The impact of COVID-19 on shoulder and elbow trauma in a skeletally immature population: an Italian survey

Gumina, Stefano; Proietti, Riccardo; Villani, Ciro; Carbone, Stefano; Candela, Vittorio

doi:10.1016/j.jseint.2020.08.003

Cited by 17 publications

(21 citation statements)

References 15 publications

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“…There was a worldwide reduction of between 20.3% and 84.6% in trauma patients compared to a pre-COVID control period. 10 , 11 , 12 , 13 , 14 , 15 , 17 , 19 , 20 , 25 , 27 , 34 , 35 , 37 , 41 , 42 , 43 , 44 , 45 , 46 Hernigou et al 16 reported a concomitant increase in paediatric trauma and reduction in adult trauma during the pandemic at their centre in Belgium, a finding replicated in one Australian centre. 47 Additionally, Wong et al‘s centre based in Australia reported no change in paediatric trauma requiring acute admission.…”

Section: Resultsmentioning

confidence: 90%

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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: 90%

“…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 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

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“…The etiology of injuries was different during the lockdown period, as most traumas occurred at home (82%) compared with 2019, during which sports accidents were the most common cause of injury (34.7%). As most fractures occurred at home, targeted measures should be considered to prevent such injuries effectively [ 20 , 21 ]. The superior limb was the most involved segment for fractures both in the lockdown and control groups.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Changed the Incidence and the Pattern of Pediatric Traumas: A Single-Centre Study in a Pediatric Emergency Department

Ruzzini

Salvatore

Lamberti

et al. 2021

IJERPH

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The first wave of COVID-19 spread worldwide from March to May 2020. Italy was one of the countries in the world where the lockdown period was most prolonged and restrictive. To date, the impact of prolonged lockdown on pediatric traumas has not fully investigated. This paper aimed to analyze, and compare to 2019, the incidence and the fracture pattern in patients admitted to our pediatric hospital during the total lockdown period. A single-center retrospective study was performed. The data were gathered from the Pediatric Emergency Department (PED) of the Bambino Gesù Children Hospital of Rome (Palidoro). This PED is the pediatric referral center for Rome and the hub for pediatric traumas of the region. Any admission diagnosis for fracture, trauma, sprains and dislocation during the lockdown period (10 March–4 May) were included. The demographic data, diagnosis, type of treatment, fracture segment, bone involvement and time interval between trauma and presentation to the PED were recorded. In 2020, a reduction of total traumas and fractures, compared to 2019 (p < 0.001), occurred (81%). Superior limb and inferior limb fractures decreased in 2020 compared to 2019 (p < 0.05). The identification of pediatric traumas and fractures trend could be useful to reorganize the PED. Epidemiological data from the previous lockdown could be helpful to prepare the healthcare system for new pandemic waves. Moreover, sharing national statistics and correlating those to other countries’ protocols, could be helpful to solve problems in case of worldwide emergency situations.

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“…This decrease could be especially prevalent given the typical increase in pediatric injury presentation in the spring and fall seasons when sport activities are most common. 11,21 Significant delays to care and decreased patient volume have been observed in a variety of medical subspecialties, including orthopaedic surgery, 4,10 as a result of the COVID-19 pandemic. 16,17,24 This may suggest reluctance for patients to seek medical care because of concerns for increased COVID-19 exposure.…”

mentioning

confidence: 99%

Changes in Pediatric Sports Injury Presentation During the COVID-19 Pandemic: A Multicenter Analysis

Johnson

Halloran

Carpenter

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: The current coronavirus 2019 (COVID-19) pandemic has prompted a multitude of public health response measures including social distancing, school cancellations, and cessation of organized sports. Purpose: To examine the impact of COVID-19 and corresponding public health measures on the characteristics of common pediatric musculoskeletal injuries associated with sports. Study Design: Cohort study; Level of evidence, 3. Methods: This was a multicenter retrospective cohort study comparing patients with sports injuries presenting to 3 geographically diverse level I pediatric trauma hospitals and outpatient orthopaedic surgery clinics in the United States during the COVID-19 pandemic and a prepandemic period at the same institutions. Patients were included if they presented for care between February 15 and July 15 in 2020 (pandemic cohort) or between March 15 and April 15 in 2018 and 2019 (prepandemic cohort). Results: Included were 1455 patients with an average age of 12.1 ± 4.5 years. When comparing patients presenting in 2018 and 2019 with those presenting in 2020, we observed a decrease in mean age during the pandemic (12.6 ± 4.0 vs 11.0 ± 5.2 years; P = .048). Additionally, a decrease in the proportion of injuries attributed to sports (48.8% vs 33.3%; P < .001) and those occurring at school (11.9% vs 4.0%; P = .001) was observed. The proportion of injuries attributable to clavicle fractures increased during the early stages of the pandemic (13.2% vs 34.7%; P < .001). There was no statistically significant delay to care in injuries presenting during the pandemic (41.5 ± 141.2 vs 19.23 ± 79.1 days; P = .175). Conclusion: Across 3 tertiary care institutions, patients were seen without significant delay during the pandemic. We observed a significant decline in pediatric musculoskeletal injuries associated with sports during the COVID-19 pandemic. This decrease has been accompanied by a shift in both injury type and mechanism.

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The impact of COVID-19 on shoulder and elbow trauma in a skeletally immature population: an Italian survey

Cited by 17 publications

References 15 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

COVID-19 Changed the Incidence and the Pattern of Pediatric Traumas: A Single-Centre Study in a Pediatric Emergency Department

Changes in Pediatric Sports Injury Presentation During the COVID-19 Pandemic: A Multicenter Analysis

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