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Effect of Statewide Social Distancing and Stay-At-Home Directives on Orthopaedic Trauma at a Southwestern Level 1 Trauma Center During the COVID-19 Pandemic.
Lubbe, Ryan J; Miller, Jordan; Roehr, Casey A; Allenback, Gayle; Nelson, Karen E; Bear, Jessica; Kubiak, Erik N.
  • Lubbe RJ; Department of Orthopaedic Surgery, University of Nevada Las Vegas School of Medicine, Las Vegas, NV; and.
  • Miller J; Department of Orthopaedic Surgery, University of Nevada Las Vegas School of Medicine, Las Vegas, NV; and.
  • Roehr CA; Department of Orthopaedic Surgery, University of Nevada Las Vegas School of Medicine, Las Vegas, NV; and.
  • Allenback G; Department of Orthopaedic Surgery, University of Nevada Las Vegas School of Medicine, Las Vegas, NV; and.
  • Nelson KE; OptumCare Orthopaedics and Spine, OptumCare, Las Vegas, NV.
  • Bear J; Department of Orthopaedic Surgery, University of Nevada Las Vegas School of Medicine, Las Vegas, NV; and.
  • Kubiak EN; OptumCare Orthopaedics and Spine, OptumCare, Las Vegas, NV.
J Orthop Trauma ; 34(9): e343-e348, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-682755
ABSTRACT

OBJECTIVES:

To compare orthopaedic trauma volume and mechanism of injury before and during statewide social distancing and stay-at-home directives.

DESIGN:

Retrospective.

SETTING:

Level 1 trauma center. PATIENTS/

PARTICIPANTS:

One thousand one hundred thirteen patients sustaining orthopaedic trauma injuries between March 17 and April 30 of years 2018, 2019, and 2020. INTERVENTION Statewide social distancing and stay-at-home directives. MAIN OUTCOME MEASUREMENTS Number of consults, mechanism of injury frequency, and type of injury frequency.

RESULTS:

During the COVID-19 pandemic, orthopaedic trauma consult number decreased. Injuries due to gunshot wounds increased and those due to automobile versus pedestrian accidents decreased. Time-to-presentation increased and length of stay decreased. Operative consults remained unchanged.

CONCLUSIONS:

Orthopaedic trauma injuries continued to occur during the COVID-19 pandemic at an overall decreased rate, however, with a different distribution in mechanism and type of injury. LEVEL OF EVIDENCE Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Social Isolation / Trauma Centers / Communicable Disease Control / Coronavirus Infections / Fractures, Bone / Pandemics / Betacoronavirus Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged / Young adult Language: English Journal: J Orthop Trauma Journal subject: Orthopedics / Traumatology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Social Isolation / Trauma Centers / Communicable Disease Control / Coronavirus Infections / Fractures, Bone / Pandemics / Betacoronavirus Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged / Young adult Language: English Journal: J Orthop Trauma Journal subject: Orthopedics / Traumatology Year: 2020 Document Type: Article