New management and trauma incidence in hand surgery during the phase 1 of COVID-19 pandemic in a referral hand surgery and microsurgery center into the outbreak in North Italy

Acciaro, Andrea Leti; Montanari, Sara; Venturelli, Marta; Santis, Giorgio De; Starnoni, Marta; Adani, Roberto

doi:10.23736/s2784-8469.20.04075-8

Cited by 1 publication

(2 citation statements)

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“…Another issue not directly proven by this study but directly linked with the diminution of patients coming to the emergency department and the organizational problems with hospitalizing patients [27,31] is the risk to increase late diagnosis and late treatment [32] in patients, which can be proven by the augmentation of scaphoid non-union [33]. This latter point could also, in some cases, be related to patients being afraid to access the emergency department because of the risk of contamination [34].…”

Section: Discussionmentioning

confidence: 79%

“…This is a method that proved its accuracy [25] and found satisfaction among patients [10,22,26], whereas surgeons had frequent issues [10,22]. The authors did not use telemedicine, and Toia et al [11] as well as Leti Acciaro et al [27] confirmed it might be an issue in Italy. To reduce contamination risks [28], some surgeons increased non-surgical treatment [9,23], and to resolve issues linked to a diminution of anesthetists' availability, many hand surgeons [9,12,14,17,24,29] stated to use WALANT surgery [30].…”

Section: Discussionmentioning

confidence: 91%

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One Year of COVID-19: Lessons Learned in a Hand Trauma Center

Covino

Fulchignoni

Pietramala

et al. 2022

JCM

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2020 will be remembered worldwide as the year of COVID-19 outbreak. The onset of this pandemic abruptly changed everybody’s life and, in a particular manner, doctors’ lives. Our hand surgery department became rapidly one of the first COVID-19-specialized wards in Italy, impacting considerably the authors’ routines and activities. In this paper, the authors focus on how the demographics of patients with hand trauma changed and how they had to modify their activity. The authors retrospectively took into consideration all patients reaching their emergency department (ED) with hand trauma between 9 March 2020 (the day of the beginning of the first lockdown in Italy) and 8 March 2021 and compared them to those who reached the ED in the three previous years. Authors have analyzed the number of patients, their gender and age, the severity of their trauma, where the trauma occurred, the type of lesion, the percentage of patients who underwent surgery, and the percentage of patients who had an emergency admission. In the last year, the number of patients reaching the ED for a hand trauma has been reduced by two thirds (975 patients during the past year), the mean age of those patients has slightly increased, the severity of cases has increased, places of trauma and type of lesions have changed, and, lastly, the percentage of patients needing surgery who were admitted immediately has increased. This paper shows how the type of patients reaching the ED changed and discusses how surgeons evolved and modified their habits in treating those patients during the first lockdown and the year that followed.

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Section: Discussionmentioning

confidence: 79%