Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment

Mitković, Milan; Bumbaširević, Marko; Milenković, Saša; Gajdobranski, Djordje; Bumbasirevic, Vojislav; Mitković, Milorad

doi:10.1007/s00264-020-04750-3

Cited by 27 publications

(41 citation statements)

References 31 publications

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“…Our retrospective study showed reduced numbers of pediatric (by 3.8%) and adult patients (by 22%) referred to emergency departments due to DRFs during the COVID-19 pandemic. Similar, or even more pronounced decreases over the COVID-19 pandemic period (compared to period prior to the COVID-19 pandemic) have been reported in other countries (19-69%) [13,[15][16][17][18][19][20][21][22]24].…”

Section: Discussionsupporting

confidence: 68%

“…Distal radius fractures constitute a social problem [1][2][3][4][5][6][7][8][9][10][11][12][13]. The COVID-19 pandemic has had a considerable impact on the lives of both adults and children around the world [13][14][15][16][17][18][19][20][21][22][23][24][25][26]. Some schools have been closed, causing children to stay at home, and some adults work from home.…”

Section: Discussionmentioning

confidence: 99%

“…The COVID-19 pandemic altered the healthcare in the whole world in the year 2020 [13][14][15][16][17][18][19][20][21][22][23][24][25][26]. Although the causative coronavirus (SARS-CoV-2) can infect both adults and children, the majority of children have mild or asymptomatic course of the disease [13].…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of distal radius fractures in children and adults during the COVID-19 pandemic – a two-center study

Olech

Ciszewski

Morasiewicz

2021

BMC Musculoskelet Disord

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Background Distal radius fractures (DRFs) constitute 15–21% of all fractures. There are no detailed data on the possible changes in the epidemiology and treatment of DRFs in children and adults during the Covid pandemic. The purpose of our study was a comprehensive assessment of the impact of the COVID-19 pandemic on distal radius fractures (DRF) epidemiology, including both children and adults and various fracture fixation methods in two large trauma centers in Poland. Methods This study compared the medical data on the treatment of distal radius fractures in Poland in two periods: the period of the COVID-19 pandemic (from March 15 to October 15, 2020) and the corresponding period prior to the pandemic (from March 15 to October 15, 2019). We assessed detailed data from two trauma centers for pediatric and adult patients. Outpatients seeking medical attention at emergency departments and inpatients undergoing surgery at trauma-orthopedic wards were evaluated. We compared epidemiological data, demographic data, treatment type, and hospital stay duration. Results The total number of patients hospitalized due to DRF during the pandemic was 180, it was 15.1% lower than that from the pre-COVID-19 pandemic period (212). In the case of adult patients, the total number of those hospitalized during the pandemic decreased significantly (by 22%) from 132 to 103 patients. Analysis of the individual treatment methods revealed that the number of adults who underwent conservative treatment was considerably (by 30.3%) significantly lower in the period of the COVID-19 pandemic, from 119 to 83 patients. Compared to 13 patients from the pre-pandemic period, the number of surgically treated adults statistically increased to 20 patients (by 53.8%). Our analyses showed hospitalizations of surgically treated adults to be shorter by 12.7% during the pandemic, with the corresponding hospitalizations of surgically treated pediatric patients to be shorter by11.5%. Conclusions Our study showed a significant impact of the COVID-19 pandemic on the epidemiology and treatment of DRFs in children and adults. We found decreased numbers of pediatric and adult patients with DRFs during the COVID-19 pandemic. The pandemic caused an increase in the number of children and significantly increase adults undergoing surgical treatment for DRFs, a decrease in mean patient age, shorter significantly length of hospital stay, and an increased number of men with DRFs.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

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Epidemiology of distal radius fractures in children and adults during the COVID-19 pandemic – a two-center study

Olech

Ciszewski

Morasiewicz

2021

BMC Musculoskelet Disord

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“…Так, например, сербские авторы M.M. Mitkovic et al приводят сведения об уменьшении общего количества диагностируемых переломов в период действия режима чрезвычайной ситуации на 19 % [27]. Новозеландские ученые G. Christey et al сообщают о снижении количества госпитализаций детей по поводу травм в период пандемии на 48 % [28].…”

Section: Discussionunclassified

Vertebral fractures in children during the COVID-19 pandemic

Скрябин

Akselrov

Зотов

et al. 2021

Pediatr Traum Orthop Reconstr Surg

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Background. The COVID-19 pandemic has had a significant influence on the main epidemiological indicators of emergency trauma, as well as on the pediatric population. Aim. This study aimed to analyze the incidence of compression fractures of vertebral bodies in children between January and July 2020 (the first months of COVID-19 pandemic). Materials and methods. A comprehensive examination and treatment of 82 children and adolescents aged 317 years, who received compression fractures of the vertebral bodies in the period from January 1 to July 31, 2020, was carried out. A group of 96 children of the same age who sustained a similar type of injury at the same time in 2019 was studied as a control. To make a clinical diagnosis, we used methods of traditional research examination for emergency traumatology. The severity of vertebrogenic fractures was determined according to the AO/ASIF classification. Results. The total number of patients diagnosed with vertebral fractures during the COVID-19 pandemic was 14.58% less than that in the same period in 2019. Patients in the comparison groups were comparable in sex, average age of injury, and age group in which the spine was most often injured. The most frequent mechanism of spinal injuries in patients of the comparison groups was a fall from a height. More often than others, ThVI and ThVII vertebral bodies were broken. The severity of vertebral fractures in all cases corresponded to type A, subtypes A1 and A2. For treatment, conservative methods were used in most cases. During the period of strict self-isolation, in April 2020, no children of the main group had vertebral fracture because they were forbidden to leave their apartments unnecessarily. In May 2020, the number of children with vertebral fractures was half the number in the same month in 2019. In June 2020, the incidence of vertebral fractures was in line with the pre-crisis average. Conclusion. Strictly following restrictive anti-epidemic measures during a pandemic is an effective method of reducing the number of cases requiring emergency treatment for compression fractures of the vertebral bodies in children.

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“…When classifying papers, we adhered to the usual classification of papers in our journal. Therefore, in the General Orthopaedics section, the first introductory paper presented is the one on the influence of the state of emergency due to corona virus disease 2019 pandemic on orthopaedic fracture surgical treatment, which is only understandable considering the situation in which our profession finds itself [1] .It should be noted, of course, that a Special Issue of our journal has been published recently under the title COVID-19 and Orthopaedics [2] The next two papers in the general section of this issue are dedicated to the questions of prevention of infection either in terms of applying particular types of implants [3] and the possibilities of laboratory diagnostics of periprosthetic joint infection [4]. The review article by Trebse and Roskar presents the evaluation and interpretation of prosthetic joint infection diagnostic investigations [5].…”

mentioning

confidence: 99%

Central and Eastern Europe actual orthopaedics profile

Antolič

Bumbaširević

Pećina

2021

International Orthopaedics (SICOT)

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The Central and Eastern European Special Issue of International Orthopaedics Journal comes from countries, nations and peoples which long ago were living in mighty powerful empires and for centuries there was a clash between opposing interests and ideas due to various religions, cultures and traditions. The majority of people were suffering poverty and lack of personal liberty, countless died due to various diseases or were killed in numerous wars. Brave people started the liberation process very soon after the French Revolution, went through many socioeconomic and political developments, some gained independence as early as the nineteenth century, still others had to wait until the end of the First World War, and the last ones until the fall of the Iron Curtain and the Berlin Wall. People from this part of the world are now all living and enjoying personal and economic freedom. This Special Issue, with a representative insight of the state of the art in orthopaedics, is a proof that orthopaedic practice, professional career, and scientific work of the majority of the countries from the region are becoming internationally recognisable and comparable with the rest of the world as well. In this Special Issue, we have included papers from Austria,

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Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment

Cited by 27 publications

References 31 publications

Epidemiology of distal radius fractures in children and adults during the COVID-19 pandemic – a two-center study

Epidemiology of distal radius fractures in children and adults during the COVID-19 pandemic – a two-center study

Vertebral fractures in children during the COVID-19 pandemic

Central and Eastern Europe actual orthopaedics profile

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