COVID-19大流行对非covid患者脆性髋部骨折治疗和结局的影响:单个机构封锁期、历史系列和“大流行常态”的比较

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY Geriatric Orthopaedic Surgery & Rehabilitation Pub Date : 2023-01-01 DOI:10.1177/21514593231152420

Elisa Troiano, Alice Giulia De Sensi, Francesco Zanasi, Andrea Facchini, Giulia De Marco, Giovanni Battista Colasanti, Nicola Mondanelli, Stefano Giannotti

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引用次数: 2

摘要

新冠肺炎疫情已经并将继续深刻影响公众生活的方方面面。世界各国政府被迫颁布限制性措施，遏制疫情蔓延，导致国家领土内人员流动减少，并通过暂停非紧急程序重新分配保健资源。意大利从2020年3月9日至5月3日实施了封锁。因此，预计骨科创伤的总手术量会显著减少，但不可能预测老年人股骨近端脆性骨折的类似趋势。方法:本文的目的是研究COVID-19对创伤手术手术量的影响，并确定大流行如何影响单一机构非covid患者脆性髋部骨折(FHFs)的管理。结果:第一个结果是，在第一次封锁期间，骨科创伤的总手术量在统计学上显著减少，接受手术的患者的平均年龄增加，正如预期的那样。关于第二个目标，在所分析的期间内，fhf的发生率几乎没有变化。调查的人群在人口统计学、合并症、骨折类型、围手术期并发症、住院后48小时内手术的百分比和1年预后方面具有重叠性。讨论:我们的结果与文献中已经出现的结果一致。结论:我们的研究揭示了限制性抗传染措施对骨科手术总量的显着影响，但同时我们可以肯定，大流行并未影响非covid患者FHFs的管理及其结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Impact of COVID-19 Pandemic on Treatment and Outcome of Fragility Hip Fractures In Non-COVID Patients: Comparison Between the Lockdown Period, a Historical Series and the "Pandemic Normality" in a Single Institution.

Introduction: The COVID-19 pandemic has affected and is still deeply affecting all aspects of public life. World governments have been forced to enact restrictive measures to stem the contagion which have led to a decrease in the movement of people within national territory and to a redirection of health care resources with a suspension of non-urgent procedures. In Italy, a lockdown was imposed from March 9^th to May 3^rd, 2020. As a result, a significant reduction in the overall operative volume of orthopedic trauma was expected, but it was not possible to predict a similar trend regarding fragility fractures of the proximal femur in the elderly.

Methods: The aim of this paper was to examine the impact of COVID-19 on the operating volume for trauma surgeries and to determine how the pandemic affected the management of fragility hip fractures (FHFs) in non-COVID patients at a single Institution.

Results: The first result was a statistically significant reduction in the overall operative volume of orthopedic trauma during the period of the first lockdown and an increase in the mean age of patients undergoing surgery, as expected. As regard to the second aim, the incidence of FHFs remained almost unchanged during the periods analysed. The population examined were superimposable in terms of demographics, comorbidities, type of fracture, peri-operative complications, percentage of operations performed within 48 hours from hospitalization and 1-year outcome.

Discussion: Our results are in line with those already present in the Literature.

Conclusions: Our study revealed a significant impact of the restrictive anti-contagion measures on the overall orthopedic surgical volume, but, at the same time, we could affirm that the pandemic did not affect the management of FHFs in non-COVID patients, and their results.

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来源期刊

Geriatric Orthopaedic Surgery & Rehabilitation Medicine-Rehabilitation

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： Geriatric Orthopaedic Surgery & Rehabilitation (GOS) is an open access, peer-reviewed journal that provides clinical information concerning musculoskeletal conditions affecting the aging population. GOS focuses on care of geriatric orthopaedic patients and their subsequent rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE).