Impact of <scp>COVID</scp>‐19‐related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave

Probert, Annabel C.; Sivakumar, Brahman; An, Vincent V.G.; Nicholls, Sarah L.; Shatrov, Jobe; Symes, Michael; Ellis, Andrew

doi:10.1111/ans.16375

Cited by 37 publications

(42 citation statements)

References 7 publications

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“…2 b. A reduction in trauma occurring secondary to RTCs was reported in the UK, 10 , 20 , 45 , 49 US 17, 26, 40, 51, 52, 55 , New Zealand, 12 Australia, 31 , 50 India, 53 , 57 Iran, 37 Hong Kong 58 and Europe. 13 , 19 , 22 , 36 , 59 , 60 These reductions reached statistical significance in Jacob et al‘s Australian centre (34% v 46%, p = 0.025), and Sherman et al‘s US centre (42% v 49%, p = 0.03).…”

Section: Resultsmentioning

confidence: 97%

“…The mean age was reported for 3236 patients and was 43.7 years. 13 , 18 , 19 , 22 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 An average of 54.8% were male.…”

Section: Resultsmentioning

confidence: 99%

“…The reported proportion of patients undergoing closed reduction and open reduction and internal fixation (ORIF) and external fixation remained largely comparable before and after the pandemic in reporting centres based in Australia, 31 US, 11 Europe 59 and the UK. 10 , 54 …”

Section: Resultsmentioning

confidence: 99%

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The global burden of trauma during the COVID-19 pandemic: A scoping review

Waseem

Nayar

Hull

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Purpose; The COVID-19 pandemic has necessitated profound adaptations in the delivery of healthcare to manage a rise in critically unwell patients. In an attempt to slow the spread of the virus nationwide lockdown restrictions were introduced. This review aims to scope the literature on the impact of the pandemic and subsequent lockdown on the presentation and management of trauma globally. Methods; A scoping review was conducted in accordance with PRISMA-ScR guidelines. A systematic search was carried out on the Medline, EMBASE and Cochrane databases to identify papers investigating presentation and management of trauma during the COVID-19 pandemic. All studies based on patients admitted with orthopaedic trauma during the COVID-19 pandemic were included. Exclusion criteria were opinion-based reports, reviews, studies that did not provide quantitative data and papers not in English. Results; Three hundred and thirty seven studies were screened, with 17 meeting the eligibility criteria. Studies reported on the footfall of trauma in the UK, Europe, Asia, USA, Australia and New Zealand. A total of 29,591 patients during the pandemic were considered. Mean age was 43.7 years (range <1–103); 54.8% were male. Reported reductions in trauma footfall ranged from 20.3% to 84.6%, with a higher proportion of trauma occurring secondary to interpersonal violence, deliberate self-harm and falls from a height. A decrease was seen in road traffic collisions, sports injuries and trauma occurring outdoors. There was no significant change in the proportion of patients managed operatively, and the number of trauma patients reported to be COVID-19 positive was low. Conclusion; Whilst the worldwide COVID-19 pandemic has caused a reduction in the number of trauma patients; the services managing trauma have continued to function despite infrastructural, personnel and pathway changes in health systems. The substantial effect of the COVID-19 pandemic on elective orthopaedics is well described, however the contents of this review evidence minimal change in the delivery of effective trauma care despite resource constraints during this global COVID-19 pandemic.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

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The global burden of trauma during the COVID-19 pandemic: A scoping review

Waseem

Nayar

Hull

et al. 2021

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

“…For instance, the World Health Organization reported that more than half of the countries surveyed had partially or completely disrupted services for the treatment or clinical management of hypertension, diabetes and diabetes-related complications, cancer, and cardiovascular emergencies [ 18 ]. A similar situation exists in Australia, where there have been marked reductions in a wide range of health services, including breast and prostate cancer screenings [ 19 , 20 ], pediatric orthopedic hospital services [ 21 ], trauma care in Emergency Departments [ 22 , 23 ], and initiation of cardiopulmonary resuscitation by Emergency Medical Services in public areas [ 24 ]. It is important to note that our findings encompass only the initial disruption caused by the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 94%

Impact of the COVID-19 Pandemic on Manual Therapy Service Utilization within the Australian Private Healthcare Setting

et al. 2020

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The COVID-19 pandemic has impacted a wide range of health services. This study aimed to quantify the impact of the COVID-19 pandemic on manual therapy service utilization within the Australian private healthcare setting during the first half of 2020. Quarterly data regarding the number and total cost of services provided were extracted for each manual therapy profession (i.e., chiropractic, osteopathy, and physiotherapy) for the period January 2015 to June 2020 from the Australian Prudential Regulation Authority. Time series forecasting methods were used to estimate absolute and relative differences between the forecasted and observed values of service utilization. An estimated 1.3 million (13.2%) fewer manual therapy services, with a total cost of AUD 84 million, were provided within the Australian private healthcare setting during the first half of 2020. Reduction in service utilization was considerably larger in the second quarter (21.7%) than in the first quarter (5.7%), and was larger in physiotherapy (20.6%) and osteopathy (12.7%) than in chiropractic (5.2%). The impact varied across states and territories, with the largest reductions in service utilization observed in New South Wales (17.5%), Australian Capital Territory (16.3%), and Victoria (16.2%). The COVID-19 pandemic has had a profound impact on manual therapy service utilization in Australia. The magnitude of the decline in service utilization varied considerably across professions and locations. The long-term consequences of this decline in manual therapy utilization remain to be determined.

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“…Most Australian states and territories did not experience a second wave. [ 7 ] The exception is Victoria, where the second wave was more pronounced than the first and their case numbers and mortalities were higher than the most populous state of New South Wales. [ 8 ] At the time of the writing of this manuscript (November 2020) there were no newly reported cases in Australia and the worst hit state of Victoria opened up from their second lockdown.…”

Section: Australiamentioning

confidence: 99%

Orthopaedic trauma care during the early COVID-19 pandemic in the Asia-Pacific region

Kurozumi

Minehara

Kim³

et al. 2021

OTA International: The Open Access Journal of Orthopaedic Trauma

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The Asia-Pacific region countries, with their large and socioeconomically diverse populations and infrastructures, were amongst the earliest to have to respond to the COVID-19 pandemic. Although the disease is not one of surgical trauma, its effects on orthopaedic injuries have been significant. Medical systems had to adapt to better focus on patients with a highly communicable disease, while continuing to provide essential services. Even though many countries saw a decrease in traumatic injuries during the initial periods, orthopaedic trauma services nevertheless had to adapt accordingly to system-wide organizational changes. While each country took their individual approaches to address the pandemic, there were also consistencies in how musculoskeletal injuries and conditions were handled during these early stages of the pandemic. This article reviews those early management approaches to musculoskeletal injury care during the COVID-19 pandemic in different countries throughout the Asia-Pacific region following the initial outbreak in China: Australia, South Korea, and Japan.

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Impact of COVID‐19‐related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave

Abstract: This study examines the impact that social distancing measures introduced to combat coronavirus disease 2019 (COVID‐19) have had on the orthopaedic trauma load at a level 1 trauma hospital in Sydney.

Cited by 37 publications

References 7 publications

The global burden of trauma during the COVID-19 pandemic: A scoping review

The global burden of trauma during the COVID-19 pandemic: A scoping review

Impact of the COVID-19 Pandemic on Manual Therapy Service Utilization within the Australian Private Healthcare Setting

Orthopaedic trauma care during the early COVID-19 pandemic in the Asia-Pacific region

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