COVID-19: Initial experience of hand surgeons in Northern Italy

Facchin, Federico; Messana, Francesco; Sonda, Regina; Faccio, Diego; Tiengo, Cesare; Bassetto, Franco

doi:10.1016/j.hansur.2020.04.007

Cited by 19 publications

(17 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Three studies have described the population of patients treated for hand accidents during the COVID-19 pandemic [1] , [3] , [4] . In our study, we found that domestic accidents were responsible for 88% of the hand injuries whist only 10% of the injuries were work-related.…”

Section: Discussionmentioning

confidence: 99%

“…This underlines the importance of national campaigns for preventing hand injuries that have been previously proposed and need to be reinforced, particularly during lockdowns where people are confined at home [8] . The measures established in response to the COVID-19 pandemic in ED and surgical units required adaptation of the spaces, operating rooms, waiting areas, wards and emergency rooms which highly impacted the organization of the centers and their reception capacities [3] , [4] , [9] . A reduction in the number of hand injuries would relieve the pressure on hand ED as there are shortages of caregivers and materials during this kind of crisis [9] .…”

Section: Discussionmentioning

confidence: 99%

“…The recent coronavirus outbreak has forced societies, healthcare systems and public health policies into situations that have tested our adaptability, cooperation and organizational capabilities [1] , [2] , [3] , [4] . Restrictions were implemented for citizens and healthcare providers to reduce virus transmission which required us to adapt our personal and professional habits.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hand injuries treated at a hand emergency center during the COVID-19 lockdown

Regas

Bellemère

Lamon

et al. 2020

Hand Surgery and Rehabilitation

View full text Add to dashboard Cite

The recent coronavirus outbreak has tested the adaptability, cooperation and organizational capabilities of our healthcare systems. Restrictions were implemented in several countries to reduce virus transmission whilst emergency departments (ED) were overwhelmed and there was shortage of healthcare providers. Given this situation and the consequences of hand injuries, we studied the epidemiology of hand injuries in an accredited FESSH emergency center during the lockdown in France (March 17 to May 10, 2020) due to the coronavirus outbreak. During this period, 1947 patients consulted for a hand injury. We found high percentages of men (63%), open wounds (70%), domestic accidents (88%) and surgical treatment being required (76%). There was a significant decrease in admissions and consultations relative to the same period in 2019. This reference data can help healthcare systems prepare for future outbreaks and similar restrictions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Hand injuries treated at a hand emergency center during the COVID-19 lockdown

Regas

Bellemère

Lamon

et al. 2020

Hand Surgery and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…All over the world, different actions were put in place in response to the COVID-19 pandemic by orthopaedic surgeons. [22][23][24] In this study, formalised patient care was created at the hospital level. Upon arrival in the emergency room, suspected or confirmed COVID-19 patients followed a circuit sealed from COVID-19 negative patients.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland

Elbardesy

2020

EMJ Microbiol Infect Dis

View full text Add to dashboard Cite

Background: The novel coronavirus disease-2019 (COVID-19) has been identified as the cause of a rapidly spreading respiratory illness that is thought to have originated from Wuhan, China in early December 2019. Since then, the free movement of people has decreased, which has thus reduced the number of trauma-related casualties. The Irish governments initiated strict social distancing measures in response to the COVID-19 pandemic in late March 2020. It remains challenging to quantify the impact this had on reducing the spread of the virus. The viral outbreak has led to significant changes in the lifestyle of Irish citizens. The aim of this study was to examine the impact of the pandemic on activity, related to emergencies in trauma and orthopaedics departments. Methods: Patients admitted to the Trauma and Orthopaedic Department at Cork University Hospital (CUH), Cork, Ireland and South Infirmary Victoria University Hospital (SIVUH), Cork, Ireland between the 1st of March and the 15th of April 2020 were documented and compared to the patient admissions from the same time period in 2019. Results: The total numbers of lower limb trauma cases dropped by 20.44% from 137 (females: 87; males: 50) to 109 (females: 74; male: 35), (p=0.72). Of note, there was a 30.00% reduction in the number of male cases (from 50 to 35; p<0.05), in comparison to the 14.94% reduction observed in the female population (from 87 to 74; p<0.05). The total number of upper limb trauma cases increased by 0.14% from 90 (female: 44; men: 46) to 94 (female: 54; male: 40; p=0.14). The increase reported was only applicable to the female population; the number of male cases of upper limb trauma slightly decreased from 46 to 40 (p<0.005). Conclusion: The COVID-19 crisis has led to a decrease in the total numbers of lower limb trauma surgeries but an increase in the number of upper limb fractures. The main reduction was amongst the male patients, while the number of female cases increased.

show abstract

“…Various strategies were adapted by orthopaedic surgeon to combat this pandemic all over the world. 10 – 12 Many countries have adopted the policy of cessation of elective and non-urgent orthopaedic surgeries during pandemic. 13 – 17 There is 90% reduction in elective cases (implant removal) in our setup which correspond to the article published by various authors on Covid 19 and orthopaedic services.…”

Section: Discussionmentioning

confidence: 99%

Orthopaedics Practice in a Rural Hospital During the COVID-19 Pandemic: A Descriptive Cross-Sectional Study

et al. 2020

View full text Add to dashboard Cite

Introduction: The coronavirus disease 2019 pandemic is one of the biggest public health challenges that we have faced, and has had a significant impact on the delivery of essential healthcare worldwide. Trauma and orthopaedic surgery was one of the most severely affected specialties as all non-emergency surgical cases were cancelled. With the possibility of future peak of corona virus, knowing the impact of Covid on orthopaedics would enable us to manage trauma patient in an effective manner and will help us to resume normal schedule of the trauma care. Methods: This is a descriptive cross-sectional study. We studied the details of total number of patient at Orthopaedic and trauma outpatient, inpatient and operation theatre of Karnali Academy of Health Sciences from 14th March 2020 to 16 September 2020 as compared with the patient data from the same time period in 2019. Results: There were 2288 patients during the non-Covid period who visited to the orthopaedic outpatient in comparison to 1618 during Covid period. Only 5 implant removals were performed in comparison to 50 removals (90% reduction) in elective cases. But the number of surgical cases was almost similar (204 vs 207 respectively). Total number of hospital stay had significantly reduced in the non-COVID period (average 4 days vs 6 days). Conclusions: There is reduction in number of orthopaedic and trauma cases during COVID 19 with marked reduction in number of elective cases. Alternative methods of treatment like telemedicine and small scale health camps at peripheral districts should be conducted to treat non-urgent orthopaedic conditions during lockdown.

show abstract

COVID-19: Initial experience of hand surgeons in Northern Italy

Cited by 19 publications

References 3 publications

Hand injuries treated at a hand emergency center during the COVID-19 lockdown

Hand injuries treated at a hand emergency center during the COVID-19 lockdown

Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland

Orthopaedics Practice in a Rural Hospital During the COVID-19 Pandemic: A Descriptive Cross-Sectional Study

Contact Info

Product

Resources

About