Maryada Venkateshwar Reddy, Mulpur Praharsha, Guravareddy Annapareddy Venkata, Pedamallu Sudhir Kumar, Vijay Bhasker Bolgam
Bone and Joint Institute, Sunshine Hospital, Penderghast Road, Opposite Parsi Dharamsala, Paradise, Secunderabad, Telangana 500003 India.
Balaji Hospital, S.V.N Road, Warangal, Telangana 506002 India.
Indian J Orthop. 2020 Aug 13;54(Suppl 2):368-373. doi: 10.1007/s43465-020-00226-z. eCollection 2020 Dec.
The COVID-19 outbreak reached pandemic proportions in March 2020, and the government of India declared a nationwide lockdown on 24th March, 2020. All vehicular movement, construction work, industries, national highways, etc. remained closed during lockdown. The aim of this study was to assess the impact of lockdown on the case load and epidemiology of orthopaedic trauma cases in the state of Telangana.
This study was a multi-centre, retrospective observational study. Data were collected from 8 teaching hospitals, 8 corporate hospitals, 1 dedicated industrial trauma, and hand injury center and 56 consultants with individual practice. Data were collected in two groups, pre-lockdown period (23rd Feb to 24th March) and lockdown period (25th march to 25th April). Patient demographics, type of injury, and cause of injury were collected. This was done using an online survey form and retrieval of case data from health records.
There was a significant decrease in total trauma numbers during lockdown by 1266 cases (pre-lockdown = 2020 and lockdown = 754), amounting to a decrease by 62.7% ( < 0.01). RTA was the leading cause of trauma in all age groups except in elderly and we found a reduction of 77.9% cases during lockdown ( = 1343 vs. = 298). The numbers of fragility fractures in elderly were unaffected due to lockdown.
RTA was the major cause of injuries in young adults and adults. Though they cannot be eliminated, RTA numbers can be reduced by strict implementation of traffic rules and better road infrastructure. Lockdown had no effect on incidence of fragility fractures in elderly. With changes in life style and more people working from home there may be a reduction in overall injuries in future.
2020年3月，新冠疫情爆发达到大流行程度，印度政府于2020年3月24日宣布全国封锁。封锁期间，所有车辆通行、建筑工程、工业、国道等均关闭。本研究旨在评估封锁对特伦甘纳邦骨科创伤病例数量及流行病学的影响。
本研究为多中心回顾性观察研究。数据收集自8家教学医院、8家私立医院、1家专门的工业创伤和手部损伤中心以及56名个体执业的顾问医生。数据分为两组收集，封锁前时期（2月23日至3月24日）和封锁时期（3月25日至4月25日）。收集患者人口统计学信息、损伤类型和损伤原因。这通过在线调查问卷和从健康记录中检索病例数据来完成。
封锁期间创伤总数显著减少1266例（封锁前=2020例，封锁期间=754例），减少了62.7%（P<0.01）。除老年人外，交通事故是所有年龄组创伤的主要原因，我们发现封锁期间病例减少了77.9%（1343例对298例）。老年人脆性骨折的数量未受封锁影响。
交通事故是年轻人和成年人受伤的主要原因。虽然无法消除，但通过严格执行交通规则和改善道路基础设施可以减少交通事故数量。封锁对老年人脆性骨折的发生率没有影响。随着生活方式的改变和越来越多的人在家工作，未来总体受伤情况可能会减少。
