received the highest number of services both before and after the COVID-19 pandemic. The older men experienced more traumatic events compared to women throughout the study period. The majority of the traumatic events occurred between 8 a.m. and 12 p.m. both before and after the COVID-19 pandemic.

Conclusions

The high prevalence rate of geriatric traumas can be primarily attributed to their physical problems and no control over movements caused by old age, as well as unsafe living conditions. To address these issues, it is suggested that facilities be provided to assist with mobility problems. Moreover, constructing suitable pedestrian bridges and regularly checking neighborhoods and surroundings to identify potential risk factors should be prioritized. Once these risk factors are identified, efforts can be made to adjust and eliminate them, thereby minimizing traumatic events and enhancing a safe and friendly environment for the older people.
Literature
1.
go back to reference Shirzad F, Gholamzad S, Shafiee M, Shariat SV. Development of a pre-hospital emergencies protocol for the management of suicidal patients in Iran. BMC Emerg Med. 2021;21:1–12. Shirzad F, Gholamzad S, Shafiee M, Shariat SV. Development of a pre-hospital emergencies protocol for the management of suicidal patients in Iran. BMC Emerg Med. 2021;21:1–12.
2.
go back to reference Sheikhbardsiri H, Esamaeili Abdar Z, Sheikhasadi H, Ayoubi Mahani S, Sarani A. Observance of patients’ rights in emergency department of educational hospitals in south-east Iran. Int J Hum Rights Healthc. 2020;13(5):435–44. Sheikhbardsiri H, Esamaeili Abdar Z, Sheikhasadi H, Ayoubi Mahani S, Sarani A. Observance of patients’ rights in emergency department of educational hospitals in south-east Iran. Int J Hum Rights Healthc. 2020;13(5):435–44.
3.
go back to reference Bagi HRM, Ahmadi S, Hosseini M. Demographics of fall-related trauma among the elderly presenting to emergency department; a cross-sectional study. Emergency 2017, 5(1). Bagi HRM, Ahmadi S, Hosseini M. Demographics of fall-related trauma among the elderly presenting to emergency department; a cross-sectional study. Emergency 2017, 5(1).
4.
go back to reference Soomar SM, Dhalla Z. Injuries and outcomes resulting due to falls in elderly patients presenting to the Emergency Department of a tertiary care hospital–a cohort study. BMC Emerg Med. 2023;23(1):1–10. Soomar SM, Dhalla Z. Injuries and outcomes resulting due to falls in elderly patients presenting to the Emergency Department of a tertiary care hospital–a cohort study. BMC Emerg Med. 2023;23(1):1–10.
5.
go back to reference Wedmore CI. Tactical Combat Casualty care and wilderness medicine. Wilderness and Environmental Medicine. An Issue of Emergency Medicine Clinics of North America. 2017;35(2):391. Wedmore CI. Tactical Combat Casualty care and wilderness medicine. Wilderness and Environmental Medicine. An Issue of Emergency Medicine Clinics of North America. 2017;35(2):391.
6.
go back to reference Sheikhbardsiri H, Afshar PJ, Baniasadi H, Farokhzadian J. Workplace violence against prehospital paramedic personnel (city and road) and factors related to this type of violence in Iran. J Interpers Violence. 2022;37(13–14):NP11683–98.PubMed Sheikhbardsiri H, Afshar PJ, Baniasadi H, Farokhzadian J. Workplace violence against prehospital paramedic personnel (city and road) and factors related to this type of violence in Iran. J Interpers Violence. 2022;37(13–14):NP11683–98.PubMed
7.
go back to reference Sabbaghi M, Namazinia M, Miri K. Time indices of pre-hospital EMS missions before and during the COVID-19 pandemic: a cross-sectional study in Iran. BMC Emerg Med. 2023;23(1):1–7. Sabbaghi M, Namazinia M, Miri K. Time indices of pre-hospital EMS missions before and during the COVID-19 pandemic: a cross-sectional study in Iran. BMC Emerg Med. 2023;23(1):1–7.
8.
go back to reference Yadollahi M, Anvar M, Ghaem H, Bolandparvaz S, Paydar S, Izianloo F. Logistic regression modeling for evaluation of factors affecting trauma outcome in a level I trauma center in Shiraz. 2017. Yadollahi M, Anvar M, Ghaem H, Bolandparvaz S, Paydar S, Izianloo F. Logistic regression modeling for evaluation of factors affecting trauma outcome in a level I trauma center in Shiraz. 2017.
9.
go back to reference Yadollahi M. A study of mortality risk factors among trauma referrals to trauma center, Shiraz, Iran, 2017. Chin J Traumatol. 2019;22(4):212–8.PubMedPubMedCentral Yadollahi M. A study of mortality risk factors among trauma referrals to trauma center, Shiraz, Iran, 2017. Chin J Traumatol. 2019;22(4):212–8.PubMedPubMedCentral
10.
go back to reference Davarani ER, Tavan A, Amiri H, Sahebi A. Response capability of hospitals to an incident caused by mass gatherings in southeast Iran. Injury. 2022;53(5):1722–6.PubMed Davarani ER, Tavan A, Amiri H, Sahebi A. Response capability of hospitals to an incident caused by mass gatherings in southeast Iran. Injury. 2022;53(5):1722–6.PubMed
11.
go back to reference Montazer SH, Hosseininejad SM, Bozorgi F, Assadi T, Hashemi SN, Lotfipour M, Ramzani M. Epidemiology of injuries caused by motor accidents in patients referred to emergency department of a trauma center hospital in north of Iran. Int J Med Invest. 2019;8(1):10–8. Montazer SH, Hosseininejad SM, Bozorgi F, Assadi T, Hashemi SN, Lotfipour M, Ramzani M. Epidemiology of injuries caused by motor accidents in patients referred to emergency department of a trauma center hospital in north of Iran. Int J Med Invest. 2019;8(1):10–8.
12.
go back to reference Difino M, Bini R, Reitano E, Faccincani R, Sammartano F, Briani L, Cimbanassi S, Chiara O. Epidemiology of trauma admissions in a level 1 trauma center in Northern Italy: a nine-year study. Updates Surg. 2021;73(5):1963–73.PubMedPubMedCentral Difino M, Bini R, Reitano E, Faccincani R, Sammartano F, Briani L, Cimbanassi S, Chiara O. Epidemiology of trauma admissions in a level 1 trauma center in Northern Italy: a nine-year study. Updates Surg. 2021;73(5):1963–73.PubMedPubMedCentral
13.
go back to reference Pogorzelski GF, Silva TA, Piazza T, Lacerda TM, Netto FAS, Jorge AC, Duarte PA. Epidemiology, prognostic factors, and outcome of trauma patients admitted in a brazilian intensive care unit. Open Access Emergency Medicine: OAEM. 2018;10:81.PubMedPubMedCentral Pogorzelski GF, Silva TA, Piazza T, Lacerda TM, Netto FAS, Jorge AC, Duarte PA. Epidemiology, prognostic factors, and outcome of trauma patients admitted in a brazilian intensive care unit. Open Access Emergency Medicine: OAEM. 2018;10:81.PubMedPubMedCentral
14.
go back to reference Kanwar A, Malhotra P, Panwar V, Chauhan A, Sharma D, Verma D. One year study of epidemiology of trauma patients admitted in the main tertiary care hospital of the hilly state of Himachal Pradesh. Int Surg J. 2019;6(6):1917–21. Kanwar A, Malhotra P, Panwar V, Chauhan A, Sharma D, Verma D. One year study of epidemiology of trauma patients admitted in the main tertiary care hospital of the hilly state of Himachal Pradesh. Int Surg J. 2019;6(6):1917–21.
15.
go back to reference Khademipour G, Nakhaee N, Anari SMS, Sadeghi M, Ebrahimnejad H, Sheikhbardsiri H. Crowd simulations and determining the critical density point of emergency situations. Disaster Med Pub Health Prep. 2017;11(6):674–80. Khademipour G, Nakhaee N, Anari SMS, Sadeghi M, Ebrahimnejad H, Sheikhbardsiri H. Crowd simulations and determining the critical density point of emergency situations. Disaster Med Pub Health Prep. 2017;11(6):674–80.
16.
go back to reference Pandya SR, Yelon JA, Sullivan TS, Risucci DA. Geriatric motor vehicle collision survival: the role of institutional trauma volume. J Trauma Acute Care Surg. 2011;70(6):1326–30. Pandya SR, Yelon JA, Sullivan TS, Risucci DA. Geriatric motor vehicle collision survival: the role of institutional trauma volume. J Trauma Acute Care Surg. 2011;70(6):1326–30.
17.
go back to reference Yildiz M, Bozdemir M, Kiliçaslan I, Ateşçelik M, Gürbüz S, Mutlu B, Onur M, Gürger M. Elderly trauma: the two years experience of a university-affiliated emergency department. Eur Rev Med Pharmacol Sci. 2012;16:62–7.PubMed Yildiz M, Bozdemir M, Kiliçaslan I, Ateşçelik M, Gürbüz S, Mutlu B, Onur M, Gürger M. Elderly trauma: the two years experience of a university-affiliated emergency department. Eur Rev Med Pharmacol Sci. 2012;16:62–7.PubMed
18.
go back to reference Clark DE. Motor vehicle crash fatalities in the elderly: rural versus urban. J Trauma Acute Care Surg. 2001;51(5):896–900. Clark DE. Motor vehicle crash fatalities in the elderly: rural versus urban. J Trauma Acute Care Surg. 2001;51(5):896–900.
19.
go back to reference Norozi HM, Golmohammadi Kavaki M, Hajiabadi F, Behnam Vashani H. The Effect of Motivational Abdominal Breathing device on breathing patterns and shortness of Breath in Patients with Chronic Obstructive Pulmonary Disease. Evid Based Care. 2017;6(4):36–46. Norozi HM, Golmohammadi Kavaki M, Hajiabadi F, Behnam Vashani H. The Effect of Motivational Abdominal Breathing device on breathing patterns and shortness of Breath in Patients with Chronic Obstructive Pulmonary Disease. Evid Based Care. 2017;6(4):36–46.
20.
go back to reference Faroujizadeh F, Davoudi N, Mazlom SR, Ghahramanzadeh M, Hajiabadi F. The effect of supportive educational program on depression, anxiety, stress and satisfaction of the families of patients with acute coronary syndrome. Evid Based Care. 2023;12(4):72–80. Faroujizadeh F, Davoudi N, Mazlom SR, Ghahramanzadeh M, Hajiabadi F. The effect of supportive educational program on depression, anxiety, stress and satisfaction of the families of patients with acute coronary syndrome. Evid Based Care. 2023;12(4):72–80.
21.
go back to reference Jaffe E, Sonkin R, Strugo R, Zerath E. Evolution of emergency medical calls during a pandemic–An emergency medical service during the COVID-19 outbreak. Am J Emerg Med. 2021;43:260–6.PubMed Jaffe E, Sonkin R, Strugo R, Zerath E. Evolution of emergency medical calls during a pandemic–An emergency medical service during the COVID-19 outbreak. Am J Emerg Med. 2021;43:260–6.PubMed
22.
go back to reference Coughlin SS, Yiǧiter A, Xu H, Berman AE, Chen J. Early detection of change patterns in COVID-19 incidence and the implementation of public health policies: a multi-national study. Public Health in Practice. 2021;2:100064.PubMed Coughlin SS, Yiǧiter A, Xu H, Berman AE, Chen J. Early detection of change patterns in COVID-19 incidence and the implementation of public health policies: a multi-national study. Public Health in Practice. 2021;2:100064.PubMed
23.
go back to reference Sarkardeh M, Dalili A, Meibodi NT, Izanlu M, Davari-Sani SJ, Moghaddamzade S, Jamalinik M, Hosseini SJ, Koushki J, Abedi A. Intestinal infarction in COVID-19 pandemic: a case series. Iran J Pathol. 2022;17(1):85.PubMed Sarkardeh M, Dalili A, Meibodi NT, Izanlu M, Davari-Sani SJ, Moghaddamzade S, Jamalinik M, Hosseini SJ, Koushki J, Abedi A. Intestinal infarction in COVID-19 pandemic: a case series. Iran J Pathol. 2022;17(1):85.PubMed
24.
go back to reference Keragholi AJ, Mojarad FA, Hosseinnataj A, Yaghoubi T, Jouybari L. Mental Health and Resilience in Emergency Medical Services Practitioners during the COVID-19 pandemic. Iran J Psychiatry Behav Sci 2022, 16(2). Keragholi AJ, Mojarad FA, Hosseinnataj A, Yaghoubi T, Jouybari L. Mental Health and Resilience in Emergency Medical Services Practitioners during the COVID-19 pandemic. Iran J Psychiatry Behav Sci 2022, 16(2).
25.
go back to reference Aminizadeh M, Saberinia A, Salahi S, Sarhadi M, Jangipour Afshar P, Sheikhbardsiri H. Quality of working life and organizational commitment of iranian pre-hospital paramedic employees during the 2019 novel coronavirus outbreak. Int J Healthc Manag. 2022;15(1):36–44. Aminizadeh M, Saberinia A, Salahi S, Sarhadi M, Jangipour Afshar P, Sheikhbardsiri H. Quality of working life and organizational commitment of iranian pre-hospital paramedic employees during the 2019 novel coronavirus outbreak. Int J Healthc Manag. 2022;15(1):36–44.
26.
go back to reference Kotronia E, Wannamethee SG, Papacosta AO, Whincup PH, Lennon LT, Visser M, Weyant RJ, Harris TB, Ramsay SE. Oral health, disability and physical function: results from studies of older people in the United Kingdom and United States of America. J Am Med Dir Assoc. 2019;20(12):1654. e1651-1654. e1659.PubMedCentral Kotronia E, Wannamethee SG, Papacosta AO, Whincup PH, Lennon LT, Visser M, Weyant RJ, Harris TB, Ramsay SE. Oral health, disability and physical function: results from studies of older people in the United Kingdom and United States of America. J Am Med Dir Assoc. 2019;20(12):1654. e1651-1654. e1659.PubMedCentral
27.
go back to reference Roshanaei G, Khoshravesh S, Abdolmaleki S, Bathaei T, Farzian M, Saatian M. Epidemiological pattern of trauma patients based on the mechanisms of trauma: trends of a regional trauma center in Midwest of Iran. BMC Emerg Med. 2022;22(1):210.PubMedPubMedCentral Roshanaei G, Khoshravesh S, Abdolmaleki S, Bathaei T, Farzian M, Saatian M. Epidemiological pattern of trauma patients based on the mechanisms of trauma: trends of a regional trauma center in Midwest of Iran. BMC Emerg Med. 2022;22(1):210.PubMedPubMedCentral
28.
go back to reference Safizadeh H, Habibi H, Zahmatkesh R, Samery M. The study of the elderly accidents in Kerman province on 2006-9. Iran J Ageing. 2013;8(1):49–55. Safizadeh H, Habibi H, Zahmatkesh R, Samery M. The study of the elderly accidents in Kerman province on 2006-9. Iran J Ageing. 2013;8(1):49–55.
29.
go back to reference Hadinejad Z, Talebi H, Masdari F. Trauma epidemiology among rescued elderly clients in pre-hospital emergency Department of Mazandaran. Iran J Ageing. 2017;12(3):372–83. Hadinejad Z, Talebi H, Masdari F. Trauma epidemiology among rescued elderly clients in pre-hospital emergency Department of Mazandaran. Iran J Ageing. 2017;12(3):372–83.
30.
go back to reference Saadat S, Yousefifard M, Asady H, Jafari AM, Fayaz M, Hosseini M. The most important causes of death in iranian population; a retrospective cohort study. Emergency. 2015;3(1):16.PubMedPubMedCentral Saadat S, Yousefifard M, Asady H, Jafari AM, Fayaz M, Hosseini M. The most important causes of death in iranian population; a retrospective cohort study. Emergency. 2015;3(1):16.PubMedPubMedCentral
31.
go back to reference Shahbazi F, Soori H, Khodakarim S, Ghadirzadeh MR, Shojaei A, Hashemi Nazari SS. Investigation of the role of traffic police function in reducing geographical inequalities in mortality from road traffic accidents. Archives of Trauma Research. 2018;7(3):92–7. Shahbazi F, Soori H, Khodakarim S, Ghadirzadeh MR, Shojaei A, Hashemi Nazari SS. Investigation of the role of traffic police function in reducing geographical inequalities in mortality from road traffic accidents. Archives of Trauma Research. 2018;7(3):92–7.
32.
go back to reference Ainy E, Soori H, Ganjali M, Baghfalaki T. Road traffic injury cost estimation by willingness to pay method. Saf Promotion Injury Prev (Tehran). 2014;2(3):215–25. Ainy E, Soori H, Ganjali M, Baghfalaki T. Road traffic injury cost estimation by willingness to pay method. Saf Promotion Injury Prev (Tehran). 2014;2(3):215–25.
33.
go back to reference Min L, Ubhayakar N, Saliba D, Kelley-Quon L, Morley E, Hiatt J, Cryer H, Tillou A. The vulnerable Elders Survey‐13 predicts hospital complications and mortality in older adults with traumatic injury: a pilot study. J Am Geriatr Soc. 2011;59(8):1471–6.PubMedPubMedCentral Min L, Ubhayakar N, Saliba D, Kelley-Quon L, Morley E, Hiatt J, Cryer H, Tillou A. The vulnerable Elders Survey‐13 predicts hospital complications and mortality in older adults with traumatic injury: a pilot study. J Am Geriatr Soc. 2011;59(8):1471–6.PubMedPubMedCentral
34.
go back to reference Abou-Raya S, ElMeguid LA. Road traffic accidents and the elderly. Geriatr Gerontol Int. 2009;9(3):290–7.PubMed Abou-Raya S, ElMeguid LA. Road traffic accidents and the elderly. Geriatr Gerontol Int. 2009;9(3):290–7.PubMed
35.
go back to reference Kim T, Choi SD, Xiong S. Epidemiology of fall and its socioeconomic risk factors in community-dwelling korean elderly. PLoS ONE. 2020;15(6):e0234787.PubMedPubMedCentral Kim T, Choi SD, Xiong S. Epidemiology of fall and its socioeconomic risk factors in community-dwelling korean elderly. PLoS ONE. 2020;15(6):e0234787.PubMedPubMedCentral
36.
go back to reference Thomas E, Battaglia G, Patti A, Brusa J, Leonardi V, Palma A, Bellafiore M. Physical activity programs for balance and fall prevention in elderly: a systematic review. Medicine 2019, 98(27). Thomas E, Battaglia G, Patti A, Brusa J, Leonardi V, Palma A, Bellafiore M. Physical activity programs for balance and fall prevention in elderly: a systematic review. Medicine 2019, 98(27).
37.
go back to reference Al-Bokhamseen M, Al-Bodbaij M. Patterns of maxillofacial fractures in Hofuf, Saudi Arabia: a 10-year retrospective case series. Saudi Dent J. 2019;31(1):129–36.PubMed Al-Bokhamseen M, Al-Bodbaij M. Patterns of maxillofacial fractures in Hofuf, Saudi Arabia: a 10-year retrospective case series. Saudi Dent J. 2019;31(1):129–36.PubMed
38.
go back to reference Hashmi Z, Danish SH, Ahmad F, Hashmi M. Falls in geriatric population-A cross sectional study for assessment of the risk factors. J Dow Univ Health Sci (JDUHS). 2013;7(3):94–100. Hashmi Z, Danish SH, Ahmad F, Hashmi M. Falls in geriatric population-A cross sectional study for assessment of the risk factors. J Dow Univ Health Sci (JDUHS). 2013;7(3):94–100.
39.
go back to reference Sarenbo S, Svensson PA. Bitten or struck by dog: a rising number of fatalities in Europe, 1995–2016. Forensic science international 2021, 318:110592. Sarenbo S, Svensson PA. Bitten or struck by dog: a rising number of fatalities in Europe, 1995–2016. Forensic science international 2021, 318:110592.
40.
go back to reference Quirk J. Non-fatal dog bite injuries in the USA, 2005–2009. Public Health. 2012;4(126):300–2. Quirk J. Non-fatal dog bite injuries in the USA, 2005–2009. Public Health. 2012;4(126):300–2.
41.
go back to reference Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. The Lancet Public Health. 2020;5(5):e256.PubMedPubMedCentral Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. The Lancet Public Health. 2020;5(5):e256.PubMedPubMedCentral
42.
go back to reference Peterman A, Potts A, O’Donnell M, Thompson K, Shah N, Oertelt-Prigione S, Van Gelder N. Pandemics and violence against women and children. Volume 528. Center for Global Development Washington, DC; 2020. Peterman A, Potts A, O’Donnell M, Thompson K, Shah N, Oertelt-Prigione S, Van Gelder N. Pandemics and violence against women and children. Volume 528. Center for Global Development Washington, DC; 2020.
43.
go back to reference Radwan E, Radwan A, Radwan W. Challenges facing older adults during the COVID-19 outbreak. Eur J Environ Public Health. 2020;5(1):em0059. Radwan E, Radwan A, Radwan W. Challenges facing older adults during the COVID-19 outbreak. Eur J Environ Public Health. 2020;5(1):em0059.
44.
go back to reference Jetelina KK, Knell G, Molsberry RJ. Changes in intimate partner violence during the early stages of the COVID-19 pandemic in the USA. Inj Prev. 2021;27(1):93–7.PubMed Jetelina KK, Knell G, Molsberry RJ. Changes in intimate partner violence during the early stages of the COVID-19 pandemic in the USA. Inj Prev. 2021;27(1):93–7.PubMed
45.
go back to reference Jalalvandi F, Esmaeilivand M, Safari Faramani R. Assessing frequency of trauma among elderly attending to Taleghani Hospital in Kermanshah during the first six months of. 2018. Jalalvandi F, Esmaeilivand M, Safari Faramani R. Assessing frequency of trauma among elderly attending to Taleghani Hospital in Kermanshah during the first six months of. 2018.
46.
go back to reference Akköse Aydın Ş, Bulut M, Fedakar R, Özgürer A, Özdemir F. Trauma in the elderly patients in Bursa. Turkish J Trauma Emerg Surg. 2006;12(3):230–4. Akköse Aydın Ş, Bulut M, Fedakar R, Özgürer A, Özdemir F. Trauma in the elderly patients in Bursa. Turkish J Trauma Emerg Surg. 2006;12(3):230–4.
47.
go back to reference Kamboozia N, Ameri M, Hosseinian SM. Statistical analysis and accident prediction models leading to pedestrian injuries and deaths on rural roads in Iran. Int J Injury Control Saf Promotion. 2020;27(4):493–509. Kamboozia N, Ameri M, Hosseinian SM. Statistical analysis and accident prediction models leading to pedestrian injuries and deaths on rural roads in Iran. Int J Injury Control Saf Promotion. 2020;27(4):493–509.
48.
go back to reference Lotfi S, Honarvar AR, Gholamzadeh S. Analysis and identification of the hidden relationships between effective factors in the mortality rate caused by road accidents: a case study of Fars Province, Iran. Chin J Traumatol. 2019;22(4):233–9.PubMedPubMedCentral Lotfi S, Honarvar AR, Gholamzadeh S. Analysis and identification of the hidden relationships between effective factors in the mortality rate caused by road accidents: a case study of Fars Province, Iran. Chin J Traumatol. 2019;22(4):233–9.PubMedPubMedCentral
49.
go back to reference Kallel I, Douki N, Amaidi S, Ben Amor F. The incidence of complications of dental trauma and associated factors: a retrospective study. International journal of dentistry 2020, 2020. Kallel I, Douki N, Amaidi S, Ben Amor F. The incidence of complications of dental trauma and associated factors: a retrospective study. International journal of dentistry 2020, 2020.
50.
go back to reference Delavary Foroutaghe M, Mohammadzadeh Moghaddam A, Fakoor V. Time trends in gender-specific incidence rates of road traffic injuries in Iran. PLoS ONE. 2019;14(5):e0216462.PubMedPubMedCentral Delavary Foroutaghe M, Mohammadzadeh Moghaddam A, Fakoor V. Time trends in gender-specific incidence rates of road traffic injuries in Iran. PLoS ONE. 2019;14(5):e0216462.PubMedPubMedCentral
51.
go back to reference Zargar M, Modaghegh M-HS, Rezaishiraz H. Urban injuries in Tehran: demography of trauma patients and evaluation of trauma care. Injury. 2001;32(8):613–7.PubMed Zargar M, Modaghegh M-HS, Rezaishiraz H. Urban injuries in Tehran: demography of trauma patients and evaluation of trauma care. Injury. 2001;32(8):613–7.PubMed
52.
go back to reference Maegele M, Engel D, Bouillon B, Lefering R, Fach H, Raum M, Buchheister B, Schaefer U, Klug N, Neugebauer E. Incidence and outcome of traumatic brain injury in an urban area in Western Europe over 10 years. Eur Surg Res. 2007;39(6):372–9.PubMed Maegele M, Engel D, Bouillon B, Lefering R, Fach H, Raum M, Buchheister B, Schaefer U, Klug N, Neugebauer E. Incidence and outcome of traumatic brain injury in an urban area in Western Europe over 10 years. Eur Surg Res. 2007;39(6):372–9.PubMed
53.
go back to reference Fatovich DM, Phillips M, Jacobs IG. A comparison of major trauma patients transported to trauma centres vs. non-trauma centres in metropolitan Perth. Resuscitation. 2011;82(5):560–3.PubMed Fatovich DM, Phillips M, Jacobs IG. A comparison of major trauma patients transported to trauma centres vs. non-trauma centres in metropolitan Perth. Resuscitation. 2011;82(5):560–3.PubMed
54.
go back to reference Molavi-Taleghani Y, Ebrahimpour H, Sheikhbardsiri H. A proactive risk assessment through healthcare failure mode and effect analysis in pediatric surgery department. J Compr Pediatr 2020, 11(3). Molavi-Taleghani Y, Ebrahimpour H, Sheikhbardsiri H. A proactive risk assessment through healthcare failure mode and effect analysis in pediatric surgery department. J Compr Pediatr 2020, 11(3).
55.
go back to reference Sabbaghi M, Miri K, Kahi R, Nia MN. Investigation of stress, anxiety, and depression levels of Pre-Hospital Emergency Medicine personnel in eastern Iran during the Covid-19 pandemic. BMC Emerg Med. 2022;22(1):1–9. Sabbaghi M, Miri K, Kahi R, Nia MN. Investigation of stress, anxiety, and depression levels of Pre-Hospital Emergency Medicine personnel in eastern Iran during the Covid-19 pandemic. BMC Emerg Med. 2022;22(1):1–9.
Metadata
Title
Effects of the COVID-19 pandemic on trauma-related emergency medical service in older people: a retrospective cohort study
Authors
Mohammadreza Sabbaghi
Kheizaran Miri
Mohammad Namazinia
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
COVID-19
Published in
BMC Emergency Medicine / Issue 1/2023
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/s12873-023-00874-y

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