Department of Orthopaedic Surgery, National Orthopaedic Hospital, Cappagh, Cappagh Road, Finglas, Dublin 11, Ireland.
Department of Orthopaedic Surgery, National Orthopaedic Hospital, Cappagh, Cappagh Road, Finglas, Dublin 11, Ireland.
Surgeon. 2021 Apr;19(2):e49-e52. doi: 10.1016/j.surge.2020.08.003. Epub 2020 Aug 13.
The current pandemic has impacted heavily on health systems, making unprecedented demands on resources, and forcing reconfiguration of services. Trauma and orthopaedic units have cancelled elective surgery, moved to virtual based clinics and have been forced to reconsider the provision of trauma. Our national elective orthopaedic centre has been re-designated as a trauma centre to allow tertiary centres re-direct triaged trauma. Many governments, as part of their COVID-19 management, have significantly restricted activity of the general population. We proposed that trauma patterns would change alongside these changes and maintaining existing standards of treatment would require dedicated planning and structures.
Referrals over a six-week period (March 15th to April 30th) were retrospectively reviewed. Data was collected directly from our referral database and a database populated. Analysis was performed to assess trauma volume, aetiology, and changes in trends.
There were one hundred and fifty-nine referrals from three individual hospitals within the timeframe. Mean age of patient's referred was 55 (range17-92). Males accounted for 45% of cases. F&A injuries were the most common (32%), followed by H&W (28%), UL (17%), H&F (16%) and K&T (7%). In comparison to the corresponding time-period in 2019, trauma theatre activity reduced by almost one half (45.3%) CONCLUSION: The majority of trauma referred to our Dublin based centre during COVID-19 related population restrictions appears to be home based and trauma volumes have decreased. Significant reductions are apparent in work and sport related injuries suggestive of compliance with COVID-19 activity guidelines. Maintaining existing standards of treatment requires dedicated planning.
当前的大流行对卫生系统造成了沉重打击，对资源提出了前所未有的需求，并迫使服务重新配置。创伤和矫形外科病房已取消了择期手术，改为虚拟诊所，并被迫重新考虑创伤的提供方式。我们的国家选择性矫形中心已重新指定为创伤中心，以便将分诊创伤患者转至三级中心。许多政府在其 COVID-19 管理中，大幅限制了一般人群的活动。我们提出，创伤模式将随着这些变化而改变，要保持现有的治疗标准，需要有专门的规划和结构。
回顾性审查了在六周期间（3 月 15 日至 4 月 30 日）的转诊情况。数据直接从我们的转诊数据库中收集，并填充到数据库中。分析是为了评估创伤量、病因以及趋势变化。
在规定的时间内，有来自三家医院的一百五十九例转诊。转诊患者的平均年龄为 55 岁（范围 17-92 岁）。男性占病例的 45%。FA 损伤是最常见的（32%），其次是 HW（28%）、UL（17%）、HF（16%）和 K&T（7%）。与 2019 年同期相比，创伤手术室活动减少了近一半（45.3%）。
在 COVID-19 相关的人口限制期间，转诊到我们位于都柏林的中心的创伤患者大多来自家庭，创伤量有所减少。与工作和运动相关的损伤明显减少，表明人们遵守了 COVID-19 活动指南。保持现有的治疗标准需要专门的规划。
