Spinal surgery in COVID-19 pandemic era: One trauma hub center experience in central-southern Italy

Tamburrelli, Francesco Ciro; Meluzio, Maria Concetta; Perna, Andrea; Santagada, Domenico Alessandro; Genitiempo, Maurizio; Zirio, Gianfranco; Proietti, Luca

doi:10.1016/j.jor.2020.06.014

Cited by 16 publications

(38 citation statements)

References 4 publications

(4 reference statements)

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“…reported that 8.8% of pre-pandemic and 15.4% of pandemic-era ED cases presented with polytrauma. 36 Whilst the overall number of trauma surgeries decreased throughout these studies, the proportion of patients with polytrauma etiologies increased, potentially suggesting that a smaller proportion of patients presented with minor injuries as compared to those that presented with major, polytraumatic injuries during pandemic times.…”

Section: Resultsmentioning

confidence: 91%

“…Nine centers reported the number of elective orthopedic procedures performed both before and during the COVID-19 pandemic. 9 , 10 , 16 , 17 , 20 , 29 , 36 , 38 , 39 Cumulatively, the number of elective surgeries decreased by 80% (2013/17400, 0.20, CI: 0.12 to 0.29) ( Fig. 2 ).…”

Section: Resultsmentioning

confidence: 96%

“…A comparison of trauma surgery numbers was reported in nine centers, 16 , 17 , 20 , 24 , 28 , 29 , 36 , 38 , 39 of which six were reported as major trauma centers. Seven centers observed a lower volume of trauma procedures during the pandemic, as compared to pre-pandemic times, amounting to an overall decrease of 47% (3887/17561, 0.53, CI: 0.37 to 0.69) ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…reported an increase of 69.6% and 35.7% respectively in trauma surgeries. 36 , 39 Interestingly, all the centers included low-energy injuries and orthogeriatric fractures within the number of trauma procedures. This could be a possible explanation behind the phenomenon of the disproportionate decreases between elective and trauma surgeries, as centers listed what were usually non-urgent procedures, as trauma procedures, in order to continue the ability to treat such cases.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies reported the proportion of polytrauma cases seen in the ED for both pre-pandemic and pandemic periods, with a general trend favoring the increased incidence of polytrauma during the COVID-19 era. 6 , 28 , 36 Bram et al. reported that 14.2% of pre-pandemic and 19.3% of pandemic-era ED cases presented with polytrauma.…”

Section: Resultsmentioning

confidence: 99%

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A look at the global impact of SARS CoV-2 on orthopedic services

Cheong

Chin

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background The COVID-19 pandemic profoundly impacted healthcare institutions worldwide. Particularly, orthopedic departments had to adapt their operational models. Purpose This review aimed to quantify the reduction in surgical and outpatient caseloads, identify other significant trends and ascertain the impact of these trends on orthopedic residency training programs. Methods Medline and Embase were searched for articles describing case load for surgeries, outpatient clinic attendance, or emergency department (ED) visits. Statistical analysis of quantitative data was performed after a Freeman-Tukey double arcsine transformation. Results were pooled with random effects by DerSimonian and Laird model. When insufficient data was available, a systematic approach was used to present the results instead. Results A total of 23 studies were included in this study. The number of elective surgeries, trauma procedures and outpatient attendance decreased by 80% (2013/17400, 0.20, CI: 0.12 to 0.29), 47% (3887/17561, 0.53, CI: 0.37 to 0.69) and 63% (84174/123967, 0.37, CI: 0.24 to 0.51) respectively. During the pandemic, domestic injuries and polytrauma increased. Residency training was disrupted due to diminished clinical exposure and changing teaching methodologies. Additionally, residents had more duties which contributed to a lower quality of life. Conclusions The COVID-19 pandemic has made an unprecedented impact on orthopedics departments worldwide. The slow return of orthopedic departments to normalcy and the compromised training of residents due to the pandemic points to an uncertain future for healthcare institutions worldwide, wherein the impact of this pandemic may yet still be felt far in the future.

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Section: Resultsmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A look at the global impact of SARS CoV-2 on orthopedic services

Cheong

Chin

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe

Migliorini

Weber

Pappalardo

et al. 2022

Eur J Trauma Emerg Surg

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Purpose This study investigated the impact of the Covid-19 pandemic in Europe on consultations, surgeries, and traumas in the field of orthopaedic and trauma surgery. Strategies to resume the clinical activities were also discussed. Methods This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the 2020 PRISMA statement. All the comparative studies reporting data on the impact of Covid-19 in the field of orthopaedic and trauma surgery in Europe were accessed. Only comparative clinical studies which investigated the year 2020 versus 2019 were eligible. Results 57 clinical investigations were included in the present study. Eight studies reported a reduction of the orthopaedic consultations, which decreased between 20.9 and 90.1%. Seven studies reported the number of emergency and trauma consultations, which were decreased between 37.7 and 74.2%. Fifteen studies reported information with regard to the reasons for orthopaedic and trauma admissions. The number of polytraumas decreased between 5.6 and 77.1%, fractures between 3.9 and 63.1%. Traffic accidents admissions dropped by up to 88.9%, and sports-related injuries dropped in a range of 59.3% to 100%. The overall reduction of the surgical interventions ranged from 5.4 to 88.8%. Conclusion The overall trend of consultations, surgeries, and rate of traumas and fragility fractures appear to decrease during the 2020 European COVID pandemic compared to the pre-pandemic era. Given the heterogeneities in the clinical evidence, results from the present study should be considered carefully. Level of evidence Level IV, systematic review.

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COVID-19 and hand surgery: the perspective of an Italian hand therapist

Vigliarolo

2021

Hand Surgery and Rehabilitation

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Spinal surgery in COVID-19 pandemic era: One trauma hub center experience in central-southern Italy

Cited by 16 publications

References 4 publications

A look at the global impact of SARS CoV-2 on orthopedic services

A look at the global impact of SARS CoV-2 on orthopedic services

Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe

COVID-19 and hand surgery: the perspective of an Italian hand therapist

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