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德国创伤中心在首个新冠疫情封锁期间的急性和创伤手外科变化:338 例回顾性分析。

Changes in acute and trauma hand surgery in the first Covid-19 lockdown in a German trauma center: a retrospective analysis of 338 cases.

机构信息

Section for Plastic and Reconstructive Surgery, Department for Traumatology, University Hospital Münster, Münster, Germany.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude W1, 48149, Münster, Germany.

出版信息

Arch Orthop Trauma Surg. 2022 Jun;142(6):1289-1299. doi: 10.1007/s00402-021-04319-8. Epub 2022 Feb 18.

DOI:10.1007/s00402-021-04319-8
PMID:35179633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8854483/
Abstract

INTRODUCTION

Although Covid-19 and especially lockdown periods have affected our everyday live, its impact on hand traumatology is under investigated.

MATERIALS AND METHODS

We retrospectively analyzed all patients presenting at a FESSH accredited HTRC and level 1 trauma center in Germany during the Covid-19 lockdown period and an equivalent timeframe in 2019 regarding incidence of hand trauma, injury mechanism, type of injury and hand surgeries.

RESULTS

338 patients presented at our department with acute hand injuries. A significant reduction of work-related accidents was found during lockdown contrary to an increase of do-it-yourself related trauma. Although the incidence of hand trauma decreased during lockdown by 18%, the rate of hand surgery increased in absolute and relative numbers.

CONCLUSIONS

Although Covid-19 has negatively impacting elective and semi-elective surgeries, acute hand surgery has gained in importance represented by a shift from work related to do-it-yourself trauma and an increased rate of surgical treatment.

LEVEL OF EVIDENCE

IV (therapeutic).

摘要

简介

尽管新冠疫情(Covid-19),尤其是封锁期间,对我们的日常生活产生了影响,但它对手外伤学的影响仍未得到充分研究。

材料与方法

我们回顾性分析了在德国一家 FESSH 认证的 HTRC 和一级创伤中心,新冠疫情封锁期间以及 2019 年同期因手部外伤就诊的所有患者,分析内容包括发病率、损伤机制、损伤类型和手部手术。

结果

338 名手部急性创伤患者就诊于我院。与 DIY 相关的创伤增加相比,封锁期间与工作相关的事故显著减少。尽管封锁期间手部创伤的发病率下降了 18%,但手部手术的绝对和相对数量却有所增加。

结论

尽管新冠疫情对选择性和半选择性手术产生了负面影响,但急性手部手术的重要性增加,表现为工作相关创伤向 DIY 创伤的转变,以及手术治疗率的上升。

证据等级

IV(治疗性)。

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Hand injuries during COVID-19: Lessons from lockdown.新冠疫情期间的手部损伤:封城的教训
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