Your browser doesn't support javascript.
Epidemiology of distal radius fractures in children and adults during the COVID-19 pandemic - a two-center study.
Olech, Jaroslaw; Ciszewski, Mariusz; Morasiewicz, Piotr.
  • Olech J; Provincial Specialist Hospital in Legnica, Orthopedic Surgery Department, Iwaszkiewicza 5, 59-220, Legnica, Poland.
  • Ciszewski M; Department of Orthopaedic and Trauma Surgery, University Hospital in Opole, Institute of Medical Sciences, University of Opole, al. Witosa 26, 45-401, Opole, Poland.
  • Morasiewicz P; Department of Orthopaedic and Trauma Surgery, University Hospital in Opole, Institute of Medical Sciences, University of Opole, al. Witosa 26, 45-401, Opole, Poland. morasp@poczta.onet.pl.
BMC Musculoskelet Disord ; 22(1): 306, 2021 Mar 26.
Article in English | MEDLINE | ID: covidwho-1154000
ABSTRACT

BACKGROUND:

Distal radius fractures (DRFs) constitute 15-21% of all fractures. There are no detailed data on the possible changes in the epidemiology and treatment of DRFs in children and adults during the Covid pandemic. The purpose of our study was a comprehensive assessment of the impact of the COVID-19 pandemic on distal radius fractures (DRF) epidemiology, including both children and adults and various fracture fixation methods in two large trauma centers in Poland.

METHODS:

This study compared the medical data on the treatment of distal radius fractures in Poland in two periods the period of the COVID-19 pandemic (from March 15 to October 15, 2020) and the corresponding period prior to the pandemic (from March 15 to October 15, 2019). We assessed detailed data from two trauma centers for pediatric and adult patients. Outpatients seeking medical attention at emergency departments and inpatients undergoing surgery at trauma-orthopedic wards were evaluated. We compared epidemiological data, demographic data, treatment type, and hospital stay duration.

RESULTS:

The total number of patients hospitalized due to DRF during the pandemic was 180, it was 15.1% lower than that from the pre-COVID-19 pandemic period (212). In the case of adult patients, the total number of those hospitalized during the pandemic decreased significantly (by 22%) from 132 to 103 patients. Analysis of the individual treatment methods revealed that the number of adults who underwent conservative treatment was considerably (by 30.3%) significantly lower in the period of the COVID-19 pandemic, from 119 to 83 patients. Compared to 13 patients from the pre-pandemic period, the number of surgically treated adults statistically increased to 20 patients (by 53.8%). Our analyses showed hospitalizations of surgically treated adults to be shorter by 12.7% during the pandemic, with the corresponding hospitalizations of surgically treated pediatric patients to be shorter by11.5%.

CONCLUSIONS:

Our study showed a significant impact of the COVID-19 pandemic on the epidemiology and treatment of DRFs in children and adults. We found decreased numbers of pediatric and adult patients with DRFs during the COVID-19 pandemic. The pandemic caused an increase in the number of children and significantly increase adults undergoing surgical treatment for DRFs, a decrease in mean patient age, shorter significantly length of hospital stay, and an increased number of men with DRFs.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Radius Fractures / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adolescent / Adult / Child / Humans / Middle aged / Young adult Country/Region as subject: Europa Language: English Journal: BMC Musculoskelet Disord Journal subject: Physiology / Orthopedics Year: 2021 Document Type: Article Affiliation country: S12891-021-04128-5

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Radius Fractures / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adolescent / Adult / Child / Humans / Middle aged / Young adult Country/Region as subject: Europa Language: English Journal: BMC Musculoskelet Disord Journal subject: Physiology / Orthopedics Year: 2021 Document Type: Article Affiliation country: S12891-021-04128-5