Changes in hospital admissions for facial fractures during and after COVID 19 pandemic: national multicentric epidemiological analysis on 2938 patients

Petrocelli, Marzia; Ruggiero, Federica; Allegri, Davide; Cutrupi, Sebastiano; Baietti, Anna Maria; Salzano, Giovanni; Maglitto, Fabio; Manfuso, Alfonso; Copelli, Chiara; Barca, Ida; Cristofaro, Maria Giulia; Galvano, Francesca; Loche, Valentina Poddi; Gemini, Paolo; Tewfik, Karim; Burlini, Dante; Bernardi, Marco; Bianchi, Francesca Antonella; Catanzaro, Susanna; Ascani, Giuliano; Consorti, Giuseppe; Balercia, Paolo; Braconi, Andrea; Scozzaro, Calogero; Catalfamo, Luciano; De Rinaldis, Danilo; De Ponte, Francesco Saverio; Tarabbia, Filippo; Biglioli, Federico; Giovacchini, Francesco; Tullio, Antonio; Cama, Antonia; Di Emidio, Paolo; Ferrari, Silvano; Perlangeli, Giuseppe; Rossi, Maria Beatrice; Biglio, Andrea; De Riu, Giacomo; Califano, Luigi; Vaira, Luigi Angelo

doi:10.1007/s10006-023-01201-2

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…In the postpandemic period, various studies have found that health professionals reduced their protective measures [38] due to burnout or psychological reasons, among others. The most recently published articles that studied the influence of COVID-19 on the epidemiology of maxillofacial fractures concluded that the COVID-19 pandemic has produced a change in the epidemiology of oromaxillofacial fractures [43][44][45][46][47][48][49], but the differences observed are specific in each study because the etiology is very diverse and characteristic of the different countries and regions studied. New etiologies have been described, such as the use of electric scooters [50,51], which are producing changes in modes of transportation within cities and even regulatory changes promoting the use of protection measures [52].…”

Section: Discussionmentioning

confidence: 99%

Dynamic Trends in Surgical Oromaxillofacial Trauma Epidemiology: A Comparative Study of Pre-COVID-19 and COVID-19 Periods in Tertiary Referral Hospitals in Madrid

Sada-Urmeneta,

Tousidonis,

Navarro-Cuellar

et al. 2024

JCM

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Introduction: The COVID-19 pandemic has induced profound societal and healthcare transformations globally. Material and methods: This multicenter retrospective study aimed to assess potential shifts in the epidemiology and management of oromaxillofacial trauma requiring surgical intervention over a 1-year period encompassing the onset of the COVID-19 pandemic, in comparison to the preceding year. The parameters investigated included age, sex, injury mechanisms, fractured bones, and treatment modalities. The statistical significance was set at p < 0.05. Results: A notable 39.36% reduction in oromaxillofacial fractures was identified (p < 0.001), with no significant alterations in sex distribution, types of fractured bones, or treatment modalities. An appreciable increase in mean age was observed (35.92 vs. 40.26) (p = 0.006). Analysis of the causes of oromaxillofacial trauma revealed diminished incidents of interpersonal violence (41% vs. 35%) and sports-related injuries (14% vs. 8%), alongside an escalation in cases attributed to falls (27% vs. 35%), precipitation events (2% vs. 5%), and traffic accidents (12% vs. 13%). The mandible emerged as the most frequently fractured bone. Conclusion: In conclusion, the COVID-19 pandemic has decreased the number of maxillofacial fractures treated surgically and has changed the epidemiology and the etiology of facial traumas.

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Section: Discussionmentioning

confidence: 99%

Dynamic Trends in Surgical Oromaxillofacial Trauma Epidemiology: A Comparative Study of Pre-COVID-19 and COVID-19 Periods in Tertiary Referral Hospitals in Madrid

Sada-Urmeneta,

Tousidonis,

Navarro-Cuellar

et al. 2024

JCM

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The Evolution of the Epidemiology of Facial Fractures Before, During and After the COVID-19 Pandemic

Petrocelli,

Ruggiero,

Feraboli

et al. 2024

J. Maxillofac. Oral Surg.

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Objective The purpose of this study has been to analyze retrospectively the clinical records of patients admitted to a single Maxillofacial Surgery center in Northern Italy, evaluating the epidemiological differences during the different phases of the SARS-CoV-2 pandemic. Materials and Methods The retrospective study included patients who had undergone surgery for facial bone fractures at the between February 23, 2020, and February 23, 2022. According to the date of admission, all the data were stratified into four chronological periods representing the four different phases of the SARS-CoV-2 pandemic in Italy in terms of restriction: pre-pandemic, first wave, partial restrictions and post-pandemic groups. Finally, any differences in epidemiological data between the groups were analyzed. Results A total of 155 patients were included. The causes of admission of the pre-pandemic group demonstrated a statistically significant difference compared with the first wave group, whereas there were no differences between the pre-pandemic and the other two groups. The first wave group reported statistically significant differences in terms of the fracture etiology also with the partial restrictions and post-pandemic groups. Conclusions During the COVID-19 pandemic, there were profound changes in the epidemiology of fractures influenced by the restrictive measures implemented by the government. At the end of the pandemic, the epidemiology of fractures returned to the same as in the pre-pandemic period.

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Changes in hospital admissions for facial fractures during and after COVID 19 pandemic: national multicentric epidemiological analysis on 2938 patients

Cited by 2 publications

References 34 publications

Dynamic Trends in Surgical Oromaxillofacial Trauma Epidemiology: A Comparative Study of Pre-COVID-19 and COVID-19 Periods in Tertiary Referral Hospitals in Madrid

Dynamic Trends in Surgical Oromaxillofacial Trauma Epidemiology: A Comparative Study of Pre-COVID-19 and COVID-19 Periods in Tertiary Referral Hospitals in Madrid

The Evolution of the Epidemiology of Facial Fractures Before, During and After the COVID-19 Pandemic

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