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意大利马尔凯大区新冠疫情紧急状态期间的手部创伤与显微重建外科:有哪些变化?

Hand Trauma and Reconstructive Microsurgery during the COVID-19 Emergency in the Marche Region (Italy): What Has Changed?

作者信息

De Francesco Francesco, Berdini Massimo, Gravina Pasquale, Pangrazi Pier Paolo, Signoriello Giuseppe, Riccio Michele

机构信息

Department of Reconstructive Surgery and Hand Surgery, AOU Ospedali Riuniti delle Marche, 60126 Ancona, Italy.

Department of Clinical and Molecular Sciences, Clinical Orthopaedics, Polytechnic Marche University, 60126 Ancona, Italy.

出版信息

Healthcare (Basel). 2023 Nov 21;11(23):3006. doi: 10.3390/healthcare11233006.

DOI:10.3390/healthcare11233006
PMID:38063574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10706793/
Abstract

The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causing COVID-19, has spread across the globe. To limit the spread of COVID-19, the Italian government imposed various restrictions (lockdowns). These restrictions had an impact on the flow of patients accessing hospital care. Our aim in this study was to analyze the impact of lockdowns on the epidemiology of patients suffering from hand trauma. Our work analyzed the variation in the number and characteristics of hand trauma patients during the lockdown and half-lockdowns in 2020 compared to the same periods in the previous and subsequent years. In 2020, during the lockdown period, 107 patients were treated by our department for hand trauma, amounting to a 2% increase compared to the average number of patients treated in the pre-pandemic period. In 2020, during the half-lockdown period, 158 patients were treated, amounting to a 6.8% increase in comparison to the pre-pandemic period. During the lockdown period in Italy, the flow of patients suffering from hand trauma referred to our hub center remained stable. Given the restrictions imposed by the lockdown, we expected a consequent reduction in the number of work-related injuries, which did occur, while there was a surprising increase in the number of traffic-related injuries. The number of domestic accidents remained stable.

摘要

新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发了新冠肺炎疫情,已在全球范围内传播。为限制新冠肺炎的传播,意大利政府实施了各种限制措施(封锁)。这些限制措施对患者获得医院护理的流程产生了影响。我们这项研究的目的是分析封锁对手部创伤患者流行病学的影响。我们的研究分析了2020年封锁和半封锁期间手部创伤患者数量及特征的变化,并与前一年和后一年的同期情况进行比较。2020年封锁期间,我们科室共治疗了107例手部创伤患者,与疫情前时期的平均治疗患者数量相比增加了2%。2020年半封锁期间,共治疗了158例患者,与疫情前时期相比增加了6.8%。在意大利封锁期间,转诊至我们枢纽中心的手部创伤患者流量保持稳定。鉴于封锁实施的限制措施,我们预计与工作相关的受伤数量会相应减少,实际情况确实如此,然而与交通相关的受伤数量却出现了惊人的增加。家庭事故数量保持稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/35e16787e54b/healthcare-11-03006-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/d157c47979d0/healthcare-11-03006-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/43f7a24c9958/healthcare-11-03006-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/e9b6019bfffc/healthcare-11-03006-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/35e16787e54b/healthcare-11-03006-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/d157c47979d0/healthcare-11-03006-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/43f7a24c9958/healthcare-11-03006-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/e9b6019bfffc/healthcare-11-03006-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd4/10706793/35e16787e54b/healthcare-11-03006-g004.jpg

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本文引用的文献

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Impact of the Covid-19 Pandemic on Orthopaedic and Trauma Surgery - A Systematic Review of the Current Literature.Covid-19 大流行对矫形和创伤外科的影响 - 当前文献的系统评价。
In Vivo. 2021 May-Jun;35(3):1337-1343. doi: 10.21873/invivo.12386. Epub 2021 Apr 28.
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Effect of the COVID-19 pandemic during the first lockdown in the Netherlands on the number of trauma-related admissions, trauma severity and treatment: the results of a retrospective cohort study in a level 2 trauma centre.新冠疫情大流行期间荷兰首次封锁对创伤相关入院人数、创伤严重程度和治疗的影响:二级创伤中心回顾性队列研究结果。
BMJ Open. 2021 Feb 19;11(2):e045015. doi: 10.1136/bmjopen-2020-045015.
3
St Andrew's COVID-19 surgery safety study: hand trauma.
圣安德鲁 COVID-19 手术安全研究:手部创伤。
Ann R Coll Surg Engl. 2021 Feb;103(2):96-103. doi: 10.1308/rcsann.2020.7011.
4
Identifying asymptomatic healthcare workers with COVID-19 in a community hospital: an institution's experience.在一家社区医院识别无症状新冠病毒感染医护人员:一家机构的经验
J Community Hosp Intern Med Perspect. 2020 Sep 3;10(5):396-398. doi: 10.1080/20009666.2020.1796904.
5
Impact of coronavirus disease 2019 (COVID-19) on the epidemiology of orthopedics trauma in a region of central italy.2019 年冠状病毒病(COVID-19)对意大利中部地区骨科创伤流行病学的影响。
Injury. 2020 Dec;51(12):2988-2989. doi: 10.1016/j.injury.2020.09.044. Epub 2020 Oct 2.
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Injuries in the time of COVID-19.新冠疫情时期的受伤情况。
Health Promot Chronic Dis Prev Can. 2020 Dec 9;40(11-12):336-341. doi: 10.24095/hpcdp.40.11/12.02. Epub 2020 Sep 11.
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