Comparison of the first and second waves of the COVID-19 pandemic with a normal period in terms of orthopaedic trauma: Data from a level 1 trauma centre

Yavuz, İbrahim; Kahve, Yakup; Aydin, Tahsin; Gencer, Batuhan; Bingöl, Olgun; Yıldırım, Ahmet

doi:10.5152/j.aott.2021.21117

Cited by 4 publications

(7 citation statements)

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“…Our finding is consistent with the literature. Since coronavirus infection has a mortal course in the geriatric population, the mortality rate of geriatric patients with hip fractures would inevitably increase during the COVID-19 pandemic (3,(5)(6)(7)(8)(9)(10). In our study, the fact that patients who were deemed as unfit for surgery had a higher mortality rate (p<0.001) is a result rather than a cause.…”

Section: Discussionmentioning

confidence: 64%

“…Although few studies are stating the contrary, the prevailing opinion in the literature is that the mortality rate of geriatric patients with hip fractures during the COVID-19 pandemic is higher, especially in the short term (6)(7)(8)(9)(10). On the other hand, the number of studies examining the medium-and long-term outcomes and mortality rates of geriatric patients with hip fractures during the pandemic period is relatively lower (11,12).…”

Section: Discussionmentioning

confidence: 99%

“…The COVID-19 pandemic has affected mortality rates among geriatric patients not only by infecting and causing respiratory failures but also by causing secondary infections and increasing length of stay (LOS) in intensive care units (ICUs) (5). There is a prevailing opinion in the literature that the 30-day mortality rate of geriatric hip fractures increased significantly during the COVID-19 pandemic (6)(7)(8)(9)(10). Moreover, several studies have concluded that 90-days and 120-days mortality rates have also increased significantly (11)(12).…”

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confidence: 99%

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Analyzing Mid-to-Long Term Mortality Rates and Associated Factors of Geriatric Patients with Hip Fractures during the COVID-19 Pandemic: A Single Centre Prospective Study

Gencer

DOĞAN

2022

Acibadem Univ Saglik Bilim Derg

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Objective Our objective was to evaluate the mid-to-long term mortality rates (with an average of 1-year follow-up) and associated factors of geriatric patients with hip fractures during the COVID-19 pandemic. Methods Prospectively followed-up 104 geriatric patients over 65 years old, with hip fractures during the pandemic, 89 of which underwent surgery, were evaluated. A control group of 126 geriatric patients treated for hip fractures before the pandemic was formed. Patient demographics, initial SARS-Cov-2 Reverse Transcriptase PCR test results, fracture type, type of surgery performed, length of stay (LOS) in hospital early complications were analyzed. Results Mid-to-long term mortality rate of geriatric patients with hip fractures treated during the pandemic period was 42.3% whereas the mortality rate of control group was calculated as 38.9% (p=0.599). Patients that were unfit for surgery and patients with positive initial SARS-Cov-2 Reverse Transcriptase PCR test were significantly related with higher mortality (p

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Analyzing Mid-to-Long Term Mortality Rates and Associated Factors of Geriatric Patients with Hip Fractures during the COVID-19 Pandemic: A Single Centre Prospective Study

Gencer

DOĞAN

2022

Acibadem Univ Saglik Bilim Derg

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“…he coronavirus infection (nCOV- 19), in which the first cases began to be seen towards the end of 2019, was declared as a pandemic on 11 March 2020 (1,2). This date is also the date when the first case was seen in our country (3).…”

mentioning

confidence: 95%

“…One of the most important restrictions conducted in the hospitals was the suspension of all elective procedures between March and June 2020 (2). Moreover, even after the suspension has been removed, elective surgeries have been periodically stopped in our hospital between August 2020 and December 2020, so that all medical personnel and all available hospital beds could be allocated to the pandemics (6).…”

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confidence: 99%

Did we do it right? The effect of postponing elective orthopedic surgeries due to the pandemic on the quality of life

Gencer

ÇULCU

MERT

et al. 2022

Acibadem Univ Saglik Bilim Derg

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Objective: To investigate the effect of the postponement of elective surgeries on the quality of life of the patients and to examine the post-operative COVID-19 rates of patients who underwent elective surgery and investigate the associated risk factors. Methods: In this retrospective study, 187 patients who underwent elective surgery between June and July 2020 and between January and May 2021 were examined. Age, gender, occupation, comorbidity, time of surgical delay, type of surgery, hospitalization, and follow-up periods were recorded. Surgeries were categorized under four headings; knee arthroscopy, arthroplasty, rotator cuff repair/impingement, and minor surgery. To examine the quality of life of all operated patients, a validated Turkish version of EQ-5D-3L was used. All patients were questioned on phone to identify the risk factors for transmission. Statistical analyzes were performed using SPSS 26.0 version. Results: Among the 187 patients evaluated in the study, 40 patients (21.4%) were diagnosed nCOV-19 during the postoperative period. Regardless of the type of surgery performed, mobility, pain/discomfort, and anxiety/depression scores were increased significantly postoperatively (p

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Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

Delbrück,

Lambertz,

Migliorini

et al. 2024

Eur J Trauma Emerg Surg

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Purpose The study investigates changes in the injury characteristics of hospitalised children in a paediatric trauma centre during the COVID-19 pandemic. Methods Data from injured children from the pre-pandemic year 2019 were compared to the pandemic year 2020 using Pearson’s chi-squared test and the Mann–Whitney U test. The period of highly restrictive regulations (HRP) was evaluated separately. A comprehensive literature review with defined search terms resulted in a descriptive data synthesis. Results Data from 865 patients indicated reductions in admissions of 5.6% and 54.4% during the HRP. In 2020, the hospitalisation time was longer (2.2 ± 2.7 days in 2019 vs. 2.4 ± 2.6 in 2020, p = 0.045); the proportions of wounds requiring surgical therapy (p = 0.008) and of observational treatments, primarily for mild brain injuries (p = 0.046), were higher; and conservative treatments, primarily for contusions, were lower (p = 0.005). There were no significant changes in age, location of lesions, or frequency of surgical therapy; nor were there differences in the HRP, except for fewer injuries in school and kindergarten (p < 0.001). The literature review summarises the main results of 79 studies. Conclusion Limited resources did not alter the indications for surgical therapy. Further studies should examine whether the more common injuries sustained at home were caused by excessive work/childcare demands on parents. Reduced inpatient conservative treatment implies that hospital resources possibly were overused previously. The literature offers answers to many detailed questions regarding childhood injuries during a pandemic and more efficient safe treatment. Registration Ethical committee of RWTH Aachen University EK 22-320; Center for Translational & Clinical Research RWTH Aachen University (CTC-A) 21-430.

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Comparison of the first and second waves of the COVID-19 pandemic with a normal period in terms of orthopaedic trauma: Data from a level 1 trauma centre

Cited by 4 publications

References 0 publications

Analyzing Mid-to-Long Term Mortality Rates and Associated Factors of Geriatric Patients with Hip Fractures during the COVID-19 Pandemic: A Single Centre Prospective Study

Analyzing Mid-to-Long Term Mortality Rates and Associated Factors of Geriatric Patients with Hip Fractures during the COVID-19 Pandemic: A Single Centre Prospective Study

Did we do it right? The effect of postponing elective orthopedic surgeries due to the pandemic on the quality of life

Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

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