新冠大流行期间严格的人口禁闭对骨折发病率的影响。来自西班牙公共医疗部门的经验。

Impact of strict population confinement on fracture incidence during the COVID-19 pandemic. Experience from a public Health Care Department in Spain.

机构信息

Servicio de Cirugía Ortopédica y Traumatología, Hospital Arnau de Vilanova y Hospital de Liria, Valencia, Spain; Health Care Department Arnau-Lliria, Valencia, Spain.

出版信息

J Orthop Sci. 2022 May;27(3):677-680. doi: 10.1016/j.jos.2021.03.007. Epub 2021 Apr 28.

DOI:10.1016/j.jos.2021.03.007

PMID:33933326

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8081314/

Abstract

BACKGROUND

the COVID-19 pandemic has led to drastic "stay-at-home" measures for the population. The aim of this study was to know the influence of the population strict confinement on the presentation of the different types of fracture as well as on the needs of hospital admission by the Orthopedic Surgery and Traumatology Service.

METHODS

a retrospective observational analytical descriptive study was carried out on the population attended in the Emergency Services of two general hospitals in a public Health Care Department in Spain. Data were studied from the two-months confinement period in 2020 and compared with the same period in 2018 and 2019.

RESULTS

A total of 56,332 emergency cases were included. There was a decrease in the total number of patients attended along the confinement period compared to the same period in the two previous years. Fracture cases decreased by 58,8% in the confinement period (330 in 2020; 715 in 2018 and 884 in 2019). Also there was a 37,6% reduction in fractures needing admission or surgery. The percentage distribution of the types of fractures that required admission resulted in a decrease in upper and lower limb fractures, whereas the number of vertebral and hip fractures remained unchanged.

CONCLUSIONS

both the reduction of fractures attended in the emergency department and the maintenance of the number of hip fractures must be taken into account when establishing contingency plans in the event of a pandemic situation in order to properly plan human resources and materials.

摘要

背景

COVID-19 大流行导致人们采取了严格的“居家”措施。本研究旨在了解人口的严格禁闭对不同类型骨折的表现以及对骨科和创伤外科服务入院需求的影响。

方法

对西班牙一个公共医疗保健部门的两家综合医院急诊科就诊的人群进行了回顾性观察分析性描述性研究。研究数据来自 2020 年两个月的禁闭期，并与前两年的同期进行了比较。

结果

共纳入 56332 例急诊病例。与前两年同期相比，禁闭期间就诊的总人数有所减少。骨折病例在禁闭期间减少了 58.8%（2020 年 330 例；2018 年 715 例和 2019 年 884 例）。需要住院或手术的骨折病例也减少了 37.6%。需要住院的骨折类型的百分比分布导致上肢和下肢骨折减少，而髋部和椎体骨折的数量保持不变。