An evaluation of orthopaedic trauma patients presenting at the emergency department during lockdown in the COVID-19 pandemic

Year 2022, , 79 - 83, 17.01.2022

Sina Coşkun , Hikmet Çinka , İsmail Büyükceran , Göksel Şahiner , Alparslan Yurtbay , Furkan Erdoğan , Ahmet Pişkin

https://doi.org/10.32322/jhsm.1008433

Cited By: 1

Abstract

Aim: The SARS-CoV-2 virus causing COVID-19 disease, which started in Wuhan, China, in December 2019, rapidly affected the whole world and many precautions were taken in Turkey, as in other countries. The first case was recorded in Turkey on 11 March 2020, and the first COVID-19-related death on 15 March 2020. From that date, precautions were taken to prevent the spread of the disease, including the implementation of lockdowns and curfews. Although it was aimed to slow down public life during this period, orthopaedics and traumatology departments continued to function actively. The aim of this study was to evaluate orthopaedics and traumatology patients who presented at the Emergency Department (ED) during this period of lockdown.
Material and Method: The study included orthopaedic and traumatology patients who presented at the ED of Samsun Ondokuz Mayis University between 16 March and 1 June 2020, when there was a general lockdown. The data of these patients were retrospectively examined and were compared with the same period in 2019.
Results: During the specified period of the pandemic, 82 orthopaedics and traumatology patients presented at the ED, and in 2019, 109 patients presented. No statistically significant difference was found between the two groups in respect of age, gender, and the need for surgical procedure (p >0.05). Although there was no statistically significant difference in age distribution, there was a decrease in the number of patients in the children age group during the pandemic period. No significant difference was found between the two groups in respect of the mechanism of injury, with the most frequent being a fall from a height of <1m and the least common was firearms injury.
Conclusion: Although there were small differences between the two periods examined in respect of the mechanism of injury of orthopaedic and traumatology patients, there was no significant difference. Therefore, in a pandemic period, treatment plans should be reviewed by taking appropriate precautions and establishing new algorithms.

Keywords

trauma, lockdown, covid-19

Project Number

B.30.2.ODM.0.20.08/518

References

• Andersen KG, Rambaut A, Lipkin WI, Holmes EC, Garry RF. The proximal origin of SARS-CoV-2. Nature Med 2020; 26: 450-2.
• Ludvigsson JF. Systematic review of COVID19 in children shows milder cases and a better prognosis than adults. Acta Paediatrica 2020; 109: 1088-95.
• Rijal A, Dhakal N. Trend of orthopedic trauma patients and seasonal variation. Galore International J Health Sci Res 2020; 5: 13-6.
• Racioppi F, Eriksson L, Tingvall C, Villaveces A, Organization WH. Preventing road traffic injury: a public health perspective for Europe. Copenhagen: WHO Regional Office for Europe; 2004.
• Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. The Lancet 1997; 349: 1498-504.
• Le T-MT, Oleck NC, Liu FC, et al. Motor vehicle collision injuries: An analysis of facial fractures in the urban pediatric population. J Craniofacial Surg 2020; 31: 1910-3.
• Mason J, West E, Jackson P. Looking ahead to a trauma service with COVID-19. J Plastic Reconstructive Aesthetic Surg 2021; 74: 223.
• Stinner DJ, Lebrun C, Hsu JR, Jahangir AA, Mir HR. The orthopaedic trauma service and COVID-19: practice considerations to optimize outcomes and limit exposure. J Orthop Trauma 2020; 34: 333-40.
• Jacob S, Mwagiru D, Thakur I, Moghadam A, Oh T, Hsu J. Impact of societal restrictions and lockdown on trauma admissions during the COVID-19 pandemic: a single-centre cross-sectional observational study. ANZ J Surg 2020; 90: 2227-31.
• Kamine TH, Rembisz A, Barron RJ, Baldwin C, Kromer M. Decrease in trauma admissions with COVID-19 pandemic. Western J Emerg Med 2020; 21: 819.
• Zhu W, Li X, Wu Y, et al. Community quarantine strategy against coronavirus disease 2019 in Anhui: an evaluation based on trauma center patients. Int J Infect Dis 2020; 96: 417-21.
• Christey G, Amey J, Campbell A, Smith A. Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand. NZ Med J 2020; 133: 81-8.
• Tsai M, Arnold JL, Chuang C, Chi C, Liu C, Yang Y. Impact of an outbreak of severe acute respiratory syndrome on a hospital in Taiwan, ROC. Emerg Med J 2004; 21: 311-6.
• van Aert GJ, van der Laan L, Boonman-de Winter LJ, et al. Effect of the COVID-19 pandemic during the first lockdown in the Netherlands on the number of trauma-related admissions, trauma severity and treatment: the results of a retrospective cohort study in a level 2 trauma centre. BMJ Open 2021; 11: e045015.
• Phelps C, Sperry LL. Children and the COVID-19 pandemic. Psychological trauma: Theory Research Practice Policy 2020; 12: S73.
• Nabian MH, Vosoughi F, Najafi F, et al. Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran. Injury 2020; 51: 2811-5.
• Placella G, Salvato D, Delmastro E, Bettinelli G, Salini V. COVID-19 and ortho and trauma surgery: the Italian experience. Injury 2020; 51: 1403.
• Jacob S, Mwagiru D, Thakur I, Moghadam A, Oh T, Hsu J. Impact of societal restrictions and lockdown on trauma admissions during the COVID‐19 pandemic: a single‐centre cross‐sectional observational study. ANZ J Surg 2020; 90: 2227-31.
• Wenk M, Frey S. Elderly hip fracture patients: surgical timing and factors to consider. Current Opinion in Anesthesiology 2021; 34: 33-9.
• Abolhassani F, Moayyeri A, Naghavi M, Soltani A, Larijani B, Shalmani HT. Incidence and characteristics of falls leading to hip fracture in Iranian population. Bone 2006; 39: 408-13.
• Güngörer B. Baseline demographic, clinical and laboratory risk factors for predicting admission to intensive care unit in patients diagnosed with COVID-19 in the emergency department. Anatolian Curr Med J 2021; 3: 279-83.