Increased orthopaedic presentations as a result of COVID-19-related social restrictions in a regional setting, despite local and global trends.

作者: Dominic Mah , Herwig Drobetz , Elise Woo , Benjamin Francis Pfister , Ariella Jessica Smith

DOI: 10.1111/ANS.16928

关键词: PandemicOrthopedic surgeryStaff educationAbsolute numberEmergency medicineDeclarationEmergency departmentCoronavirus disease 2019 (COVID-19)MedicinePublic health

摘要: BACKGROUND: The coronavirus (COVID-19) pandemic has affected the utilisation of emergency department (ED) services worldwide. aim this study was to assess impact COVID-19-related public health measures on orthopaedic presentations a regional Australian hospital. METHODS: A case-control performed at trauma hospital in New South Wales (NSW), Australia. Data collected prospectively from patients that required review period corresponding declaration global end NSW lockdown, and compared with retrospective data 2019. five-year average ED during were obtained for comparison. primary outcomes overall number presentations, mechanism anatomical location injuries, operative versus non-operative management disposition. RESULTS: During 2020, requiring significantly more frequent than 2019 (496 vs. 280, p < 0.0001), admission 2020 (p 0.0001). absolute managed operatively higher = 0.0002) referred community follow-up There 20% increase consults referrals same previous five years. CONCLUSIONS: Contrary other published literature, lockdown conditions imposed COVID-19 resulted surprising 77% These findings can be used better direct resources, preparation staff education current future pandemics.

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