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2020 ; 44
(8
): 1473-1480
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Staying home during "COVID-19" decreased fractures, but trauma did not quarantine
in one hundred and twelve adults and twenty eight children and the "tsunami of
recommendations" could not lockdown twelve elective operations
#MMPMID32451655
Hernigou J
; Morel X
; Callewier A
; Bath O
; Hernigou P
Int Orthop
2020[Aug]; 44
(8
): 1473-1480
PMID32451655
show ga
PURPOSE: The current pandemic caused by COVID-19 is the biggest challenge for
national health systems for a century. While most medical resources are allocated
to treat COVID-19 patients, fractures still need to be treated, as some patients
with non-deferrable pathologies. The aim of this paper is to report the early
experience of an integrated team of orthopaedic surgeons during this period.
MATERIAL AND METHODS: This is a mono-geographic, observational, retrospective,
descriptive study. We collected data from the beginning of the epidemic (1 March
2020), during the pandemic lockdown period (declared in the country on March 16,
2020) until the end of our study period on April 15, 2020. All the 140 patients
presented to the Emergency Department of the hospital during this period with a
diagnosis of fracture, or trauma (sprains, dislocations, wounds) were included in
the cohort. In addition, 12 patients needing hospitalization for planning a
non-deferrable elective surgical treatment were included. A group of patients
from the two same hospitals and treated during the same period (1(st) March 2018
to April 15, 2018) but previously was used as control. RESULTS: Of these 152
patients (mean age 45.5 years; range 1 to 103), 100 underwent a surgical
procedure and 52 were managed non-operatively. Twenty-eight were children and 124
were adults. The COVID-19 diagnosis was confirmed for four patients. The
frequency of patients with confirmed COVID-19 diagnosis among this population
treated in emergency was ten fold higher (2.6%; 4 among 152) than in the general
population (0.30%) of the country. The mortality rate for patients with surgery
was 2% (2 of 100 patients) and 50% (2 of 4) for those older than 60 years with
COVID-19; it was null for patients who were managed non-operatively. As compared
to the year 2018, the number of patients seen with trauma had decreased of 32%
during the epidemic. CONCLUSION: Staying home during the COVID-19 pandemic
decreased trauma frequency of 32%. The structural organization in our hospital
allowed us to reduce the time to surgery and ultimately hospital stay, thereby
maximizing the already stretched medical resources available to treat all the
patients who needed orthopedic care during this period.