Mascio Antonio, Greco Tommaso, Comisi Chiara, Cinelli Virginia, De Gasperis Nicola, Candelli Marcello, Franceschi Francesco, Covino Marcello, Maccauro Giulio, Perisano Carlo
Department of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00136 Rome, Italy.
Department of Orthopedics and Rheumatological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00136 Rome, Italy.
J Clin Med. 2024 Dec 13;13(24):7585. doi: 10.3390/jcm13247585.
: Foot and ankle injuries are one of the leading orthopedic causes of emergency department (ED) admissions. The purpose of this study was to analyze, through 5 years of data collection, differences in number and type of admissions, as well as the severity of foot and ankle trauma to the ED in the pre-pandemic period, during the COVID-19 emergency, and in the post-pandemic period. This study aims to assess epidemiological and clinical data. : Five years of data were collected on admissions to the ED at the Fondazione Policlinico Universitario A. Gemelli using an electronic database. The system allowed the use of a numeric code assessed at triage ranging from 1 to 5, where 1 indicated a patient with compromised vital functions, and it continued in decreasing criticality. Data were extensively analyzed and extrapolated to obtain epidemiological and clinical evaluation. : Data from 3787 patients, including 1945 males with a mean age of 41.4 years, were collected. Data were evaluated in the three different periods. In the pre-pandemic period, 2228 ED admissions were recorded, including 1138 males with a mean age of 37.4 years and a mean of 2.79 admissions per day. Codes 3 and 4 reported in the ED triage were 4.8% and 90.1%, respectively; the average surgical treatment was 5.6%. During the COVID period, the total number of admissions was 981, with 501 males with an average age of 43.8 years and a mean of 1.30 admissions per day. Codes 3 and 4 were 22.5% and 72.7%, respectively; the average surgical treatment was 10.4%. In the post-COVID period, 578 admissions were, including 306 males with a mean age of 43.2 years, and a daily access rate of 1.58 patients. Codes 3 and 4 reported in the ED triage were 25.4% and 70.8%, respectively; the average surgical treatment was 8.6%. : During the pandemic period due to COVID-19 a substantial decrease in total admissions per day in the ED was noted, but an increase in more complex codes occurred, as evidenced by the percentage increase in surgical admissions compared to total admissions during the pandemic; the mean age of users gradually increased. Total hospitalization data remained stable in the post-pandemic period, likely due to the global impact of the pandemic. COVID-19 radically and concretely changed people's living habits and priorities for accessing the ED.
足踝损伤是急诊科收治患者的主要骨科病因之一。本研究的目的是通过5年的数据收集，分析大流行前时期、新冠疫情期间和大流行后时期急诊科收治的足踝损伤患者数量、类型差异以及损伤严重程度。本研究旨在评估流行病学和临床数据。
在罗马天主教大学圣心综合医院急诊科，利用电子数据库收集了5年的收治数据。该系统允许使用分诊时评估的1至5的数字代码，其中1表示生命功能受损的患者，代码数值越小，病情越危急。对数据进行了广泛分析和推断，以获得流行病学和临床评估结果。
收集了3787例患者的数据，其中包括1945名男性，平均年龄41.4岁。对三个不同时期的数据进行了评估。在大流行前时期，记录了2228例急诊科收治病例，其中包括1138名男性，平均年龄37.4岁，平均每天收治2.79例。急诊科分诊记录的代码3和代码4分别为4.8%和90.1%；平均手术治疗率为5.6%。在新冠疫情期间，收治总数为981例，其中501名男性，平均年龄43.8岁，平均每天收治1.30例。代码3和代码4分别为22.5%和72.7%；平均手术治疗率为10.4%。在新冠疫情后时期，收治578例，其中包括306名男性，平均年龄43.2岁，每天就诊率为1.58例。急诊科分诊记录的代码3和代码4分别为25.4%和70.8%；平均手术治疗率为8.6%。
在新冠疫情大流行期间，注意到急诊科每日收治总数大幅下降，但更复杂代码的病例有所增加，这从大流行期间手术收治病例占总收治病例的百分比增加可以看出；就诊患者的平均年龄逐渐增加。在大流行后时期，总住院数据保持稳定，这可能是由于大流行的全球影响。新冠疫情从根本上切实改变了人们的生活习惯和前往急诊科就诊的优先级。
