The Implementation of COVID-19 Social Distancing Measures Changed the Frequency and the Characteristics of Facial Injury: The Newcastle (Australia) Experience

Wang, Che-Jen; Hoffman, Gary R.; Walton, Gary M.

doi:10.1177/1943387520962280

Cited by 11 publications

(16 citation statements)

References 11 publications

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“…A number of studies from developed nations have now reported a serendipitous decrease in the incidence of maxillofacial trauma, and a change in the characteristics of facial injury, that appeared to coincide with implementation of "lockdown" legislation and social distancing. [3][4][5][6][7][8][9][10] In this current study we have shown that the rapid changes in incidence and characteristics of maxillofacial trauma that were observed during the 8 weeks of COVID-19 lockdown have not been mirrored by an equally rapid return to seasonal baseline with the dissolution of major lockdown legislation as was seen in the previously published Australian cohort. 2 In actual fact, the UK has displayed persistent deviations from baseline incidence and patterns despite a 110% increase in maxillofacial trauma admissions between the periods during and post strict COVID-19 lockdown.…”

Section: Discussionmentioning

confidence: 71%

“…[12][13][14] A review of the literature on maxillofacial trauma revealed a total of 9 studies conducted across 6 countries during the peak of COVID-19. [2][3][4][5][6][7][8][9][10] These studies are summarized in Table 3. The 6 studies that included data from previous years (to establish seasonal baseline) found a significant reduction in the incidence of maxillofacial trauma of between 26% and 72.5%.…”

Section: Discussionmentioning

confidence: 99%

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The Epidemiology of Facial Trauma Presentations during and after the Implementation of COVID-19 Social Distancing Measures—The Coventry-Warwickshire (UK) Experience

McEwen

Hoffman

Qiu

et al. 2021

FACE

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Purpose: The COVID-19 pandemic resulted in the institution of strict public health measures aimed at reducing virus transmission. This coincided with a well-documented alteration to the frequency and characteristics of maxillofacial trauma presentations. The aim was to examine the incidence and characteristics of maxillofacial trauma at a large tertiary hospital in the United Kingdom to determine whether these previously reported changes persisted after the relaxation of COVID-19 “lockdown” legislation. Method: This was a retrospective cohort study of patients who sustained a facial injury during the 8-week period of 16th March 2020 to 11th May 2020 (strict COVID lockdown) compared to the 11th May 2020 to 6th July 2020 (relaxation of COVID lockdown). Cohorts were compared on the incidence and characteristics of facial injury. Results: Compared to the peak of COVID-19 lockdown, the subsequent period during which these laws were eased saw an increase in the frequency of maxillofacial trauma presentations (n = 78 vs n = 37). Despite this absolute increase, the incidence remained statistically below seasonal expectation. Operative management remained persistently low (45% in 2020 vs 67% in 2019). Conclusion: This is the first study to report the characteristics of facial trauma after the easing of COVID-19 lockdown legislation. Compared to previously published reports from Australia, there has not yet been a clear return to baseline epidemiology in the UK, perhaps reflecting the severity of the pandemic in that region.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

The Epidemiology of Facial Trauma Presentations during and after the Implementation of COVID-19 Social Distancing Measures—The Coventry-Warwickshire (UK) Experience

McEwen

Hoffman

Qiu

et al. 2021

FACE

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View full text Add to dashboard Cite

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“…An initial study that was undertaken in our unit (conducted over an 8 week period following the enactment of COVID-19 social distancing policy) revealed a 30% decrease in the frequency of facial injury presentation when comparing this to the same period in 2019 Table 1. 3 The purpose of this current study was to extend the application of the earlier study and determine the frequency and characteristics of facial trauma presentations following the devolution of community social distancing measures.…”

Section: Discussionmentioning

confidence: 97%

“…The senior author participated in a formal study to determine whether the implementation of COVID-19 social distancing measures changed the frequency and characteristics of facial injury. 3 The presentations in 2020 were compared to the same time period in 2019 in order to account for seasonal variations that may have impacted on the circumstances of facial injury.…”

Section: Introductionmentioning

confidence: 99%

The Frequency and Characteristics of Facial Injury Following COVID-19 Social Distancing Laws: Newcastle, (Australia) Observations

Qiu

Hoffman

2021

FACE

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The imposition of COVID-19 social distancing laws serendipitously decreased the frequency and altered the characteristics of facial injury presentation. The purpose of this study was to determine whether the devolution of social distancing laws had the opposite effect. Materials and methods: The authors undertook a retrospective study of the clinical records of a cohort of patients who sustained a facial injury during COVID-19 social distancing devolution. The primary predictor valuable was the 8 week devolution of social distancing. Other variables consisted of a heterogeneous set of factors grouped into logical categories: demographic, injury specifics, and treatment. A descriptive statistical analysis was undertaken on the assembled results. Results: The study found that the absolute numbers of facial injury presentation rose from 73 to 120; a 64% increase. The study also found that there was an alteration to the characteristics of facial injury presentation across the study variables. Conclusion: The initial imposition and subsequent devolution of COVID-19 social distancing measures had a serendipitous public health benefit. Initially there was a decrease in the frequency of facial injury presentation followed by an increase upon cessation of social distancing restrictions

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“…Maxillofacial trauma varies from region to region, but usually occurs due to fall-downs, assaults, car accidents, vehicle collisions, and sports-related injuries. The causes of trauma have changed and various countries have reported these changes [ 10 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of COVID-19 on the injury pattern for maxillofacial fracture in Daegu city, South Korea

Lee

Choi

Kim

et al. 2021

Maxillofac Plast Reconstr Surg

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Background This study aimed to analyze the impact of COVID-19 on oral and maxillofacial fracture in Daegu by comparing the demographic data in 2019 and 2020, retrospectively. We collected data from all patients having trauma who visited the emergency room for oral and maxillofacial fractures. Methods This retrospective study was based on chart review of patients who visited the emergency department of Kyungpook National University Hospital in Daegu, South Korea from January 1, 2019, to December 31, 2020. We conducted a comparative study for patients who presented with maxillofacial fractures with occlusal instability during pre-COVID-19 era (2019) and COVID-19 era (2000) with demographics and pattern of injuries. Results After the outbreak of COVID-19, the number of monthly oral and maxillofacial fractures, especially sports-related oral and maxillofacial fractures, decreased significantly. Also, the number of alcohol-related fractures increased significantly. In addition, as the number of monthly confirmed cases of COVID-19 increases, the incidence of fracture among these cases tends to decrease. Conclusions The COVID-19 pandemic has changed the daily life in Korea. Identifying the characteristics of patients having trauma can provide a good lead to understand this long-lasting infectious disease and prepare for future outbreaks.

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The Implementation of COVID-19 Social Distancing Measures Changed the Frequency and the Characteristics of Facial Injury: The Newcastle (Australia) Experience

Cited by 11 publications

References 11 publications

The Epidemiology of Facial Trauma Presentations during and after the Implementation of COVID-19 Social Distancing Measures—The Coventry-Warwickshire (UK) Experience

The Epidemiology of Facial Trauma Presentations during and after the Implementation of COVID-19 Social Distancing Measures—The Coventry-Warwickshire (UK) Experience

The Frequency and Characteristics of Facial Injury Following COVID-19 Social Distancing Laws: Newcastle, (Australia) Observations

The impact of COVID-19 on the injury pattern for maxillofacial fracture in Daegu city, South Korea

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