Epidemiology of hand traumas during the COVID-19 confinement period

Fortané, Thibaut; Bouyer, M.; Hanneur, Malo Le; Baptiste, Belvisi; Courtiol, Guillaume; Chevalier, Kévin; Dainotto, Caroline; Loret, M.; Kling, Agathe; Bentejac, Antonin; Lafosse, Thibault

doi:10.1016/j.injury.2021.02.024

Cited by 12 publications

(12 citation statements)

References 22 publications

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“…Most probably, those results can be explained by the fact that the authors analyzed numbers for the full year following the initial lockdown when homeschooling and sports limitations were underway, but people were allowed to go back to work and use their cars. Also, as in the two papers mentioning the severity of ED injuries [19,21], after the outbreak of COVID, injuries were more severe in the authors' EDs. Moreover, in the same period, the authors had an increase in intervention rates such as reported by Atia [17] and Pichard [18].…”

Section: Discussionmentioning

confidence: 61%

“…They also described an increase in soft tissue lesions with a decrease in fractures and a higher surgical rate (51.2% versus 36.9%). Fortaine [19] and Pidgeon [20] both described a diminution of 52% of patients reaching their ED, with Fortaine's group also giving details of how sport and work incidents diminished, whereas domestic injuries increased, and how there was a global increase in severity of lesions. Regas et al [21] also mentioned how hand and wrist lesions were less frequent but more severe.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, being from a teaching hospital, it is difficult not to speak of the impact that the COVID-19 pandemic might have had on resident physicians. As in many other hospitals [10,11,14,19], the authors had all their elective surgery canceled during the first months after the beginning of the lockdown, and still highly diminished during the year that followed, creating a significant lack in young hand surgeons' formative experience. In some cases [9], residents were allowed limited access to the hospital.…”

Section: Discussionmentioning

confidence: 99%

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One Year of COVID-19: Lessons Learned in a Hand Trauma Center

Covino

Fulchignoni

Pietramala

et al. 2022

JCM

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2020 will be remembered worldwide as the year of COVID-19 outbreak. The onset of this pandemic abruptly changed everybody’s life and, in a particular manner, doctors’ lives. Our hand surgery department became rapidly one of the first COVID-19-specialized wards in Italy, impacting considerably the authors’ routines and activities. In this paper, the authors focus on how the demographics of patients with hand trauma changed and how they had to modify their activity. The authors retrospectively took into consideration all patients reaching their emergency department (ED) with hand trauma between 9 March 2020 (the day of the beginning of the first lockdown in Italy) and 8 March 2021 and compared them to those who reached the ED in the three previous years. Authors have analyzed the number of patients, their gender and age, the severity of their trauma, where the trauma occurred, the type of lesion, the percentage of patients who underwent surgery, and the percentage of patients who had an emergency admission. In the last year, the number of patients reaching the ED for a hand trauma has been reduced by two thirds (975 patients during the past year), the mean age of those patients has slightly increased, the severity of cases has increased, places of trauma and type of lesions have changed, and, lastly, the percentage of patients needing surgery who were admitted immediately has increased. This paper shows how the type of patients reaching the ED changed and discusses how surgeons evolved and modified their habits in treating those patients during the first lockdown and the year that followed.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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One Year of COVID-19: Lessons Learned in a Hand Trauma Center

Covino

Fulchignoni

Pietramala

et al. 2022

JCM

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“…This finding was similarly reported in other investigations. [18][19][20][21] Second, with recovery after a long period of economic stagnation, workers successively returned to their workplaces. Local workers without a history of exposure to areas affected by the epidemic were allowed to return to work first.…”

Section: Discussionmentioning

confidence: 99%

“…The number of hand injuries even increased considerably after shelter-in-place orders in some similar studies. [17][18][19] Domestic accidents accounted for most hand injuries during the outbreak period, inevitable as people stayed at home. This finding was similarly reported in other investigations.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Causes and Countermeasures of Hand Injury During the COVID-19 Outbreak and Work Resumption Period: A Retrospective Study in a Designated Hospital in China

Jin

Zhou

Lü

2021

INQUIRY

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A total of 95 patients with hand injuries were admitted to the orthopedics department within half a year of the COVID-19 outbreak. Data were collected between January 23, 2020 and July 23, 2020. Data such as patients' demographics, type of injury, location, side of lesions, mechanism of injury, injury site, and surgical management were collected and subsequently analyzed. On the one hand, the total number of emergency visits due to hand injury during the COVID-19 outbreak decreased by 37%, compared to the same period in the previous year. On the other hand, work resumption injuries increased by 40%. Injuries within the resumption period occurred predominantly at work (64.7%) and were significantly higher than the same period in 2019 (37.3%) (P < .001). Machine-related injuries were the most frequent injuries seen in our hospital (58.8%). The majority of cases were from cut injuries (82.4%), with fingers being the most common site of these injuries. Simple fractures and dislocations were also reported during the study. Most injuries were classified as either minor or moderate (90%) during the outbreak. However, during the resumption of work, major injuries were more prevalent (40%). The proportion of major injuries this year’s work resumption stage (40%) has almost doubled compared to the previous year (21.8%, P = .006). The resumption of work following the COVID-19 outbreak is a time of high-risk for hand injuries. The overall number of patients with hand injuries admitted into our department has decreased compared to the corresponding period last year. However, workplace injuries, particularly machine-related ones, considerably increased during the first six months after the COVID-19 outbreak. As a result, the proportion of major injuries drastically increased. Emergency and surgical health care providers should be aware of this pattern of hand injuries during this untypical time in order to effectively prepare and plan services.

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