Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy.
Orthogeriatric Department, Guglielmo da Saliceto Hospital, Piacenza, Italy.
Acta Biomed. 2021 Nov 5;92(5):e2021398. doi: 10.23750/abm.v92i5.11925.
After the first Italian case of Covid-19, the Government imposed the complete closure of all areas involved by the spread of the virus to contain transmissions. There was a massive reorganization of Hospitals, a stop of all elective activities and a convertion of many hospitals in "Covid Centers''. AITOG (Associazione Italiana Traumatologia e Ortopedia Geriatrica) conducted a retrospective study on all proximal femur fractures surgeries that occurred in this period, to find out whether the pandemic and the correlated lockdown somehow changed the incidence of these events. Methods: 10 Italian orthopedic centers were involved in the study. Considering the geographic location, three groups were created (North, Centre and South). The considered period is the Italian "Phase 1" (February 23rd - May 3rd 2020).
the cohort is composed of 412 patients, 116 male and 296 female (mean age 81.1 ± 9.1 years). The same period of 2019 has been used as control group, with 558 patients, 156 male and 402 female (mean age 84.2 ± 8.0 years). In 2020 we counted 323 (78.4%) fractures occurred at home, 61 (14.8%) in retirement houses and 28 (6.8%) in different locations. We mainly treated fractures with intramedullary nails (n.237 57.5%). Among all patients we had 46 (11.1%) Covid-19 positive. The mortality rate within 30 days was of 51 patients (12.4%); 23 of these died because of complications related to Covid-19 while 31 of these were in treatment with anticoagulant/antiaggregant.
AITOG analysis demonstrates a decrease in surgical interventions for proximal femur fractures from 2019 to 2020, a reduction in patients mean age and an increase in trauma occurred in domestic environment. We also registered a consistent difference between the North, Center and South of the Country.
在意大利首例新冠肺炎病例出现后，政府对所有受病毒传播影响的区域实施了全面封锁，以控制疫情传播。这导致医院大规模重组，所有非紧急手术全部暂停，并将许多医院改造成“新冠肺炎救治中心”。意大利创伤与老年骨科协会（Associazione Italiana Traumatologia e Ortopedia Geriatrica）对这一期间所有发生的股骨近端骨折手术进行了回顾性研究，以了解大流行及其相关的封锁是否对这些事件的发生率产生了影响。方法：该研究涉及了 10 家意大利骨科中心。根据地理位置，将这些中心分为三个组（北部、中部和南部）。研究期间为意大利的“第一阶段”（2020 年 2 月 23 日至 5 月 3 日）。
该队列由 412 名患者组成，其中男性 116 名，女性 296 名（平均年龄 81.1 ± 9.1 岁）。同时期的 2019 年被用作对照组，有 558 名患者，其中男性 156 名，女性 402 名（平均年龄 84.2 ± 8.0 岁）。2020 年，我们统计到 323 例（78.4%）骨折发生在家庭环境中，61 例（14.8%）发生在退休之家，28 例（6.8%）发生在其他地方。我们主要采用髓内钉治疗骨折（n.237，57.5%）。所有患者中有 46 例（11.1%）新冠病毒检测呈阳性。30 天内的死亡率为 51 例（12.4%）；其中 23 例死于与新冠病毒相关的并发症，31 例在接受抗凝/抗血小板治疗。
AITOG 的分析表明，2019 年至 2020 年股骨近端骨折手术数量减少，患者平均年龄降低，家庭环境中创伤发生率增加。我们还发现，该国北部、中部和南部之间存在明显差异。
