Impact of COVID-19 on hand surgery in Italy: A comparison between the Northern and the Southern regions

Toia, Francesca; Gastón, Martín; Abate, Mersema; Avarotti, E.; Battiston, Bruno; Bruno, Giulio; Casamichele, C.; Colonna, M.; Catena, Nunzio; Cherubino, Mario; Coppolino, Salvatore; Galvano, N.; Giuca, G.; Gullo, Salvatore; Internullo, G.; Lazzerini, A.; Marcoccio, Ignazio; Maruccia, Michele; Melloni, Cassio; Pajardi, G.; Pugliese, Pierfrancesco; Risitano, G.; Spata, G.; Tripoli, Massimiliano; Troisi, Luigi; Tos, Pierluigi; Córdova, Ana

doi:10.1016/j.hansur.2020.11.005

Cited by 7 publications

(11 citation statements)

References 11 publications

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“…In spite of these limitations, the strength of this survey has been to evaluate the quality of life, insomnia, and coping strategies in facing COVID-19 physical and emotional burden, through the comparison of two groups residing in distinct Italian metropolitan areas with matching low SARS-CoV-2 incidence rate but dissimilar sociodemographic features and work-related factors. Only a few Italian investigations were conducted among different regions, assessing the impact of COVID-19 on HCWs, in terms of psychological safety and workload [ 57 , 68 , 69 , 70 , 71 ]. This kind of comparison has permitted us to achieve new insights on how sociodemographic characteristics and work-related factors may have played different roles depending on different organizational settings, in a preventive perspective.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life, Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers. A Cross-Sectional Study

Italia

Costa

Briguglio

et al. 2021

IJERPH

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COVID-19 became a pandemic in a few months, leading to adverse health outcomes, reducing the quality of life, affecting the sleep/wake cycle, and altering coping strategies, especially among hospital personnel. Life quality, insomnia, and coping strategies were thus assessed among hospital personnel during the first wave of the COVID-19 pandemic in Italy. This cross-sectional study was conducted from May to November 2020 through an online survey. There were 558 participants (28.5% males and 71.5% females) enrolled in two different metropolitan areas (in North and South of Italy, respectively). Three standardized questionnaires were administered: European Quality of life–5 Dimensions (EQ-5D), Athens Insomnia Scale (AIS), and Brief COPE. Differences in sociodemographic characteristics and work-related factors were also investigated in order to identify possible predictors through a generalized linear model and logistic regression analysis. Results showed good perceived life quality and high insomnia prevalence. After sample stratification, the statistical analysis highlighted that personal (gender, age, educational level) and work-related factors (employment in COVID wards, remote working) played different roles in predicting quality of life, insomnia, and coping attitude. Active, Planning, and Acceptance were the most frequently adopted coping strategies. Despite women confirming their attitude in reacting to the difficulties, adopting emotion-focused coping strategies, they showed a higher probability to develop insomnia, so a gender perspective should be considered in the health protection of this working category. An integrated approach should be implemented at individual, interpersonal and organizational levels aiming to monitor psychological distress, favor regular sharing and communication between peers, and also allow conciliation of work with family life. At the organizational level, preventive and protective measures adequate to work-related risk to COVID-19 should be adopted.

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Section: Discussionmentioning

confidence: 99%

Quality of Life, Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers. A Cross-Sectional Study

Italia

Costa

Briguglio

et al. 2021

IJERPH

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“…As a consequence of this management, an important decrease in maxillofacial trauma in terms of incidence has been widely reported and described in international literature 1–5 . Moreover, elective surgery, and with it also maxillofacial one, has been gradually reduced nationwide in order to keep services operational without putting both healthcare professionals and patients at risk despite the assistance activity relating to traumatology and oncology has been guaranteed 6–8 . The purpose of this retrospective study is to analyze the management of maxillofacial trauma during the COVID-19 pandemic period at “San Salvatore Hospital” of L’Aquila and compare results with two different two-year periods, respectively, 2015–2016; 2017–2018 focusing our attention on incidence, age, gender, and etiology.…”

mentioning

confidence: 99%

Impact of COVID19 on Maxillofacial Fractures in the Province of L’Aquila, Abruzzo, Italy. Review of 296 Patients Treated With Statistical Comparison of the Two-Year Pre-COVID19 and COVID19

Giovannetti

Lupi

Giorgio

et al. 2022

Journal of Craniofacial Surgery

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The aim of this study was to understand the impact of the COVID-19 pandemic on the epidemiology of maxillofacial trauma in a regional trauma center in L'Aquila, Abruzzo, Italy, during the first wave of the pandemic and comparted it to an equivalent period from 2015 to 2018. The authorshave retrospectively analyzed personal data, site of trauma, etiology, and mechanism of injury. Statistical analysis has been carried out utilizing IBM SPSS Statistics software (IBM Corp., Armonk, NY) and significance was accepted for P values of <0.05. From January 2015 to December 2020, a total of 296 were analyzed. In Pre-COVID era, 195 patients were evaluated, 130 males (66.6%) and 65 females (33.4%). Zygomatic-malar complex fractures were the most common site of trauma in both genders (53%), followed by mandibular fractures (23%) and orbital ones (15%). The highest incidences of injuries were recorded between 15 and 34 years (21%) with the most common etiology attributed to road accidents traumas (49%). In COVID19 era, the authors recorded 101 traumas, 58 males (57.4%), 43 females (42.6%). Zygomatic-malar complex fractures were confirmed as the most common ones in both genders (41%). The most common etiology was related to casual domestic accident and assaults (37% and 30%, respectively). There was no statistically significant difference in terms of incidence in the comparison of Pre-COVID19 and COVID19 periods (P > 0.05) as opposed to the etiology in which the road traffic accidents decreased in favor of domestic accidents and interpersonal assaults (P < 0.05). Our scientific study represents the first epidemiologic study related to the impact of COVID-19 on maxillo-facial trauma in the Province of L'Aquila, Abruzzo, Italy. A decrease in the number of Maxillofacial injuries related to road traffic accidents can be demonstrated as the benefit of lockdown, however, a significant increase in the number of physical assaults shows how isolation and restrictions have had a highly negative psychological impact on society.

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“…The nonsignificant reduction of 18.3% of hand trauma during lockdown is supported by findings of previous studies from other European countries [9][10][11][12]. Poggetti et al investigated isolated hand traumata in Florence, Italy, during the first two months of the Covid period and showed a significantly decreased total number of orthopedic and trauma patients, while hand traumata were only slightly affected [9].…”

Section: Discussionmentioning

confidence: 58%

Changes in acute and trauma hand surgery in the first Covid-19 lockdown in a German trauma center: a retrospective analysis of 338 cases

Klietz

Aitzetmüller

Glasbrenner

et al. 2022

Arch Orthop Trauma Surg

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Introduction Although Covid-19 and especially lockdown periods have affected our everyday live, its impact on hand traumatology is under investigated. Materials and methods We retrospectively analyzed all patients presenting at a FESSH accredited HTRC and level 1 trauma center in Germany during the Covid-19 lockdown period and an equivalent timeframe in 2019 regarding incidence of hand trauma, injury mechanism, type of injury and hand surgeries. Results 338 patients presented at our department with acute hand injuries. A significant reduction of work-related accidents was found during lockdown contrary to an increase of do-it-yourself related trauma. Although the incidence of hand trauma decreased during lockdown by 18%, the rate of hand surgery increased in absolute and relative numbers. Conclusions Although Covid-19 has negatively impacting elective and semi-elective surgeries, acute hand surgery has gained in importance represented by a shift from work related to do-it-yourself trauma and an increased rate of surgical treatment. Level of evidence IV (therapeutic).

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Impact of COVID-19 on hand surgery in Italy: A comparison between the Northern and the Southern regions

Cited by 7 publications

References 11 publications

Quality of Life, Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers. A Cross-Sectional Study

Quality of Life, Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers. A Cross-Sectional Study

Impact of COVID19 on Maxillofacial Fractures in the Province of L’Aquila, Abruzzo, Italy. Review of 296 Patients Treated With Statistical Comparison of the Two-Year Pre-COVID19 and COVID19

Changes in acute and trauma hand surgery in the first Covid-19 lockdown in a German trauma center: a retrospective analysis of 338 cases

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