Change in the spectrum of orthopedic trauma: Effects of COVID-19 pandemic in a developing nation during the upsurge; a cross-sectional study

Hashmi, Pervaiz; Zahid, Mohammad Faizan; Ali, Arif; Naqi, Hammad; Pidani, Anum Sadruddin; Hashmi, Alizah Pervaiz; Noordin, Shahryar

doi:10.1016/j.amsu.2020.11.044

Cited by 17 publications

(26 citation statements)

References 13 publications

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“…This nding was similar to the previous study in China where the surgically treated fractures were reduced to almost 50% [9]. For all trauma cases, studies in London and Pakistan reported the number of surgeries for trauma were reduced about 30% and 40%, respectively [12,16].…”

Section: Discussionsupporting

confidence: 90%

“…Worldwide, many studies had reported signi cant reduction in fracture or trauma cases [9][10][11][12][13][14]. The epidemiological characteristics of traumatic fractures were changed during the COVID-19 pandemic: there were higher patients' average age, with an increase in the proportion of home/domestic accidents, osteoporotic fractures, and fractures caused by low energy trauma [9,10,15,16]. The surgeries performed for fractures or other trauma cases was also seen decreased during COVID-19 pandemic period [12,16].…”

Section: Introductionmentioning

confidence: 99%

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A Comparative Multicenter Study on the Epidemiology of Traumatic Fractures During the COVID-19 Early Emergency Response Period in Yogyakarta Special Region, Indonesia

Hidayat

Rahayu

Khadafi

et al. 2021

Preprint

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Background: The changes of lifestyle and mobility during the Coronavirus Disease 2019 (COVID-19) pandemic may influence the epidemiology of traumatic fractures. This study aimed to investigate the epidemiology of traumatic fractures in Yogyakarta Special Region (Daerah Istimewa Yogyakarta/DIY) during the COVID-19 emergency response period and compare the data with the similar period in the previous year.Methods: This was a retrospective study involving five secondary referral hospitals and one tertiary referral hospital. We included all patients who presented to the emergency departments or orthopedic clinics who were then diagnosed with new onset fractures. We compared the data during the emergency response period (COVID group) with a similar period in 2019 (control group).Results: There were 1,249 patients with 1,428 fractures included in this study. There was almost half reduction of patients during the emergency response period. There was no significant difference in proportion of gender and mean of age between patients in the control group and the COVID group. During the emergency response period, there was significant increases in the proportions of patients experiencing low energy injuries (38.0% vs. 30.8%), injuries occurring at home (34.0% vs. 23.8%), and surgically treated closed fractures (51.8% vs. 45.3%), along with decrease of patients’ referrals (1.6% vs. 4.1%). The difference in proportions of fracture type, osteoporotic fractures, and multiple trauma was not significant across the groups. Conclusions: During the COVID-19 emergency response period in DIY, there were nearly half reduction (47.68%) of patients with fractures, increased proportion of patients injured at home, reduced proportion of patients referred to another hospital, and increased proportion of surgically treated closed fractures. The knowledge about this epidemiological trend may help in developing preventive programs and treatment policy for fractures and other injuries during the current pandemic.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

A Comparative Multicenter Study on the Epidemiology of Traumatic Fractures During the COVID-19 Early Emergency Response Period in Yogyakarta Special Region, Indonesia

Hidayat

Rahayu

Khadafi

et al. 2021

Preprint

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show abstract

“…This finding was similar to the previous study in China where the surgically treated fractures were reduced to almost 50% [9]. For all trauma cases, studies in London and Pakistan reported that the number of surgeries for trauma was reduced about 30% and 40%, respectively [12], [16].…”

Section: Figure 1: Comparison Of Injury Location Between the Control And Coronavirus Disease Groupssupporting

confidence: 90%

“…Worldwide, many studies had reported significant reduction in fracture or trauma cases [9], [10], [11], [12], [13], [14]. The epidemiological characteristics of traumatic fractures were changed during the COVID-19 pandemic: There were higher patients' average age, with an increase in the proportion of home/domestic accidents, osteoporotic fractures, and fractures caused by low-energy trauma [9], [10], [15], [16]. The surgeries performed for fractures or other trauma cases were also seen decreased during COVID-19 pandemic period [12], [16].…”

Section: Introductionmentioning

confidence: 99%

A Comparative Multicenter Study on the Epidemiology of Traumatic Fractures during the Coronavirus Disease 2019 Early Emergency Response Period in Yogyakarta Special Region, Indonesia

Hidayat

Rahayu

Khadafi

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: The changes of lifestyle and mobility during the coronavirus disease 2019 (COVID-19) pandemic may influence the epidemiology of traumatic fractures. AIM: This study aimed to investigate the epidemiology of traumatic fractures in Yogyakarta Special Region (Daerah Istimewa Yogyakarta [DIY]) during the COVID-19 emergency response period and compare the data with the similar period in the previous year. METHODS: This was a retrospective study involving five secondary referral hospitals and one tertiary referral hospital. We included all patients who presented to the emergency departments or orthopedic clinics who were then diagnosed with new-onset fractures. We compared the data during the emergency response period (COVID group) with a similar period in 2019 (control group). RESULTS: There were 1249 patients with 1428 fractures included in this study. There was 47.68% reduction of patients during the emergency response period. There was no significant difference in proportion of gender and mean of age (control group vs. COVID group: 55.9% vs. 54.8%, p = 0.717 for male gender; 42.64 ± 24.03 years vs. 42.20 ± 23.34 years, p = 0.886 for mean of patients’ age). There were significant increases in the proportions of patients experiencing low-energy injuries (38.0% vs. 30.8%, p = 0.012), injuries occurring at home (34.0% vs. 23.8%, p = 0.001), and surgically treated closed fractures (51.8% vs. 45.3%, p = 0.038), along with decrease of patients’ referrals (1.6% vs. 4.1%, p = 0.018) during the pandemic. The difference in proportions of fracture type, osteoporotic fractures, and multiple trauma was not significant (control group vs. COVID group: 19.2% vs. 17.4%, p = 0.418 for open fracture; 15.4% vs. 14.7%, p = 0.750 for osteoporotic fracture; and 9.0% vs. 7.0%; p = 0.217 for multiple trauma). CONCLUSIONS: During the COVID-19 emergency response period in DIY, there were nearly half reduction of patients with fractures, increased proportion of patients injured at home, reduced proportion of patients referred to another hospital, and increased proportion of surgically treated closed fractures. The knowledge about this epidemiological trend may help in developing preventive programs and treatment policy for fractures and other injuries during the current pandemic.

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“…[ 12 ] This limitation of movement was associated with reports of decreases in trauma and fracture incidence. [ 13 – 15 ]…”

mentioning

confidence: 99%

Orthopaedic trauma care: initial global approaches to management during a pandemic

Miclau¹

2021

OTA International: The Open Access Journal of Orthopaedic Trauma

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The coronavirus disease 2019 (COVID-19) has significantly affected the treatment of patients with surgical conditions, including those with acute and chronic musculoskeletal issues. While different global regions experienced different levels of COVID-19 activity and had different resources with which to deal with the pandemic, there were many consistent approaches to injury care and musculoskeletal trauma management. Understanding these approaches is necessary to improve current and future strategies to taking care of orthopaedic trauma patients in an infectious disease outbreak. This supplement focuses on approaches to musculoskeletal trauma care during the first months of the COVID-19 pandemic in 19 countries from 6 continents. This work represents a collaborative work of member societies of the International Orthopaedic Trauma Association (IOTA), an international association of orthopaedic societies dedicated to the promotion of musculoskeletal trauma care through advancements in patient care, research, and education. The information in these reports will aid efforts to understand and ultimately better address musculoskeletal trauma care worldwide during the first waves of the pandemic.

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Change in the spectrum of orthopedic trauma: Effects of COVID-19 pandemic in a developing nation during the upsurge; a cross-sectional study

Cited by 17 publications

References 13 publications

A Comparative Multicenter Study on the Epidemiology of Traumatic Fractures During the COVID-19 Early Emergency Response Period in Yogyakarta Special Region, Indonesia

A Comparative Multicenter Study on the Epidemiology of Traumatic Fractures During the COVID-19 Early Emergency Response Period in Yogyakarta Special Region, Indonesia

A Comparative Multicenter Study on the Epidemiology of Traumatic Fractures during the Coronavirus Disease 2019 Early Emergency Response Period in Yogyakarta Special Region, Indonesia

Orthopaedic trauma care: initial global approaches to management during a pandemic

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