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2020 ; 44
(8
): 1497-1501
Nephropedia Template TP
gab.com Text
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English Wikipedia
Impact of the COronaVIrus Disease 2019 lockdown on hand and upper limb
emergencies: experience of a referred university trauma hand centre in Paris,
France
#MMPMID32488564
Pichard R
; Kopel L
; Lejeune Q
; Masmoudi R
; Masmejean EH
Int Orthop
2020[Aug]; 44
(8
): 1497-1501
PMID32488564
show ga
PURPOSE: The lockdown imposed in France to cope with the COronaVIrus Disease 2019
(COVID-19) outbreak has led to major changes in the lifestyle of French citizens.
The aim of our study was to study its impact on activity related to emergencies
in hand and upper limb trauma in comparison to the same reference period in 2019.
MATERIAL AND METHODS: All consecutive patients consulting for upper limb injury
requiring urgent care at Georges-Pompidou European Hospital (HEGP), France,
during the lockdown period (case group) and the equivalent period in 2019
(control group) were included. In each group, the type of accident, the
anatomical location of the injury, and the treatment were reported and compared.
RESULTS: Two hundred seventy-five patients were included in the case group in
comparison to 784 patients in the control group. We observed a two-third decrease
in the rate of upper limb emergencies (-?64.9%) in particular a drastic drop in
the rate of road, work, and leisure accidents (10.4% vs 14.3%, p?=?0.1151; 10.0%
vs 22.6%, p?0.0001; 13.1% vs 30.8%, p?0.0001, respectively), and a clear
increase in domestic accidents (66.5% vs 32.3%, p?0.0001). The aetiologies were
more dominated by lacerations of soft tissues (48.4%, vs 38.3%, p?=?0.0034) and
infections (8.7% vs 5.1%, p?=?0.0299) with an increase in the indications for
surgical management (51.2% vs 36.9%, p?0.0001). Conversely, we observed fewer
consultations for joint injuries (20.7% vs 30.7%, p?=?0.0015) and fractures
(22.2% vs 25.9%, p?=?0.2210). CONCLUSION: The lockdown imposed in France has
changes the etiologies and the management of hand and upper limb emergencies.