The Aftermath of COVID-19 Lockdown on Daily Life Activities in Orthopaedic Patients

Persiani, P.J.; Meo, Daniele De; Giannini, Elisa; Calogero, Valeria; Varsamis, Tommaso Speziale; Cavallo, Armando Ugo; Martini, Lorena; Cera, Gianluca; Coluzzi, Flaminia; Villani, Ciro

doi:10.2147/jpr.s285814

Cited by 7 publications

(20 citation statements)

References 21 publications

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“…Our analysis shows that the first wave of the COVID-19 pandemic determined a significant reduction in HF hospitalizations in Emilia-Romagna, one of the most severely hit areas of Italy and Europe, although the population case-mix did not differ between 2020 and 2019. This finding is consistent with other studies [27][28][29] and can be explained by the enforcement of a strict national lockdown from March 9 to May 4, 2020. By confining people at home, interrupting mobility and work activities, and reducing road traffic, the frequency of travel-and work-related injuries dropped; this led to an overall reduction in the number of patients accessing emergency departments and hospitals.…”

Section: Interpretation Within the Context Of The Wider Literaturesupporting

confidence: 93%

“…Many professionals' skills, such as surgeons' and anesthesiologists', were repurposed to attend to COVID-19 patients in dedicated wards. This created service gaps, reducing both the number of physicians dedicated to non-COVID-19 patients and the time dedicated to each of them [27].…”

Section: Interpretation Within the Context Of The Wider Literaturementioning

confidence: 99%

“…The performance of rehabilitative care could have been undermined by the difficulty to reorganize treatment pathways for non-COVID-19 patients. In Emilia-Romagna, many rehabilitation centers experienced COVID-19 outbreaks, preventing them from providing adequate standards of care and safety [27]. As shown in several studies, the inability of outpatient rehabilitation facilities (i.e., community hospitals and nursing homes) to accept and treat patients coming from acute care hospitals could be responsible for the reduction and delay of timely rehabilitation treatment [32,33].…”

Section: Interpretation Within the Context Of The Wider Literaturementioning

confidence: 99%

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Variations of the quality of care during the COVID-19 pandemic affected the mortality rate of non-COVID patients with hip fracture

Golinelli¹,

Sanmarchi²,

Capodici³

et al. 2021

Preprint

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IntroductionAs COVID-19 roared through the world, governments worldwide enforced containment measures that affected various treatment pathways, including those for hip fracture (HF). This study aimed to measure process and outcome indicators related to the quality of care provided to non-COVID-19 elderly patients affected by HF in Emilia-Romagna, a region of Italy severely hit by the pandemic.MethodsWe collected the hospital discharge records of all patients admitted to the hospitals of Emilia-Romagna with a diagnosis of HF from January to May in the years 2019/2020. We analyzed surgery rate, surgery timeliness, length of hospital stay, timely rehabilitation, and 30-day mortality for each HF patient. We evaluated monthly data (2020 vs. 2019) with the chi-square and t-test, where appropriate. Logistic regression was used to investigate the differences in 30-day mortality.ResultsOur study included 5379 patients with HF. In April and May 2020, there was a significant increase in the proportion of HF patients that did not undergo timely surgery. In March 2020, we found a significant increase in mortality (OR = 2.22). Female sex (OR = 0.52), age ≥90 years (OR = 4.33), surgery after 48 hours (OR = 3.08) and not receiving surgery (OR = 6.19) were significantly associated with increased mortality. After adjusting for the aforementioned factors, patients hospitalized in March 2020 still suffered higher mortality (OR = 2.21).ConclusionsOur results show a reduction in the overall quality of care provided to non-COVID-19 elderly patients affected by HF. The mortality rate of patients with HF increased significantly in March 2020. Patients’ characteristics and variations in processes of care partially explained this increase. Our analysis reveals the importance of including process and outcomes indicators, for both acute and post-acute care management issues, in emergency preparedness plans, to monitor healthcare systems’ capacities and capabilities.

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Section: Interpretation Within the Context Of The Wider Literaturesupporting

confidence: 93%

Section: Interpretation Within the Context Of The Wider Literaturementioning

confidence: 99%

Section: Interpretation Within the Context Of The Wider Literaturementioning

confidence: 99%

See 1 more Smart Citation

Variations of the quality of care during the COVID-19 pandemic affected the mortality rate of non-COVID patients with hip fracture

Golinelli¹,

Sanmarchi²,

Capodici³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…Recently, Persiani et al 23 and Garrido-Cumbrera et al 24 reported their findings of the impact of the first COVID-19 pandemic ‘lockdown’ in with people with RMDs. These findings reflect those of our UK cohort, which illustrated a reduction in physical activity and increase in pain, particularly among people aged 50–70 years and in work.…”

Section: Discussionmentioning

confidence: 99%

“…These findings reflect those of our UK cohort, which illustrated a reduction in physical activity and increase in pain, particularly among people aged 50–70 years and in work. 23 and poor lifestyle habits negatively impacting on overall physical and mental health. 24 These findings may be attributed to a disruption in their normal working patterns, changes in their home environment and loss of social networks.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases in the UK: a mixed-methods study

et al. 2021

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ObjectivesTo determine the impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases (RMDs) and to explore how people adapted to these measures over time.DesignMixed-methods investigation comprising a national online longitudinal survey and embedded qualitative study.SettingUK online survey and interviews with community-dwelling individuals in the East of England.ParticipantsPeople in the UK with RMDs were invited to participate in an online survey. A subsection of respondents were invited to participate in the embedded qualitative study.Primary and secondary outcome measuresThe online survey, completed fortnightly over 10 weeks from April 2020 to August 2020, investigated changes in symptoms, social isolation and loneliness, resilience and optimism. Qualitative interviews were undertaken assessing participant’s perspectives on changes in symptoms, exercising, managing instrumental tasks such a shopping, medication and treatment regimens and how they experienced changes in their social networks.Results703 people with RMDs completed the online survey. These people frequently reported a deterioration in symptoms as a result of COVID-19 pandemic social restrictions (52% reported increase vs 6% reported a decrease). This was significantly worse for those aged 18–60 years compared with older participants (p=0.017). The qualitative findings from 26 individuals with RMDs suggest that the greatest change in daily life was experienced by those in employment. Although some retired people reported reduced opportunity for exercise outside their homes, they did not face the many competing demands experienced by employed people and people with children at home.ConclusionsPeople with RMDs reported a deterioration in symptoms when COVID-19 pandemic social restriction measures were enforced. This was worse for working-aged people. Consideration of this at-risk group, specifically for the promotion of physical activity, changing home-working practices and awareness of healthcare provision is important, as social restrictions continue in the UK.

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Differential Effects of the COVID-19 Pandemic on Physical Activity Involvements and Exercise Habits in People With and Without Chronic Diseases: A Systematic Review and Meta-analysis

Kwok

Ngan

et al. 2022

Archives of Physical Medicine and Rehabilitation

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The Aftermath of COVID-19 Lockdown on Daily Life Activities in Orthopaedic Patients

Cited by 7 publications

References 21 publications

Variations of the quality of care during the COVID-19 pandemic affected the mortality rate of non-COVID patients with hip fracture

Variations of the quality of care during the COVID-19 pandemic affected the mortality rate of non-COVID patients with hip fracture

Impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases in the UK: a mixed-methods study

Differential Effects of the COVID-19 Pandemic on Physical Activity Involvements and Exercise Habits in People With and Without Chronic Diseases: A Systematic Review and Meta-analysis

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