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1.
S Afr Med J ; 111(7): 668-673, 2021 06 30.
Article in English | MEDLINE | ID: mdl-34382551

ABSTRACT

BACKGROUND: COVID-19 national lockdown measures in South Africa (SA) have been under scrutiny since they were implemented in March 2020. Currently there are no studies showing the effect of the first lockdown on hospital admissions in the northern provinces of SA. OBJECTIVES: To evaluate the impact of national lockdown restrictions on musculoskeletal injury admissions in three hospitals across three provinces (Gauteng, Limpopo and North West). METHODS: In a retrospective review, we compared orthopaedic trauma admissions from 1 April 2020 to 30 June 2020 (during alert level 5 of the national lockdown) with cases admitted during the same period in 2019 (non-lockdown). We reviewed the number of admissions, demographic data and mechanisms of injury in the adult and paediatric population groups. RESULTS: A total of 449 patients were admitted with musculoskeletal injuries during the lockdown period compared with 664 patients in 2019, equating to a 32% reduction in total admissions. While there was an 8% increase in paediatric admissions during lockdown at Dr George Mukhari Academic Hospital, adult admissions decreased in all centres. More young males were admitted during both lockdown (mean age 39.8 years) and non-lockdown (mean age 41.2 years) periods than females (p=0.004). There were significant reductions in the number of injuries due to motor vehicle accidents (59%) and in the number of gunshot wounds (36%) during lockdown. However, we observed an 11% rise in injuries related to suicide attempts among adult admissions during the lockdown period. CONCLUSIONS: Lockdown restrictions resulted in a significant reduction in orthopaedic trauma admissions, and were effective in terms of allowing institutions to direct resources to the management of COVID-19 patients. In the light of the increased suicide attempts observed during lockdown, future lockdown regulations should include comprehensive measures to relieve socioeconomic stress.


Subject(s)
COVID-19 , Hospitalization/statistics & numerical data , Musculoskeletal Diseases/epidemiology , Suicide, Attempted/statistics & numerical data , Adolescent , Adult , Age Distribution , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , Retrospective Studies , Sex Distribution , South Africa/epidemiology , Wounds and Injuries/epidemiology , Young Adult
2.
Cent Afr J Med ; 46(2): 41-3, 2000 Feb.
Article in English | MEDLINE | ID: mdl-14674208

ABSTRACT

OBJECTIVES: This is a clinicopathological correlation of cases of osteosarcoma diagnosed and treated at Ga-Rankuwa Teaching Hospital. DESIGN: A retrospective study. SETTINGS: Department of Orthopaedics and Anatomical Pathology at Ga-Rankuwa/MEDUNSA Academic complex, a tertiary referral centre. SUBJECTS: 66 patients with a diagnosis of osteosarcoma. MAIN OUTCOME MEASURES: Records of the bone tumour registry were reviewed and cases of osteosarcoma were identified. Slides were retrieved and the diagnoses confirmed in all the cases. Information pertaining to clinical presentation and patients' survival was obtained from the clinical records. RESULTS: The patients' ages ranged from nine years to 75 years with a mean of 19.7 years (median 17 years). Most cases occurred around the knee and the male to female ratio was 2.7:1. The five year survival rate was 7.5% and only 25.8% survived for one year. CONCLUSION: Our patients present with advanced disease leading to poor survival.


Subject(s)
Bone Neoplasms , Osteosarcoma , Adolescent , Adult , Age Distribution , Aged , Amputation, Surgical , Black People , Bone Neoplasms/diagnosis , Bone Neoplasms/epidemiology , Bone Neoplasms/therapy , Child , Combined Modality Therapy , Female , Hospitals, Teaching , Humans , Male , Middle Aged , Neoplasm Staging , Osteosarcoma/diagnosis , Osteosarcoma/epidemiology , Osteosarcoma/therapy , Population Surveillance , Registries , Retrospective Studies , Risk Factors , Sex Distribution , South Africa/epidemiology , Survival Analysis , Treatment Outcome
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