评价 COVID-19 大流行封锁期间骨科儿科创伤的特征。
An evaluation of the characteristics of orthopedic pediatric traumas during the COVID-19 pandemic lockdown period.
机构信息
Department of Orthopaedics and Traumatology, University of Health Sciences, Baltalimanı Bone Diseases Training and Research Hospital, İstanbul-Turke.
Department of Orthopaedics and Traumatology, İstanbul Atlas University Faculty of Medicine, İstanbul-Turkey.
出版信息
Ulus Travma Acil Cerrahi Derg. 2022 Jan;28(1):94-98. doi: 10.14744/tjtes.2020.67681.
BACKGROUND
The purpose of this study is to investigate the effects of implemented social isolation measures on the characteristics of orthopedic pediatric traumas during this COVID-19 pandemic lockdown period.
METHODS
Patients who were admitted at our center between two time periods: April 3, 2019-May 31, 2019 (no lockdown period) and April 3, 2020-May 31, 2020 (lockdown period) were included to the study. Group 1 comprised 743 patients who were treated during no lockdown period, whereas Group 2 comprised 615 patients who were treated during lockdown period. Patients' medical records and radiographs were reviewed through our hospital's computer database. In addition, we recorded each patients' age and gender, their definite diagnosis, the anatomic location of the trauma, the type of trauma (fracture, dislocation, tendon injury, ligament injury, fracture dislocation, open fracture, etc.), the type of pediatric fracture (displaced fracture, torus fracture, epiphyseal fracture, pathological fracture, etc.), and the treatment method (non-operative/operative).
RESULTS
The mean age of the patients was significantly lower in Group 2 (p<0.001). There were significant differences between the groups in terms of anatomic locations of the traumas (p<0.001). The types of the traumas, pediatric traumas, and treatment were significantly different between the groups (p<0.001, p<0.001, and p<0.001, respectively). The frequency of operative treatment was significantly higher in Group 2 (p<0.001).
CONCLUSION
Our results demonstrated significant differences in patients' demographics as well as trauma characteristics during COVID-19 pandemic.
背景
本研究旨在探讨在 COVID-19 大流行封锁期间实施的社会隔离措施对骨科儿科创伤特征的影响。
方法
本研究纳入了在两个时间段内入住我院的患者：2019 年 4 月 3 日至 5 月 31 日（无封锁期）和 2020 年 4 月 3 日至 5 月 31 日（封锁期）。第 1 组包括 743 例在无封锁期治疗的患者，第 2 组包括 615 例在封锁期治疗的患者。通过我院的计算机数据库查阅患者的病历和 X 线片。此外，我们记录每位患者的年龄和性别、明确诊断、创伤的解剖部位、创伤类型（骨折、脱位、肌腱损伤、韧带损伤、骨折脱位、开放性骨折等）、儿科骨折类型（移位骨折、环状骨折、骺板骨折、病理性骨折等）以及治疗方法（非手术/手术）。
结果
第 2 组患者的平均年龄明显较低（p<0.001）。两组在创伤的解剖部位方面存在显著差异（p<0.001）。创伤类型、儿科创伤类型和治疗方法在两组之间也存在显著差异（p<0.001、p<0.001 和 p<0.001）。第 2 组手术治疗的频率明显较高（p<0.001）。
结论
我们的研究结果表明，在 COVID-19 大流行期间，患者的人口统计学特征以及创伤特征存在显著差异。
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