The impact of curfews on emergency departments and orthopedic traumas/Sokaga cikma yasaklarinin acil servisler ve ortopedik travmalar uzerine etkisi

BACKGROUND: The aim of our study was to investigate the impact of curfews imposed due to the COVID-19 pandemic on emergency department visits, orthopedic trauma frequencies, and types of trauma. METHODS: In th is single-center, retrospective cohort study, a total of 16,242 patients, including 3,020 trauma patients, were admitted to level 1 trauma center emergency department between April-June 2020 and 2021 (curfew group) and between April- June 2018 and 2019 (control group). Patients were separated according to emergency department triage categories and trauma mechanisms, and the changes in the days of curfew were analyzed. RESULTS: With the curfews, there was a 54% decrease in emergency room admissions. This decrease was seen especially in yellow and green area patients, whereas there was no significant decrease in red area patients with the highest urgency. When the effect of curfews on orthopedic traumas was analyzed, a 20% decrease was observed in trauma cases. In particular, there was a significant decrease in traffic accidents in and out of the vehicle, assault, and sports injuries, whereas there was no significant decrease in falls from the same level, motor accidents, and occupational accidents. CONCLUSION: The impact of curfews on the density of emergency departments and trauma patients will guide the health management policies to be followed in future curfews to be implemented for different reasons. In the light of this information, more effective resource management and better quality health service planning will be ensured. Keywords: Curfews; emergency service admissions; orthopedic trauma. AMAC: Calismamizin amaci, Covid-19 pandemisi nedeniyle uygulanan sokaga cikma yasaklarinin acil servis basvurulari, ortopedik travma sikliklari ve travma turleri uzerindeki etkisini arastirmaktir. GEREC VE YONTEM: Bu tek merkezli, retrospektif kohort calismada, I. seviye travma merkezi acil servisine Nisan Haziran 2020 ve 2021 tarihleri arasinda (sokaga cikma yasagi grubu) ve Nisan--Haziran 20-8 ve 20-9 tarihleri arasinda (kontrol grubu) basvuran toplam 3020'si travma hastasi olmak uzere toplam 16.242 hasta calismaya alindi. Hastalar acil servis triyaj kategorileri, travma mekanizmalarina gore ayrildi ve sokaga cikma yasagi uygulanan gunlerdeki degisimler incelendi. BULGULAR: Sokaga cikma yasaklariyla beraber acil servis basvurularinda %54'luk bir azalma gorulmustur. Bu azalma ozellikle sari ve yesil alan hastalarinda gorunurken aciliyeti en yuksek olan kirm