Research Article
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Year 2022, Volume 39, Issue 1, 128 - 133, 01.01.2022

Abstract

References

  • 1. Silva DS, Smith MJ. Social distancing, social justice, and risk during the COVID-19 pandemic. Can J Public Health 2020;111(4): 459-61.
  • 2. Courtemanche C, Garuccio J, Le A, Pinkston J, Yelowitz A. Strong Social Distancing Measures In The United States Reduced The COVID-19 Growth Rate. Health Aff (Millwood) 2020;39(7): 1237-46.
  • 3. Marroquín B, Vine V, Morgan R. Mental health during the COVID-19 pandemic: Effects of stay-at-home policies, social distancing behavior, and social resources. Psychiatry Res 2020;293: 113419.
  • 4. Orgilés M, Morales A, Delvecchio E, Mazzeschi C, Espada JP. Immediate Psychological Effects of the COVID-19 Quarantine in Youth From Italy and Spain. Front Psychol 2020;11:579038.
  • 5. Turgut A, Arlı H, Altundağ Ü, Hancıoğlu S, Egeli E, Kalenderer Ö. Effect of COVID-19 pandemic on the fracture demographics: Data from a tertiary care hospital in Turkey. Acta Orthop Traumatol Turc 2020;54(4):355-63.
  • 6. Zhu Y, Chen W, Xin X, Yin Y, Hu J, Lv H, et al. Epidemiologic characteristics of traumatic fractures in elderly patients during the outbreak of coronavirus disease 2019 in China. Int Orthop 2020;44(8):1565-70.
  • 7. Hernigou J, Morel X, Callewier A, Bath O, Hernigou P. 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. Int Orthop 2020;44(8):1473-80.
  • 8. Nuñez JH, Sallent A, Lakhani K, Guerra-Farfan E, Vidal N, Ekhtiari S, et al. Impact of the COVID-19 Pandemic on an Emergency Traumatology Service: Experience at a Tertiary Trauma Centre in Spain. Injury 2020;51(7):1414-18.
  • 9. Nabian MH, Vosoughi F, Najafi F, Khabiri SS, Nafisi M, Veisi J, et al. Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran. Injury 2020;51(12):2811-5.
  • 10. Lv H, Zhang Q, Yin Y, Zhu Y, Wang J, Hou Z, et al. Epidemiologic characteristics of traumatic fractures during the outbreak of coronavirus disease 2019 (COVID-19) in China: A retrospective & comparative multi-center study. Injury 2020;51(8):1698-704.
  • 11. Park C, Sugand K, Nathwani D, Bhattacharya R, Sarraf KM. Impact of the COVID-19 pandemic on orthopedic trauma workload in a London level 1 trauma center: the "golden month". Acta Orthop 2020;91(5):556-61.
  • 12. Bram JT, Johnson MA, Magee LC, Mehta NN, Fazal FZ, Baldwin KD, et al. Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic. J Pediatr Orthop 2020;40(8):373-9.
  • 13. Mercan S, Uzun M, Ertugrul A, Ozturk I, Demir B, Sulun T. Psychopathology and personality features in orthopedic patients with boxer's fractures. Gen Hosp Psychiatry 2005;27(1):13-7.
  • 14. Gottschalk MB, Kakar S. Hand and Wrist Fractures and Nonunions. In: Grauer JN, editor. Orthopaedics Knowledge Update. 12th ed. Rosemont, Illinois, USA: American Academy of Orthopaedic Surgeons; 2017: 375-88.
  • 15. York PJ, Wydra FB, Hunt KJ. Injuries to the great toe. Curr Rev Musculoskelet Med 2017;10(1):104-12.
  • 16. Gumina S, Proietti R, Villani C, Carbone S, Candela V. The impact of COVID-19 on shoulder and elbow trauma in a skeletally immature population: an Italian survey. JSES Int 2021;5(1):3-8.
  • 17. Gumina S, Proietti R, Polizzotti G, Carbone S, Candela V. The impact of COVID-19 on shoulder and elbow trauma: an Italian survey. J Shoulder Elbow Surg 2020;29(9):1737-42.
  • 18. Çalışkan E, Doğan Ö. Synergistic Effect of Frailty and Malnutrition on Postoperative First-Month Mortality and Delirium Status among Geriatric Age Group Patients with Hip Fractures. Turkish Journal of Geriatrics 2019;22(2):140-9.
  • 19. Black DA, Spitler CA, Graves ML. Ankle and Hindfoot Fractures. In: Grauer JN, editor. Orthopaedics Knowledge Update. 12th ed. Rosemont, Illinois, USA: American Academy of Orthopaedic Surgeons; 2017: 539-52.
  • 20. Iyengar K, Vaish A, Vaishya R. Revisiting conservative orthopaedic management of fractures during COVID-19 pandemic. J Clin Orthop Trauma 2020;11(4):718-20.

Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey

Year 2022, Volume 39, Issue 1, 128 - 133, 01.01.2022

Abstract

Redefinition of our social life for COVID-19, with social distance, prohibition of entering and exiting cities, closure of social areas and curfews effects every aspect of our lives, from psychological to physical. The aim of this study was to evaluate the injury mechanisms, fracture frequencies and priority treatment preferences in a tertiary trauma center from Turkey during the COVID-19 pandemic, both in adult and pediatric populations, and to compare them with pre-COVID-19 period. In this single-centered study, 960 patients (with 1039 fractures) who were admitted to a tertiary trauma center in Turkey, between April 2020 and December 2020 were examined. A control group of 964 patients (with 1070 fractures) who were admitted in the same date range of 2019 was formed. Patient demographics, injury mechanisms, fracture type and preferred treatment methods were recorded. There was a significant difference regarding injury mechanism between groups in both adult and pediatric populations (p=0.002 and p<0.001, respectively). In adults, according to the residual values, there was significant difference between groups in terms of proximal humerus, elbow, forearm, hand, femoral shaft and knee fractures (p<0.001). Among pediatric patients, a significant difference was found between groups in terms of proximal humerus, hand and knee fractures (p<0.001). In the pediatric population, there has been a significant increase in the preference of conservative treatment in the pandemic group (p=0.002). With increased indoors time, restriction of outdoors physical activities and lesser time in traffic, fracture distribution and priority treatment preferences have inevitably changed. In Turkey, the frequency of almost all upper extremity fractures except proximal humerus and humerus shaft fractures have increased significantly in the adult population, while the frequency of lower extremity fractures associated with high-energy injuries have decreased. In the pediatric population, treatment preferences are shifting towards conservative methods rather than surgery during the COVID-19 pandemic.

References

  • 1. Silva DS, Smith MJ. Social distancing, social justice, and risk during the COVID-19 pandemic. Can J Public Health 2020;111(4): 459-61.
  • 2. Courtemanche C, Garuccio J, Le A, Pinkston J, Yelowitz A. Strong Social Distancing Measures In The United States Reduced The COVID-19 Growth Rate. Health Aff (Millwood) 2020;39(7): 1237-46.
  • 3. Marroquín B, Vine V, Morgan R. Mental health during the COVID-19 pandemic: Effects of stay-at-home policies, social distancing behavior, and social resources. Psychiatry Res 2020;293: 113419.
  • 4. Orgilés M, Morales A, Delvecchio E, Mazzeschi C, Espada JP. Immediate Psychological Effects of the COVID-19 Quarantine in Youth From Italy and Spain. Front Psychol 2020;11:579038.
  • 5. Turgut A, Arlı H, Altundağ Ü, Hancıoğlu S, Egeli E, Kalenderer Ö. Effect of COVID-19 pandemic on the fracture demographics: Data from a tertiary care hospital in Turkey. Acta Orthop Traumatol Turc 2020;54(4):355-63.
  • 6. Zhu Y, Chen W, Xin X, Yin Y, Hu J, Lv H, et al. Epidemiologic characteristics of traumatic fractures in elderly patients during the outbreak of coronavirus disease 2019 in China. Int Orthop 2020;44(8):1565-70.
  • 7. Hernigou J, Morel X, Callewier A, Bath O, Hernigou P. 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. Int Orthop 2020;44(8):1473-80.
  • 8. Nuñez JH, Sallent A, Lakhani K, Guerra-Farfan E, Vidal N, Ekhtiari S, et al. Impact of the COVID-19 Pandemic on an Emergency Traumatology Service: Experience at a Tertiary Trauma Centre in Spain. Injury 2020;51(7):1414-18.
  • 9. Nabian MH, Vosoughi F, Najafi F, Khabiri SS, Nafisi M, Veisi J, et al. Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran. Injury 2020;51(12):2811-5.
  • 10. Lv H, Zhang Q, Yin Y, Zhu Y, Wang J, Hou Z, et al. Epidemiologic characteristics of traumatic fractures during the outbreak of coronavirus disease 2019 (COVID-19) in China: A retrospective & comparative multi-center study. Injury 2020;51(8):1698-704.
  • 11. Park C, Sugand K, Nathwani D, Bhattacharya R, Sarraf KM. Impact of the COVID-19 pandemic on orthopedic trauma workload in a London level 1 trauma center: the "golden month". Acta Orthop 2020;91(5):556-61.
  • 12. Bram JT, Johnson MA, Magee LC, Mehta NN, Fazal FZ, Baldwin KD, et al. Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic. J Pediatr Orthop 2020;40(8):373-9.
  • 13. Mercan S, Uzun M, Ertugrul A, Ozturk I, Demir B, Sulun T. Psychopathology and personality features in orthopedic patients with boxer's fractures. Gen Hosp Psychiatry 2005;27(1):13-7.
  • 14. Gottschalk MB, Kakar S. Hand and Wrist Fractures and Nonunions. In: Grauer JN, editor. Orthopaedics Knowledge Update. 12th ed. Rosemont, Illinois, USA: American Academy of Orthopaedic Surgeons; 2017: 375-88.
  • 15. York PJ, Wydra FB, Hunt KJ. Injuries to the great toe. Curr Rev Musculoskelet Med 2017;10(1):104-12.
  • 16. Gumina S, Proietti R, Villani C, Carbone S, Candela V. The impact of COVID-19 on shoulder and elbow trauma in a skeletally immature population: an Italian survey. JSES Int 2021;5(1):3-8.
  • 17. Gumina S, Proietti R, Polizzotti G, Carbone S, Candela V. The impact of COVID-19 on shoulder and elbow trauma: an Italian survey. J Shoulder Elbow Surg 2020;29(9):1737-42.
  • 18. Çalışkan E, Doğan Ö. Synergistic Effect of Frailty and Malnutrition on Postoperative First-Month Mortality and Delirium Status among Geriatric Age Group Patients with Hip Fractures. Turkish Journal of Geriatrics 2019;22(2):140-9.
  • 19. Black DA, Spitler CA, Graves ML. Ankle and Hindfoot Fractures. In: Grauer JN, editor. Orthopaedics Knowledge Update. 12th ed. Rosemont, Illinois, USA: American Academy of Orthopaedic Surgeons; 2017: 539-52.
  • 20. Iyengar K, Vaish A, Vaishya R. Revisiting conservative orthopaedic management of fractures during COVID-19 pandemic. J Clin Orthop Trauma 2020;11(4):718-20.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Clinical Research
Authors

Batuhan GENCER> (Primary Author)
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI
0000-0003-0041-7378
Türkiye


Özgür DOĞAN>
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI
0000-0002-5913-0411
Türkiye

Early Pub Date January 3, 2022
Publication Date January 1, 2022
Application Date June 22, 2021
Acceptance Date August 31, 2021
Published in Issue Year 2022, Volume 39, Issue 1

Cite

Bibtex @research article { omujecm955731, journal = {Journal of Experimental and Clinical Medicine}, issn = {1309-4483}, eissn = {1309-5129}, address = {}, publisher = {Ondokuz Mayıs University}, year = {2022}, volume = {39}, number = {1}, pages = {128 - 133}, title = {Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey}, key = {cite}, author = {Gencer, Batuhan and Doğan, Özgür} }
APA Gencer, B. & Doğan, Ö. (2022). Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey . Journal of Experimental and Clinical Medicine , 39 (1) , 128-133 . Retrieved from https://dergipark.org.tr/en/pub/omujecm/issue/66082/955731
MLA Gencer, B. , Doğan, Ö. "Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey" . Journal of Experimental and Clinical Medicine 39 (2022 ): 128-133 <https://dergipark.org.tr/en/pub/omujecm/issue/66082/955731>
Chicago Gencer, B. , Doğan, Ö. "Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey". Journal of Experimental and Clinical Medicine 39 (2022 ): 128-133
RIS TY - JOUR T1 - Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey AU - BatuhanGencer, ÖzgürDoğan Y1 - 2022 PY - 2022 N1 - DO - T2 - Journal of Experimental and Clinical Medicine JF - Journal JO - JOR SP - 128 EP - 133 VL - 39 IS - 1 SN - 1309-4483-1309-5129 M3 - UR - Y2 - 2021 ER -
EndNote %0 Journal of Experimental and Clinical Medicine Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey %A Batuhan Gencer , Özgür Doğan %T Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey %D 2022 %J Journal of Experimental and Clinical Medicine %P 1309-4483-1309-5129 %V 39 %N 1 %R %U
ISNAD Gencer, Batuhan , Doğan, Özgür . "Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey". Journal of Experimental and Clinical Medicine 39 / 1 (January 2022): 128-133 .
AMA Gencer B. , Doğan Ö. Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey. J. Exp. Clin. Med.. 2022; 39(1): 128-133.
Vancouver Gencer B. , Doğan Ö. Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey. Journal of Experimental and Clinical Medicine. 2022; 39(1): 128-133.
IEEE B. Gencer and Ö. Doğan , "Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey", Journal of Experimental and Clinical Medicine, vol. 39, no. 1, pp. 128-133, Jan. 2022