Lockdown imposition due to COVID-19 and its effect on orthopedic emergency department in level 1 trauma center in South Asia

Vatsya, Pulak; Garika, Siva Srivastava; Mittal, Samarth; Trikha, Vivek; Vp, Sharma; Malhotra, Rajesh

doi:10.1016/j.jcot.2022.101826

Cited by 3 publications

(2 citation statements)

References 42 publications

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“…We found a total reduction in trauma cases during the first lockdown period in Lublin Province in Poland of almost 52% in 2020, compared with the same period in 2019 (p < 0.01). The decrease in trauma admissions was also observed in other countries [35,36]. Kreis et al reported a 30% reduction in all emergency department visits and a 20% reduction in the absolute number of surgeries during the first lockdown period in a Level 1 trauma center in Germany, irrespective of injury severity [37].…”

Section: Trauma Volumementioning

confidence: 59%

Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness

Jojczuk,

Pawlikowski,

Kamiński

et al. 2023

Healthcare

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The COVID-19 pandemic demanded changes in healthcare systems worldwide. The lockdown brought about difficulties in healthcare access. However, trauma still required further attention considering its modifications. The presented study aims to investigate the variances in epidemiological patterns of trauma during the lockdown and the previous year, with a view to better understand the modifications in healthcare provision. The authors analyzed data from the first lockdown in 2020 (12 March–30 May) and the same period in 2019 from 35 hospitals in Lublin Province. A total of 10,806 patients in 2019 and 5212 patients in 2020 were included in the research. The uncovered changes adhered to the total admissions and mortality rate, the frequency of injuries in particular body regions, and injury mechanisms. The lockdown period resulted in a reduction in trauma, requiring an altered approach to healthcare provision. Our research indicates that the altered approach facilitated during such periods is essential for delivering tailored help to trauma patients.

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Section: Trauma Volumementioning

confidence: 59%

Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness

Jojczuk,

Pawlikowski,

Kamiński

et al. 2023

Healthcare

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“…In a single trauma center in India, 5485 patients were admitted during a lockdown, and the month after the lockdown was released. Although the total number of patients increased post‐lockdown, no change was observed in the subcategories of assaults or domestic violence (Vatsya et al, 2022 ). Data from a single trauma center in Saudi Arabia reveal a decrease in trauma patients seeking help during lockdown compared to respective periods of the 2 previous years together with an increase in the proportion of those with injuries secondary to an assault (Hakeem et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Changes in ambulance departures for assault calls during COVID‐19 pandemic restrictions

Pisl

Vevera

Štěpánek

et al. 2022

Aggressive Behavior

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Restrictions related to COVID‐19 changed the daily behavior of people, including the expression of violence. Although an increased incidence of violent behavior, especially domestic violence, was expected during the pandemic, retrospective analyses have yielded mixed results. Records of ambulance departures to address injuries caused by assaults in the Pilsen region, Czech Republic, during the restrictive measures during the national state of emergency were compared to data from 3 previous years using general linear models. The number and severity of assaults were analyzed for the whole sample and separately for patients of either sex, for residential or nonresidential locations, and for domestic violence. Controlling for the seasonal effects, the number of assaults decreased by 39% during the pandemic restrictions compared to the 3 previous years. No difference was found between the effects of restrictions on assaults resulting in an injury of a male or female patient. The decrease was specifically pronounced in the sample of assaults in nonresidential locations, while no effect of restrictions was observed in assaults in residential locations and domestic assaults. Pandemic restrictions were associated with a decreased incidence of violent assaults that required ambulance services. Although the incidence decreased especially in those assaulted outside of their homes, we found no support for an increase in domestic violence or violence against women. Pandemic restrictions may have served as a protective rather than a risk factor for assaults severe enough to warrant a call for ambulance services.

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The Impact of the COVID-19 Pandemic on Orthopedic Trauma Management; A Cross-sectional Study

Öztürk,

Çakmur,

Koluman

et al. 2024

btd

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Objective: The aim of this study was to compare emergency orthopedic trauma admissions between the pre-and pandemic periods and detect changes in orthopedic trauma epidemiology.Methods: A total of 40,700 patients admitted within 1 year between March 2019 and March 2020 comprised the pre-pandemic group and 16,935 patients admitted between March 2020 and March 2021 comprised the pandemic group. Demographic characteristics of the patients, such as age and gender, were recorded. In addition, the injury mechanisms of the patients, diagnosis, injured extremity or anatomical region, broken bone, fracture classification, multitrauma rates, trauma-related complications, hospitalization days, and treatment modalities were examined.Results: In the pre-pandemic period, the mean age of the patients was younger, and the distributions of pediatric/adolescent patients and female patients were higher compared with the pandemic period (p=0.001, p=0.001, and p=0.001; respectively). Fractures and dislocations were more frequent in the pandemic period, whereas soft tissue injuries were more common in the pre-pandemic period (p=0.001). Home accidents increased and occupational accidents decreased during the pandemic period (p=0.001). The rate of surgical treatment statistically increased during the pandemic period (p=0.001). Conclusion:Considering the epidemiology of orthopedic trauma, estimating the trauma burden and optimizing resource use and allocation are very important for maintaining safe and effective treatment services for patients in extraordinary situations such as the coronavirus disease-2019 pandemic, which can cause serious disruptions in the healthcare system.

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Lockdown imposition due to COVID-19 and its effect on orthopedic emergency department in level 1 trauma center in South Asia

Cited by 3 publications

References 42 publications

Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness

Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness

Changes in ambulance departures for assault calls during COVID‐19 pandemic restrictions

The Impact of the COVID-19 Pandemic on Orthopedic Trauma Management; A Cross-sectional Study

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