Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy.
AUSL PIACENZA.
Acta Biomed. 2020 Nov 10;91(4):e2020159. doi: 10.23750/abm.v91i4.10377.
During the pandemic, Piacenza's Orthopedic and Traumatology Dep. firstly dealt with the emergency with the complete closure of all the elective surgical and outpatient activities.As general population, also healthcare workers were affected by Coronavirus, increasing difficulties of epidemic management.The aim of our study is to evaluate the activity trend of the first 6months of 2020 in our hospital.Data will be compared to the two semesters of 2019, in order to have two objective samples.
We retrospectively analyzed all the orthopedics surgical procedures performed at Guglielmo da Saliceto Hospital (Piacenza, Emilia Romagna, Northern Italy)between 1/1/20 and 30/06/20. 2019 semesters (1/01/20-30/6/20 and 1/07/20-31/12/20) have been used as control group to evaluate the activity trend of the first six months of 2020, compared to the two semesters of 2019.
We noticed a significant increase of domestic and retirement houses accidents, a consistent increase in one-month mortality rate of 2020 first semester and a decrease of mean hospitalization time.About surgical procedures, we detect a drop in the total number: in the first semester of 2020 we performed 499 (-39.9%) surgeries less than the first semester of 2019 and 337 (-30.9%) then the second one. Traumatology recorded a decrease of 27.6% than the first semester of 2019 (-204 surgeries) and of 26.3% than the second one (-191 surgeries).Concerning orthopedic procedures, in comparison to the first semester of 2019 we registered a reduction of 57.6% (-295 surgeries) and of 40.2% to the second semester (-146 surgeries).
Covid-19 forced a reorganization of the Italian Health System that led to a clear reduction of surgical procedures performed in the orthopedic and traumatology department.The "Phase 2" can't be consider the last step of the emergency.We surely will have to get used to live with this enemy, at least until we will find an effective cure or a vaccine.
在疫情期间，皮亚琴扎的骨科和创伤科首先应对紧急情况，全面关闭所有择期手术和门诊活动。作为普通民众，医护人员也受到冠状病毒的影响，这增加了疫情管理的难度。我们研究的目的是评估我们医院 2020 年上半年的活动趋势。我们将数据与 2019 年的两个学期进行比较，以获得两个客观样本。
我们回顾性分析了 2020 年 1 月 1 日至 6 月 30 日期间在 Guglielmo da Saliceto 医院（皮亚琴扎，艾米利亚-罗马涅，意大利北部）进行的所有骨科手术。2019 年的两个学期（1 月 1 日至 6 月 30 日和 7 月 1 日至 12 月 31 日）被用作对照组，以评估 2020 年上半年的活动趋势，并与 2019 年的两个学期进行比较。
我们注意到国内和退休人员事故显著增加，2020 年第一学期一个月的死亡率持续上升，平均住院时间缩短。关于手术程序，我们发现总数下降：在 2020 年第一学期，我们进行的手术比 2019 年第一学期减少了 39.9%，比第二学期减少了 30.9%。创伤科记录的手术数量比 2019 年第一学期减少了 27.6%（减少了 204 例手术），比第二学期减少了 26.3%（减少了 191 例手术）。关于骨科手术，与 2019 年第一学期相比，我们记录的手术数量减少了 57.6%（减少了 295 例手术），与第二学期相比减少了 40.2%（减少了 146 例手术）。
Covid-19 迫使意大利卫生系统进行重组，导致骨科和创伤科手术数量明显减少。“第二阶段”不能被视为紧急情况的最后一步。我们肯定需要习惯与这个敌人共存，至少要到我们找到有效的治疗方法或疫苗为止。
