Quantitative and qualitative analysis of the influence of confinement by COVID-19 in fracture patients entered in a traumatology service at a third level hospital.
ACTA ACUST UNITED AC 2021. [PMID:
34630777 PMCID:
PMC8148574 DOI:
10.1016/j.recote.2021.05.002]
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Abstract
Introduction
The COVID-19 pandemic has led to
the confinement of approximately one third of the world population,
causing a drastic change in the activities of daily life with many
repercussions at the health, economic and social levels.
Objectives
The objective of the present work
is to present the epidemiological variations in the production of
fractures in the period of mandatory confinement in our reference
population.
Methods
Analytical retrospective
comparative study of two groups of patients: Group A: patients admitted
before the state of alarm that forced confinement in the period from
January 13 to March 13 compared to Group B: patients admitted in the two
months of confinement, until the de-escalation period began, March 13-May
13. Epidemiological variables including age, personal history, type of
fracture, mechanism of injury, outpatient rate, and hospital stay were
recorded.
Results
A total of 190 patients were
included. 112 in the pre-confinement period and 78 in the confinement
(30% decrease). The mean age (p = 0.007) and falls at home (p < 0.001)
were higher in the confinement group. The postoperative (p = 0.006) and
overall (p < 0.001) hospital stay were significantly less in the
confinement group. No differences were found in the anatomical location
of the lesion, sex, comorbidities, mechanism of injury, outpatient rate,
or death.
Conclusions
Based on the results of our study,
the period of forced confinement due to the COVID-19 pandemic has
produced a drastic decrease in the total number of fractures admitted to
the traumatology service of a third level hospital. On the other hand,
osteoporotic hip fractures have not varied in their incidence and a
decrease in the average postoperative and overall stay has been
observed.
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