COVID-19 and the Impact on the Cranio-Oro-Facial Trauma Care in Italy: An Epidemiological Retrospective Cohort Study

Famà, Fausto; Giudice, Roberto Lo; Vita, Gaetano Di; Tribst, João Paulo Mendes; Giudice, Giovanni; Sindoni, Alessandro

doi:10.3390/ijerph18137066

Cited by 8 publications

(12 citation statements)

References 29 publications

(50 reference statements)

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“…Furthermore, this comparative study considered a full year of pandemic by evaluating the association of clinical and therapeutic variables. Although our findings are difficult to contrast with other previous reports due to the heterogeneity of the studies, with different time periods and disparity in the restriction measures applied according to each country, all studies indicated a clear decrease in cases of maxillofacial trauma ( 6 - 18 ).…”

Section: Discussioncontrasting

confidence: 99%

Impact of the coronavirus pandemic on maxillofacial trauma: A retrospective study in southern Spain

Infante-Cossio¹,

Fernandez-Mayoralas-Gomez²,

Gonzalez-Perez³

et al. 2022

Med Oral

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Background The coronavirus pandemic has impacted health systems worldwide, with Spain being one of the most affected countries. However, little is known about the extent to which the effects of staying home, social distancing, and quarantine measures have influenced the epidemiology of patients with maxillofacial trauma. The aim of this study was to analyze the impact of the coronavirus pandemic on the incidence, demographic patterns, and characteristics of maxillofacial fractures in the largest hospital in southern Spain. Material and Methods Data from patients who underwent surgery for maxillofacial fractures during the first year of the pandemic between 16 March 2020 and 14 March 2021 (pandemic group) were retrospectively compared with a control group during the equivalent period of the previous year (pre-pandemic group). The incidence was compared by weeks and by lockdown periods of the population. Demographic information, aetioloy, fracture characteristics, treatment performed, and days of preoperative stay were evaluated. Descriptive and bivariate statistics were calculated ( p <0.05). Results During the first year of the pandemic, there was a 35.2% reduction in maxillofacial fractures (n=59) compared to the pre-pandemic year (n=91, p =0.040). A significant drop was detected during the total home lockdown period of the population ( p =0.028). In the pandemic group, there was a reduction in fractures due to interpersonal aggressions, an increase in panfacial fractures, a significant increase in other non-facial injuries associated with polytrauma ( p =0.037), a higher number of open reduction procedures with internal fixation, and a significantly longer mean preoperative stay ( p =0.016). Conclusions The first pandemic year was associated with a decline in the frequency of maxillofacial trauma and a change in the pattern and characteristics of fractures. Inter-annual epidemiological knowledge of maxillofacial fractures may be useful for more efficient planning of resource allocation and surgical practice strategy during future coronavirus outbreaks and population lockdowns. Key words: SARS-CoV-2, coronavirus infection, pandemic, maxillofacial trauma, Spain.

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Section: Discussioncontrasting

confidence: 99%

Impact of the coronavirus pandemic on maxillofacial trauma: A retrospective study in southern Spain

Infante-Cossio¹,

Fernandez-Mayoralas-Gomez²,

Gonzalez-Perez³

et al. 2022

Med Oral

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“…In the study by Famà et al, as for the group of most urgency, the number of visits did not differ between prepandemic and pandemic phases [12]. This is consistent with our finding that the number of absolute emergencies was less affected during 2020.…”

Section: Discussionsupporting

confidence: 92%

“…This is consistent with our finding that the number of absolute emergencies was less affected during 2020. The least-urgent cases of this study decreased like the relative emergencies in our study [12]. In the study by Guo et al a decrease of relative emergencies by more than 50% was noted, which again supports our observation [7].…”

Section: Discussionsupporting

confidence: 90%

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Interplay of pandemic and seasonal parameters in dental emergency service

Hell

Deschner²,

Ziskoven³

et al. 2022

BMC Oral Health

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Background To evaluate the relationship between pandemic events and dental emergency service frequentation. Utilization patterns in the scope of the COVID-19 pandemic were analyzed and considered in regard of seasonal parameters. Methods All outpatients seeking treatment in a university hospital’s dental emergency service were analyzed in the years 2019, 2019 and 2020 according to demographic data and emergencies were subdivided into “absolute” and “relative”. The years 2018 and 2019 were used to compare COVID-19 and non-COVID-19 phases. Defined waves of the pandemic were compared with equivalent prior-year periods. Results Our study includes 11,219 dental emergency patients over a period of three years with a slight surplus of male patients. Comparing the pre-COVID-19 years and 2020 as a year of pandemic, the total count of cases decreased by more than 25%. The share of absolute emergencies in 2020 was higher than in the years before (p < 0.0001). The under-utilization during the waves was more pronounced during the first wave compared to the second waves. Conclusions Additionally to the clear decrease by more than 25% in 2020, we found an inverse dependency of 7-day-incidence of COVID-19 and number of visits. This effect was more distinct for relative emergencies, while the number of patients with absolute emergencies remains rather constant. Probably, there is an acclimatization effect regarding the waves. Patients older than 60 years who suffered from relative emergencies showed an under-utilzation during 2020. During a pandemic such as COVID-19, the effect of under-utilization is more pronounced among elderly patients. However, a pandemic acclimatization effect seems to occur. This can be taken into account in the administration of this kind of circumstances in the future.

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“…A better understanding of cases’ and vaccines’ characteristics affecting the occurrence of oral lesions following anti-SARS-CoV-2 vaccine administration may enhance oral healthcare workers’ awareness and preparedness to comprehensively provide oral and dental care [ 47 , 48 , 49 , 50 , 51 , 52 ], as well as in interdisciplinary settings [ 53 , 54 , 55 , 56 , 57 , 58 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

Oral Lesions Following Anti-SARS-CoV-2 Vaccination: A Systematic Review

Spirito

Amato

Palo

et al. 2022

IJERPH

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Increasing evidence relate anti-SARS-CoV-2 vaccinations to orofacial adverse reactions, therefore, the present systematic review aimed to evaluate primary oral lesions diagnosed in adult subjects, following the WHO Emergency Use Listing approved and EMA authorized vaccines, also in relation to cases’ age, gender, comorbidities, and history of COVID-19, and in relation to vaccine type and doses. The study protocol, registered on PROSPERO (CRD42022339032) and compliant with the PRISMA statement, included an electronic search across Scopus, MEDLINE/PubMed, BioMed Central databases, and PROSPERO, ended on 18 June 2022 and succeeded by a manual search, an independent data extraction, and arisk of bias evaluation through ROBINS-I tool. Qualitatively synthesized data from the 13studies included showed an overall low prevalence (16 cases), though higher in females (68.8%), of oral lesions, mainly erosions and ulcers (34.5%). Nine cases were diagnosed following Pfizer-BioNTech, two Moderna, and one AstraZeneca, Serum Institute of India, Sinopharm, and Johnson&Johnson vaccines, respectively; specifically, eight after the first dose and seven after the second. In one case, vaccine type and dose were not specified. Considering newly developing vaccines, presented findings may be updated and further studies needed to highlight factors affecting oral lesion occurrence and specific macro-microscopic phenotypes in relation to cases’ and vaccines’ characteristics.

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COVID-19 and the Impact on the Cranio-Oro-Facial Trauma Care in Italy: An Epidemiological Retrospective Cohort Study

Cited by 8 publications

References 29 publications

Impact of the coronavirus pandemic on maxillofacial trauma: A retrospective study in southern Spain

Impact of the coronavirus pandemic on maxillofacial trauma: A retrospective study in southern Spain

Interplay of pandemic and seasonal parameters in dental emergency service

Oral Lesions Following Anti-SARS-CoV-2 Vaccination: A Systematic Review

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