The Effect of Curfew on Pediatric Extremity Fractures During The Covid-19 Pandemic
Öz
Objective: The present study is intended to investigate the effect of the curfew on orthopedic extremity fracture incidence for children aged under 18 due to the COVID-19 pandemic in Turkey.
Method: This study is a retrospective study using hospital database. 254 children were identified. Children under the age of 18 who were admitted to the emergency room and diagnosed with extremity fractures in April and May 2019 and 2020 were evaluated. The evaluations were conducted by age, gender, fracture site and treatment options.
Results: 156 patients were identified in 2019 and 98 patients in 2020. The average age of the patients decreased during the pandemic period. In both periods, the most common extremity fracture site was the distal radius in the forearm. The second most common extremity fracture site was in the fingers of the hand in 2019 and in the humerus in 2020. Extremity fracture diagnosis was made most frequently in boys with a rate of 71.2% and 67.3% in 2019 and 2020, respectively. In 2020, the rate of patients aged 1-5 (2019: 14.7%, 2020: 28.6%) increased, while the rates of those aged 6-11 (45.5% in 2019, 39.8% in 2020) and 12-18 (39.7% in 2019, 31.6% in 2020) decreased. The rates of patients treated surgically decreased from 8.3% in 2019 to 5.1% in 2020.
Conclusion: During the period of curfew, changes in extremity fracture incidence and extremity fracture sites occurred in the pediatric population. It was found that there was a decrease in the mean age of children diagnosed with extremity fractures. The rate of surgical treatment also decreased during the pandemic period
Anahtar Kelimeler
Covid-19, Pediatrics, Extremity Fractures, Orthopedics, Pandemic, Curfew
Kaynakça
- Bram, JT., Johnson, MA., Magee, LC., Mehta, NN., Fazal, FZ., Baldwin, KD., et al (2020). Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic. Journal of Pediatric Orthopaedics, 40(8),373-379.
- Hedström, EM., Svensson, O., Bergström, U., Michno, P (2010). Epidemiology of fractures in children and adolescents: Increased incidence over the past decade: a population-based study from northern Sweden. Acta orthopaedica, 81(1), 148-153.
- Issin, A., Kockara, N., Oner, A., Sahin, V (2015). Epidemiologic properties of pediatric fractures in a metropolitan area of Turkey. Medicine, 94(43). Joeris, A., Lutz, N., Wicki, B., Slongo, T., Audigé, L (2014). An epidemiological evaluation of pediatric long bone fractures—a retrospective cohort study of 2716 patients from two Swiss tertiary pediatric hospitals. BMC pediatrics, 14(1), 314.
- Lyons, RA., Sellstrom, E., Delahunty, AM., Loeb, M., Varilo, S (2020). Incidence and cause of fractures in European districts. Archives of disease in childhood, 82(6), 452-455.
- Naranje, SM., Erali, RA., Warner, WC., Sawyer, JR., Kelly, DM (2016). Epidemiology of pediatric fractures presenting to emergency departments in the United States. Journal of Pediatric Orthopaedics, 36(4), e45-e48.
- Organization, W.H., (2021). Archived: WHO timeline – COVID-19 Available at: https://www.who.int/news/item/27-04-2020-who-timeline---covid-19, January 2021. Randsborg, P-H., Gulbrandsen, P., Benth, JŠ., Sivertsen, EA., Hammer, OL., Fuglesang, HFS., et al (2013). Fractures in children: epidemiology and activity-specific fracture rates. JBJS, 95(7), e42.
- Tandon, T., Shaik, M., Modi, N (2007). Paediatric trauma epidemiology in an urban scenario in India. Journal of Orthopaedic Surgery, 15(1), 41-45.
- Turgut, A., Arlı, H., Altundağ, Ü., Hancıoğlu, S., Egeli, E., Kalenderer, Ö (2020). Effect of COVID-19 pandemic on the fracture demographics: Data from a tertiary care hospital in Turkey. Acta Orthopaedica et Traumatologica Turcica, 54(4), 355.
- Valerio, G., Gallè, F., Mancusi, C., Di Onofrio, V., Colapietro, M., Guida, P., et al (2010). Pattern of fractures across pediatric age groups: analysis of individual and lifestyle factors. BMC Public Health, 10(1), 656.
- Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine, 2020.