ABSTRACT
Background: Lockdown imposed to limit the spread of COVID 19 may have had a significant effect on the time to care, demography, injury causation, injury characteristics, volume and nature of admission, management and outcome of paediatric orthopaedic trauma patients. Objective: To document the effect of lockdown on the time to care at KGMU, use of ambulance, volume and type of admissions, demography, injury causation, injury characteristics, management and outcome of paediatric orthopaedic trauma patients. Methods:. This record review compared age, sex, type of admission, mechanism of injury, injury characteristics, type of treatment, vehicle used for transport, and outcome among patients admitted in pre-lockdown, lockdown and post lockdown. Results: Lockdown was associated with decrease in the number of cases (p<0.01), increase in the time since injury to reception (p<0.040), a rise in the share of referred admission (p<0.040), time since reception at KGMU, time to definitive care (p<0.001), high energy falls (p<0.001), injuries at home (p<0.001), higher ISS (p<0.001), non operative treatment (p=0.038) and greater use of ambulance (p=0.003). Conclusion: Lockdown resulted in a significant change in the causation and management of injury, significant delays in timeliness of care, reduction in the volume of admissions, an increase in injury severity and share of referral admissions. © 2022, Indian Association of Preventive and Social Medicine. All rights reserved.
ABSTRACT
There is a current public health issue threatening human health worldwide with the rapid spread of the novel coronavirus (2019-nCoV) or severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The infection was reported to first originate in bats and subsequently spread to humans via yet unknown source animals in Wuhan, Hubei, China in December, 2019. Coronavirus disease 2019 (COVID-19) caused by extreme acute respiratory coronavirus-2 syndrome (SARS-CoV-2) is an unprecedented healthy global emergency. The outbreak of SARS-CoV-2 has once again revealed the vulnerabilities of global healthcare systems, the capacity of these systems to respond to an infectious threat, as well as the rate of infection and transmission across international borders. The present review article aimed to provide an update of the current knowledge regarding COVID-19 epidemiology, patho- genesis and transmission, as well as public health measures. The present review also emphasises the key learning points related to COVID-19 prevention and identifies the need to invest in healthcare systems, community-led defence systems, as well as the need for resilience and global health security. © 2021 World Academy of Sciences Journal. All rights reserved.