Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Department of Medical Statistics, Informatics and Health Economics, Medical University Innsbruck, Innsbruck, Austria.
J Orthop Surg Res. 2022 Jun 11;17(1):306. doi: 10.1186/s13018-022-03151-z.
Due to the global COVID-19 pandemic, a ban on sports outside one's home and a prohibition on travel between communities were imposed in spring 2020 in Tyrol, Austria. The aim of this study was to evaluate the impact of these restrictions on a level one trauma center. The objective was to identify the most common injury patterns to ensure targeted prevention in times of an ongoing pandemic.
Patients who presented themselves to our trauma center between weeks 7 and 22 in 2020 were retrospectively compared to a mean of the patients of the three previous years (2017-2019). The evaluated variables were the number of patients, age, gender, country of residence, place of accident, time of treatment, injured body region and anatomical structure, number of surgical intervention and severely injured patients.
Comparing the mean count of treated patients per week in 2020 of the pre-lockdown period (n = 804.6) with the lockdown period (n = 201.8) a decrease in admissions by 69.7% could be observed. The admission incidence was 9.9 times higher in previous years than in 2020 during the lockdown period. Among the injuries treated during the lockdown the largest increase in relative numbers was in home injuries, head or face injuries and superficial or penetrating injuries. There was a decrease of seriously injured patients as well as patients that needed surgery during the lockdown compared to previous years.
We observed a significant change in the pattern and volume of injuries during a strict lockdown. Intervention programs to reduce the risk of home injuries should be introduced. Furthermore, in order to save resources during a pandemic, specific guidelines on patient management and treatment should be established for the respective medical specialties.
1157/2020, 10.12.2020.
由于 2020 年全球 COVID-19 大流行，奥地利蒂罗尔州于春季颁布了禁止户外活动和社区间旅行的禁令。本研究旨在评估这些限制对一级创伤中心的影响。目的是确定最常见的损伤模式，以便在持续大流行期间进行有针对性的预防。
回顾性比较了 2020 年第 7 周到第 22 周期间到我院就诊的患者与前 3 年（2017-2019 年）的平均患者人数。评估的变量包括患者人数、年龄、性别、居住国家、事故地点、治疗时间、受伤身体部位和解剖结构、手术干预次数和重伤患者人数。
与封锁期（n=201.8）相比，2020 年封锁前每周治疗患者的平均人数（n=804.6）减少了 69.7%。封锁期间的入院率比前几年高 9.9 倍。在封锁期间治疗的损伤中，家庭损伤、头部或面部损伤以及浅表或穿透性损伤的相对数量增加最多。与前几年相比，封锁期间严重受伤患者和需要手术的患者人数减少。
我们观察到严格封锁期间损伤的模式和数量发生了显著变化。应引入减少家庭伤害风险的干预计划。此外，为了在大流行期间节省资源，应针对各自的医学专业制定患者管理和治疗的具体指南。
1157/2020，2020 年 12 月 10 日。
