Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France

Simon, Anne-Laure; Hassan, Sammy Kassab; Julien-Marsollier, Florence; Happiette, Adèle; Jehanno, Pascal; Delvaque, Jean-Gabriel; Ilharreborde, Brice

doi:10.1016/j.otsr.2021.103088

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…Simon et al reported altered management, without complications: elbow pins left protruding were removed in consultation rather than in the outpatient surgery room, as was done previously. Under general anaesthesia, only overriding frontally misaligned fractures of the distal quarter of the two forearm bones were reduced [ 27 ]. We did not change our surgical procedures for our patients in 2020.…”

Section: Resultsmentioning

confidence: 99%

Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

Delbrück,

Lambertz,

Migliorini

et al. 2024

Eur J Trauma Emerg Surg

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Purpose The study investigates changes in the injury characteristics of hospitalised children in a paediatric trauma centre during the COVID-19 pandemic. Methods Data from injured children from the pre-pandemic year 2019 were compared to the pandemic year 2020 using Pearson’s chi-squared test and the Mann–Whitney U test. The period of highly restrictive regulations (HRP) was evaluated separately. A comprehensive literature review with defined search terms resulted in a descriptive data synthesis. Results Data from 865 patients indicated reductions in admissions of 5.6% and 54.4% during the HRP. In 2020, the hospitalisation time was longer (2.2 ± 2.7 days in 2019 vs. 2.4 ± 2.6 in 2020, p = 0.045); the proportions of wounds requiring surgical therapy (p = 0.008) and of observational treatments, primarily for mild brain injuries (p = 0.046), were higher; and conservative treatments, primarily for contusions, were lower (p = 0.005). There were no significant changes in age, location of lesions, or frequency of surgical therapy; nor were there differences in the HRP, except for fewer injuries in school and kindergarten (p < 0.001). The literature review summarises the main results of 79 studies. Conclusion Limited resources did not alter the indications for surgical therapy. Further studies should examine whether the more common injuries sustained at home were caused by excessive work/childcare demands on parents. Reduced inpatient conservative treatment implies that hospital resources possibly were overused previously. The literature offers answers to many detailed questions regarding childhood injuries during a pandemic and more efficient safe treatment. Registration Ethical committee of RWTH Aachen University EK 22-320; Center for Translational & Clinical Research RWTH Aachen University (CTC-A) 21-430.

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Section: Resultsmentioning

confidence: 99%

Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

Delbrück,

Lambertz,

Migliorini

et al. 2024

Eur J Trauma Emerg Surg

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“…Karia et al describe the effect of the COVID-19 pandemic as a reduction in the number of surgeries and state that prioritisation is needed, but do not comment on clinical outcomes [ 12 ]. Simon et al suggest that complications were low but lacks follow-up on patients to actually confirm their observation [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…In this study, only surgically treated (K-wires and TENs) upper limb fractures were evaluated. These injuries are the most common fractures in the paediatric population and are therefore representative [ 16 ]. Combining these fractures into one category seems adequate for this study since it also has an epidemiological character.…”

Section: Discussionmentioning

confidence: 99%

Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe

et al. 2022

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The COVID-19 pandemic and the resulting restrictions led to a reduced number of surgeries. This study examines its impact on the course of treatment and clinical outcome of surgically treated paediatric upper limb fractures during that specific period. This retrospective cohort study evaluated all children aged 0–18 years presenting with an upper limb fracture treated surgically at the level 1 trauma centre of the University Clinic of Orthopaedics and Trauma Surgery of Vienna within lockdown from 16 March to 29 May 2020 (definition applied through corresponding legislation) compared to the same period from 2015 to 2019. A total number of 127 children (m:63; f:44) were included. The lockdown did not lead to a significant increase in complications during and after initial surgery. Time until removal of implant was not significantly prolonged (p = 0.068; p = 0.46). The clinical outcome did not significantly differ compared to previous years. The experience of a level 1 trauma centre showed that despite reduced surgical capacity during the COVID-19 pandemic, no negative differences concerning course of treatment and clinical outcome of surgically treated paediatric upper limb fractures were present. These findings are still of importance since the COVID-19 pandemic continues and several countries in Central Europe are currently under their fourth lockdown.

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Orthopaedic and trauma surgery in the time of COVID-19 in France: A nationwide survey

Angelliaume¹,

Legallois²,

Harly³

et al. 2023

Orthopaedics & Traumatology: Surgery & Research

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Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France

Cited by 7 publications

References 19 publications

Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe

Orthopaedic and trauma surgery in the time of COVID-19 in France: A nationwide survey

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