Impact of COVID‐19‐related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave
This study examines the impact that social distancing measures introduced to combat coronavirus disease 2019 (COVID‐19) have had on the orthopaedic trauma load at a level 1 trauma hospital in Sydney. Background The coronavirus disease 2019 (COVID‐19) pandemic has affected communities worldwide. This...
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Published in | ANZ journal of surgery Vol. 91; no. 1-2; pp. 68 - 72 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Melbourne
John Wiley & Sons Australia, Ltd
01.01.2021
Blackwell Publishing Ltd |
Subjects | |
Online Access | Get full text |
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Abstract | This study examines the impact that social distancing measures introduced to combat coronavirus disease 2019 (COVID‐19) have had on the orthopaedic trauma load at a level 1 trauma hospital in Sydney.
Background
The coronavirus disease 2019 (COVID‐19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control viral spread have had on orthopaedic trauma presenting to an Australian level 1 trauma centre. We hypothesized that the volume of orthopaedic trauma in the period of social distancing would decrease, and the mechanisms of injury differ, compared to pre‐pandemic times.
Methods
We performed a retrospective analysis of patients requiring emergency orthopaedic surgery between 16 March and 21 April 2020 (the period after social distancing and lockdown commenced), and compared it to the group of patients from the same period in 2019. We collected demographic data, as well as injury type, anatomical location, mechanism of injury and surgical logistics.
Results
During the COVID‐19 period, total emergency operations performed decreased by 15.6% compared to the same period in 2019. Orthopaedic admissions decreased by 30.8%. Demographics of the groups were unchanged. Anaesthetic time decreased, but total time spent in the operating theatre was unchanged. Road trauma comprised a similar proportion of cases overall; however, cycling‐related accidents increased significantly, making up 11% of presentations during COVID‐19. Sporting injuries, work‐related injuries and multi‐traumas reduced during the pandemic.
Conclusion
The impact of COVID‐19‐related lockdown measures and social distancing on orthopaedic trauma in Australia has been an overall decrease in volume of cases, combined with significant changes in the mechanisms of injury necessitating surgery. |
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AbstractList | This study examines the impact that social distancing measures introduced to combat coronavirus disease 2019 (COVID‐19) have had on the orthopaedic trauma load at a level 1 trauma hospital in Sydney.
Background
The coronavirus disease 2019 (COVID‐19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control viral spread have had on orthopaedic trauma presenting to an Australian level 1 trauma centre. We hypothesized that the volume of orthopaedic trauma in the period of social distancing would decrease, and the mechanisms of injury differ, compared to pre‐pandemic times.
Methods
We performed a retrospective analysis of patients requiring emergency orthopaedic surgery between 16 March and 21 April 2020 (the period after social distancing and lockdown commenced), and compared it to the group of patients from the same period in 2019. We collected demographic data, as well as injury type, anatomical location, mechanism of injury and surgical logistics.
Results
During the COVID‐19 period, total emergency operations performed decreased by 15.6% compared to the same period in 2019. Orthopaedic admissions decreased by 30.8%. Demographics of the groups were unchanged. Anaesthetic time decreased, but total time spent in the operating theatre was unchanged. Road trauma comprised a similar proportion of cases overall; however, cycling‐related accidents increased significantly, making up 11% of presentations during COVID‐19. Sporting injuries, work‐related injuries and multi‐traumas reduced during the pandemic.
Conclusion
The impact of COVID‐19‐related lockdown measures and social distancing on orthopaedic trauma in Australia has been an overall decrease in volume of cases, combined with significant changes in the mechanisms of injury necessitating surgery. The coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control viral spread have had on orthopaedic trauma presenting to an Australian level 1 trauma centre. We hypothesized that the volume of orthopaedic trauma in the period of social distancing would decrease, and the mechanisms of injury differ, compared to pre-pandemic times. We performed a retrospective analysis of patients requiring emergency orthopaedic surgery between 16 March and 21 April 2020 (the period after social distancing and lockdown commenced), and compared it to the group of patients from the same period in 2019. We collected demographic data, as well as injury type, anatomical location, mechanism of injury and surgical logistics. During the COVID-19 period, total emergency operations performed decreased by 15.6% compared to the same period in 2019. Orthopaedic admissions decreased by 30.8%. Demographics of the groups were unchanged. Anaesthetic time decreased, but total time spent in the operating theatre was unchanged. Road trauma comprised a similar proportion of cases overall; however, cycling-related accidents increased significantly, making up 11% of presentations during COVID-19. Sporting injuries, work-related injuries and multi-traumas reduced during the pandemic. The impact of COVID-19-related lockdown measures and social distancing on orthopaedic trauma in Australia has been an overall decrease in volume of cases, combined with significant changes in the mechanisms of injury necessitating surgery. This study examines the impact that social distancing measures introduced to combat coronavirus disease 2019 (COVID‐19) have had on the orthopaedic trauma load at a level 1 trauma hospital in Sydney. BACKGROUNDThe coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control viral spread have had on orthopaedic trauma presenting to an Australian level 1 trauma centre. We hypothesized that the volume of orthopaedic trauma in the period of social distancing would decrease, and the mechanisms of injury differ, compared to pre-pandemic times. METHODSWe performed a retrospective analysis of patients requiring emergency orthopaedic surgery between 16 March and 21 April 2020 (the period after social distancing and lockdown commenced), and compared it to the group of patients from the same period in 2019. We collected demographic data, as well as injury type, anatomical location, mechanism of injury and surgical logistics. RESULTSDuring the COVID-19 period, total emergency operations performed decreased by 15.6% compared to the same period in 2019. Orthopaedic admissions decreased by 30.8%. Demographics of the groups were unchanged. Anaesthetic time decreased, but total time spent in the operating theatre was unchanged. Road trauma comprised a similar proportion of cases overall; however, cycling-related accidents increased significantly, making up 11% of presentations during COVID-19. Sporting injuries, work-related injuries and multi-traumas reduced during the pandemic. CONCLUSIONThe impact of COVID-19-related lockdown measures and social distancing on orthopaedic trauma in Australia has been an overall decrease in volume of cases, combined with significant changes in the mechanisms of injury necessitating surgery. |
Author | Shatrov, Jobe G. Sivakumar, Brahman S. Probert, Annabel C. An, Vincent Ellis, Andrew M. Nicholls, Sarah L. Symes, Michael J. |
AuthorAffiliation | 1 Department of Orthopaedics and Trauma Surgery Royal North Shore Hospital Sydney New South Wales Australia 2 Department of Orthopaedics and Trauma Royal Prince Alfred Hospital Sydney New South Wales Australia |
AuthorAffiliation_xml | – name: 2 Department of Orthopaedics and Trauma Royal Prince Alfred Hospital Sydney New South Wales Australia – name: 1 Department of Orthopaedics and Trauma Surgery Royal North Shore Hospital Sydney New South Wales Australia |
Author_xml | – sequence: 1 givenname: Annabel C. orcidid: 0000-0002-6115-3508 surname: Probert fullname: Probert, Annabel C. email: annabelprobert@gmail.com organization: Royal North Shore Hospital – sequence: 2 givenname: Brahman S. orcidid: 0000-0003-0890-2132 surname: Sivakumar fullname: Sivakumar, Brahman S. organization: Royal North Shore Hospital – sequence: 3 givenname: Vincent orcidid: 0000-0002-9187-1252 surname: An fullname: An, Vincent organization: Royal Prince Alfred Hospital – sequence: 4 givenname: Sarah L. surname: Nicholls fullname: Nicholls, Sarah L. organization: Royal North Shore Hospital – sequence: 5 givenname: Jobe G. orcidid: 0000-0003-3073-2416 surname: Shatrov fullname: Shatrov, Jobe G. organization: Royal North Shore Hospital – sequence: 6 givenname: Michael J. orcidid: 0000-0002-4613-2653 surname: Symes fullname: Symes, Michael J. organization: Royal North Shore Hospital – sequence: 7 givenname: Andrew M. surname: Ellis fullname: Ellis, Andrew M. organization: Royal North Shore Hospital |
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Cites_doi | 10.1016/S0140-6736(20)30567-5 10.1097/00003086-199803000-00004 10.1016/j.injury.2020.05.016 10.1080/17453674.2020.1783621 10.1097/BPO.0000000000001600 |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 A. C. Probert MBBS; B. S. Sivakumar MBBS, FRACS; V. An MD, MPhil; S. L. Nicholls MBBS; J. G. Shatrov MBBS, FRACS; M. J. Symes MBBS, FRACS; A. M. Ellis MBBS, FRACS. |
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Snippet | This study examines the impact that social distancing measures introduced to combat coronavirus disease 2019 (COVID‐19) have had on the orthopaedic trauma load... The coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control... BackgroundThe coronavirus disease 2019 (COVID‐19) pandemic has affected communities worldwide. This study examines the impact that public health measures to... BACKGROUNDThe coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide. This study examines the impact that public health measures to... |
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SubjectTerms | Adult Australia Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control Demography Disease control Emergency procedures Female hospital presentations Hospitalization - statistics & numerical data Humans Injuries Injury prevention Logistics Male Musculoskeletal System - injuries orthopaedic surgery Orthopedic Procedures - statistics & numerical data Orthopedics Pandemics Physical Distancing Public health Retrospective Studies Social distancing Sports related injuries Surgery Trauma Trauma Centers - statistics & numerical data Viral diseases Wounds and Injuries - epidemiology Wounds and Injuries - surgery |
Title | Impact of COVID‐19‐related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave |
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