Franco Vinicius Pagliaro, Gonçalves Gabriel Massarico, Fração Orlando Copetti, Sungaila Heloisa Yumi Fujiya, Cocco Luiz Fernando, Dobashi Eiffel Tsuyoshi
Universidade Federal de São Paulo, Escola Paulista de Medicina, Hospital São Paulo, Serviço de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
Acta Ortop Bras. 2023 Jul 31;31(4):e268179. doi: 10.1590/1413-785220233104e268179. eCollection 2023.
To assess the impact of the COVID-19 pandemic on the epidemiology and clinical outcomes of open fractures considering the periods before and during the pandemic.
An observational and retrospective study, which included patients aged over 18 years, admitted to the Orthopedics and Traumatology Ward of Hospital São Paulo, of the Federal University of São Paulo (UNIFESP). Data was collected in two moments: pre-pandemic (March 1, 2019, to February 29, 2020) and during the pandemic (March 1, 2020, to February 28, 2021).
In total, 183 patients were evaluated with a mean age of 36 years ± 14 years. In the pre-pandemic period, 94 patients underwent surgery, 81 men (85.37%) and 13 women (14.2%), with a mean age of 36 ± 3 years. During the pandemic period, 89 patients were subjected to surgery, 77 men (86.6%) and 12 women (13.4%), with a mean age of 38 ± 3 years.
During the pandemic, open fractures were still more common in men. Regarding hospital indicators, the prevalence of infections in the surgical wound and the length of stay of patients with open fractures increased, however, with little significance. Fractures classified as Gustilo IIIA were the most common, while the most common according to the AO classification were 33, 34, 42, 43, 2R3, and 2R3 + 2U2. The frequency of run overs during the pandemic decreased. However, firearm projectile injuries and falls and occupational injuries increased.
评估2019冠状病毒病大流行对开放性骨折的流行病学和临床结局的影响，同时考虑大流行之前和期间两个阶段。
一项观察性回顾性研究，纳入圣保罗联邦大学（UNIFESP）圣保罗医院骨创伤科收治的18岁以上患者。分两个时段收集数据：大流行前（2019年3月1日至2020年2月29日）和大流行期间（2020年3月1日至2021年2月28日）。
共评估了183例患者，平均年龄36岁±14岁。大流行前阶段，94例患者接受了手术，其中男性81例（85.37%），女性13例（14.2%），平均年龄36±3岁。大流行期间，89例患者接受了手术，其中男性77例（86.6%），女性12例（13.4%），平均年龄38±3岁。
在大流行期间，开放性骨折在男性中仍然更为常见。关于医院指标，手术伤口感染的发生率和开放性骨折患者的住院时间有所增加，但差异不大。Gustilo IIIA型骨折最为常见，而根据AO分类最常见的是33、34、42、43、2R3和2R3 + 2U2。大流行期间碾压伤的发生率下降。然而，火器投射伤、跌倒和职业伤害有所增加。
