Impact of the COVID-19 pandemic on a trauma center of a university hospital in Japan

Ishii, Keisuke; Kurozumi, Taketo; Suzuki, Takashi; Matsui, Kentaro; Inui, Takahiro; Nakayama, Yuhei; Yamashita, Shinnosuke; Takahashi, Sadamu; Nakagawa, Tomoo; Suzuki, J.; Miyake, Yoshihiro; Sagawa, Toshio; Ito, Kaori; Tsunoyama, Taichiro; Nakazawa, Kenji; Nagao, Tsuneatsu; Oonuki, Takahiro; Asami, Masahiro; Sakamoto, Tetsuya; Watanabe, Yoshinobu

doi:10.1016/j.jos.2020.11.018

Cited by 6 publications

(10 citation statements)

References 12 publications

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“…A possible explanation for this could be that fewer restrictions were imposed in Denmark compared with other countries. 5 , 7 , 27 Comparable with our results, the incidence of severe injuries (ISS >15) in Finland 10 and major injuries (ISS >12) in Australia 19 were the same during lockdown compared with earlier years.…”

Section: Discussionsupporting

confidence: 87%

“… 8 Additionally, Ishii et al, in a study from Japan, found a 45% decrease in trauma‐related surgical procedures with the exception of an increase in hip fracture surgery. 7 A recent study in Finland by Riuttanen et al found no significant difference in the incidence of severe injuries during the lockdown. 10 Although there have been several studies describing the effect on the trauma of the first COVID‐19 wave, reports describing the effect of reopening the society and the second wave are scarce, as are studies from Scandinavian countries.…”

Section: Introductionmentioning

confidence: 94%

“…4 Previous studies have compared trauma patient admissions in COVID‐19‐related lockdowns to a control period in prior years. 5 , 6 , 7 , 8 One of the first COVID‐19 studies on trauma patients, by Christey et al, reported data from New Zealand. They found a 43% decrease in trauma admissions during lockdown compared with the same period in 2019.…”

Section: Introductionmentioning

confidence: 99%

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Effect of the COVID‐19 pandemic at a major Danish trauma center in 2020 compared with 2018–2019: A retrospective cohort study

Trier

Fjølner

Raaber

et al. 2021

Acta Anaesthesiol Scand

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Background The COVID‐19 pandemic demanded changes in societal behavior and health care worldwide. Previous studies have compared trauma patient admissions in COVID‐19‐related lockdowns to prior years. This study describes the COVID‐19 impact on trauma patient admissions during entire 2020 at a major trauma center in Denmark. Methods We retrospectively analyzed trauma patients received by a trauma team and admitted at Aarhus University Hospital in 2020 compared with 2018–2019. The incidence of injuries, mechanism of injury, 30‐day mortality, and Injury Severity Score (ISS) were investigated. Results The incidence of minor injuries (ISS 1–15) increased by 24% in 2020 compared with 2018–2019 (incidence rate ratio 1.24 [95% CI: 1.11–1.39]). The incidence of severe injuries (ISS >15) in 2020 did not change compared with 2018–2019 (incidence rate ratio 0.97 [95% CI: 0.80–1.17]). The 30‐day mortality was similar in 2020 compared with 2018–2019. Comparing 2020 with 2018–2019, the risk ratio of traffic injuries decreased (0.90 [95% CI: 0.82–0.99]), risk ratio for fall injuries was 1.13 (95% CI: 0.97–1.30), for violence 1.13 (95% CI: 0.51–2.50), and for self‐harm 1.94 (95% CI: 0.95–3.94). During the first lockdown of 2020, trauma team activations declined from 49.5 to 42 and the risk ratio for traffic injuries was 0.74 (95% CI: 0.50–1.10) compared with the same period in 2018–2019. Conclusion The incidence of minor injuries increased, but the incidence of severe injuries was similar in 2020 compared with 2018–2019. Societal restrictions might alter the mechanism of injuries. The first lockdown indicated an association with reduced traffic injuries.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Effect of the COVID‐19 pandemic at a major Danish trauma center in 2020 compared with 2018–2019: A retrospective cohort study

Trier

Fjølner

Raaber

et al. 2021

Acta Anaesthesiol Scand

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“…The results of this study, in which we analyzed the changes observed in our daily practice, we noticed a 26% decrease in the incidence of fractures during the pandemic period compared to the pre-pandemic period. Other studies also reported similar decreases in the incidence of fractures during the pandemic period (5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Discussionsupporting

confidence: 53%

Effects of the COVID-19 Pandemic on the Orthopedic Trauma Practice: Experiences From A University Hospital in Turkey

Kavak¹,

Bilgin²,

İNAN³

2022

Osmangazi̇ Journal of Medicine

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After a new type of coronavirus in Wuhan, China was found to cause deadly pneumonia, the World Health Organization declared the disease caused by the virus a pandemic on March 11, 2020. This situation led to the effectuation of some social restrictions that radically changed our daily lives in our country and across the world. This comprehensive change in social life also affected the daily practices in all branches of medicine as well as orthopedic trauma practice. The aim of this study was to evaluate the incidence, location, and treatment methods of the fractures seen in the pediatric and adult population during the pandemic period, and to investigate their differences with the pre-pandemic period. Our study was designed as a retrospective cohort study comparing the acute fractures admitted to our center during the pandemic period and the fractures that occurred before the pandemic. Patients who presented with a new fracture to our emergency ward or outpatient clinic between March 16, 2020, and December 30, 2020, when social restrictions were in effect in our country, were identified. Patients who applied to our center with a new fracture within the same date range in 2019 and 2018 were also identified. The patient group was determined by scanning the International Classification of Diseases code and orthopedic consultation charts on the database. After removing the duplicate records, the radiological examinations of all patients were evaluated by the researchers. The data regarding patients' age, gender, fracture location, treatment types, length of hospital stay, and in-hospital mortality were recorded. The patients were divided into two groups: the pediatric group (16 years and younger) and the adult group (over 16 years). The total number of fractures in the pandemic period was significantly less than in the non-pandemic period (p<0.001). Although the number of fractures decreased significantly in both groups (p<0.001), there was no significant difference between the pandemic and non-pandemic period data regarding the age groups (p=0.771). The most common fracture sites were the distal radius (20% and 19.4%) and the ankle (8, 45% and 8.54%) in the non-pandemic period, while the distal radius (21.5%) and the proximal femur (10.8%) were the most involved sites in the pandemic period. The percentage of surgically treated fractures among all fractures was 49.6%, 46.6%, and 39.4% for 2018, 2019, and 2020, respectively. Although the prevalence of surgical treatments was lower in the pandemic period, the difference was not statistically significant (p=0.089). The mean length of hospital stay for the surgically treated fractures for all groups was 5.36±2.79, 5.78±2.41, and 4.10±1.62 days for the years 2018, 2019, and 2020, respectively. The decline in the length of stay during the pandemic period was found to be significant (p<0.001). We experienced some difficulties and confusion due to our lack of previous experience in orthopedic daily practices under the extraordinary conditions brought by the pandemic. We hav...

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“…Shermann et al [17] found a 70% reduction in traumatic injuries at a Level I trauma center in New Orleans. Ishii et al [18] found a decrease of 45% for surgical cases in Japan. Interestingly, that study also found an increase in hip fractures, similar to the findings of the present study.…”

Section: Discussionmentioning

confidence: 96%

Impact of the first COVID-19 shutdown on traumatological patient volumes in Switzerland

Canal

Scherer

Schlögl

et al. 2022

Surgery in Practice and Science

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Impact of the COVID-19 pandemic on a trauma center of a university hospital in Japan

Cited by 6 publications

References 12 publications

Effect of the COVID‐19 pandemic at a major Danish trauma center in 2020 compared with 2018–2019: A retrospective cohort study

Effect of the COVID‐19 pandemic at a major Danish trauma center in 2020 compared with 2018–2019: A retrospective cohort study

Effects of the COVID-19 Pandemic on the Orthopedic Trauma Practice: Experiences From A University Hospital in Turkey

Impact of the first COVID-19 shutdown on traumatological patient volumes in Switzerland

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