新型冠状病毒肺炎疫情对创伤性骨折流行病学特征的影响：近期文献的系统回顾。

The impact of COVID-19 on the epidemiologic characteristics of traumatic fractures: A systematic review of recent literature.

机构信息

Department of Orthopaedics, Hanil general hospital 308 Uicheon-ro, Dobong-Gu, Seoul, Korea.

出版信息

Acta Orthop Traumatol Turc. 2021 Sep;55(5):439-443. doi: 10.5152/j.aott.2021.20435.

DOI:10.5152/j.aott.2021.20435

PMID:34730532

Abstract

OBJECTIVE

The aim of this study was to evaluate whether COVID-19-related period of societal restrictions and nationwide in 2020 were associated with a significant change in types and frequency of traumatic fractures.

METHODS

A systematic review of recent literature on epidemiologic characteristics of traumatic fractures during the outbreak of COVID-19 was conducted. Multiple databases of PubMed, EMBASE, Cochrane library, and Web of Science were searched, and articles comparing incidence for traumatic fractures before and after of COVID-19 outbreak were Results: From 8 published studies which had been reported from July 2020 to September 2020, a total of 9305 patients were identified. The study period of each study included varied from January 24 to May 22 in 2020. There was a significant decrease in the total number of trauma cases during lockdown by 3229 cases (pre-lockdown n = 6267 and lockdown n = 3038), amounting to a decrease by a pooled percentage of 51.6% (P = 0.012). The incidence of hand and tibia fractures decreased while the incidence of femoral fracture significantly increased during COVID-19 outbreak (P < 0.001). There was no significant difference in the fracture frequency for all other skeletal areas (P > 0.05).

CONCLUSION

Evidence suggests that there was a significant decrease in the overall number of traumatic fractures during the COVID-19-related period of societal restrictions and lockdown. Proportions of most fractured areas were not significantly influenced by the state of emergency, except for femoral fractures, which had occurred more often during this state. Care must be taken, while developing contingency plans for reallocating resources during the COVID-19 pandemic, not to assume that all trauma presentations will decrease. Evidence from this study has suggested there was a significant decrease in the overall number of traumatic fractures during the COVID-19-related period of societal restrictions and lockdown. Proportions of most fractured areas were not significantly influenced by the state of emergency, except for femoral fractures which had occurred more often during this state.

LEVEL OF EVIDENCE

Level III, Diagnostic Study.

摘要

目的

本研究旨在评估 2020 年与 COVID-19 相关的社会限制和全国范围的封锁是否与创伤性骨折的类型和频率发生显著变化相关。

方法

对 COVID-19 爆发期间创伤性骨折的流行病学特征的最新文献进行了系统回顾。检索了 PubMed、EMBASE、Cochrane 图书馆和 Web of Science 等多个数据库，并比较了 COVID-19 爆发前后创伤性骨折发病率的文章。

结果

从 2020 年 7 月至 9 月发表的 8 项研究中，共确定了 9305 例患者。每项研究的研究期从 2020 年 1 月 24 日至 5 月 22 日不等。封锁期间，创伤总数减少了 3229 例（封锁前 n = 6267 例，封锁后 n = 3038 例），减少幅度为 51.6%（P = 0.012）。在手和胫骨骨折减少的同时，股骨骨折的发生率在 COVID-19 爆发期间显著增加（P < 0.001）。所有其他骨骼区域的骨折频率没有显著差异（P > 0.05）。

结论

有证据表明，在与 COVID-19 相关的社会限制和封锁期间，创伤性骨折的总数显著减少。大多数骨折区域的比例并没有受到紧急状态的显著影响，除了股骨骨折，在这种状态下更常见。在制定 COVID-19 大流行期间重新分配资源的应急计划时，必须注意不要假设所有创伤表现都会减少。本研究的证据表明，在与 COVID-19 相关的社会限制和封锁期间，创伤性骨折的总数显著减少。大多数骨折区域的比例并没有受到紧急状态的显著影响，除了股骨骨折，在这种状态下更常见。