Shifts in Paediatric Road Trauma Dynamics Pre- vs. Post-COVID-19 Lockdown: Insights from a Major Trauma Centre

Rayan Jafnan Alharbi1, Hussin Albargi2, Ateeq Almuwallad2

  • 1Department of Emergency Medical Service, College of Applied Medical Sciences, Jazan University, Al Maarefah Rd, Jazan, 45142, Saudi Arabia. rjalharbi@jazanu.edu.sa.

Insights

The COVID-19 pandemic led to a 44.2% rise in paediatric road trauma cases post-lockdown, with increased head injuries and a shift in transport methods. These findings highlight the pandemic's impact on child safety.

Area of Science:

  • Public Health
  • Trauma Surgery
  • Epidemiology

Background:

  • The COVID-19 pandemic significantly impacted global public health, including paediatric road trauma.
  • Understanding these changes is crucial for effective public health interventions.

Purpose of the Study:

  • To analyze changes in paediatric road trauma presentations and outcomes before and after the COVID-19 lockdown.
  • To identify specific demographic and injury pattern shifts.

Main Methods:

  • Retrospective analysis of paediatric trauma data from the Saudi TraumA Registry (STAR) between August 2017 and December 2022.
  • Comparison of pre-lockdown (August 2017-March 2020) and post-lockdown (July 2020-December 2022) periods.
  • Analysis included demographics, injury mechanisms, severity, ICU admissions, and mortality rates using multivariate logistic regression.

Main Results:

  • A 44.2% increase in paediatric road trauma cases was observed post-lockdown.
  • The 5-9 year age group showed a significant increase in cases.
  • Head injuries remained the most prevalent injury type, with a slight increase in proportion post-lockdown. Mode of arrival shifted towards ambulances.

Conclusions:

  • The COVID-19 pandemic has significantly impacted paediatric road trauma, with an increase in cases post-lockdown.
  • Findings underscore the need for targeted interventions and community-wide collaboration to reduce paediatric traffic injuries.
  • Societal changes resulting from the pandemic have profound effects on child health and safety.
Abstract