The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war.
Betacoronavirus
COVID-19
Coronavirus Infections
/ epidemiology
Disease Outbreaks
Elective Surgical Procedures
/ statistics & numerical data
Emergency Service, Hospital
Humans
Italy
/ epidemiology
Orthopedic Procedures
/ statistics & numerical data
Orthopedics
Pandemics
Pneumonia, Viral
/ epidemiology
SARS-CoV-2
Trauma Centers
Traumatology
Covid-19
Orthopaedics
Outbreak
Pandemic
Traumatology
Journal
International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
07
05
2020
accepted:
12
05
2020
pubmed:
28
6
2020
medline:
15
8
2020
entrez:
28
6
2020
Statut:
ppublish
Résumé
From February 21, the day of hospitalisation in ICU of the first diagnosed case of Covid-19, the social situation and the hospitals' organisation throughout Italy dramatically changed. The CIO (Club Italiano dell'Osteosintesi) is an Italian society devoted to the study of traumatology that counts members spread in public and private hospitals throughout the country. Fifteen members of the CIO, Chairmen of 15 Orthopaedic and Trauma Units of level 1 or 2 trauma centres in Italy, have been involved in the study. They were asked to record data about surgical, outpatients clinics and ER activity from the 23rd of February to the 4th of April 2020. The data collected were compared with the data of the same timeframe of the previous year (2019). Comparing with last year, overall outpatient activity reduced up to 75%, overall Emergency Room (ER) trauma consultations up to 71%, elective surgical activity reduced up to 100% within two weeks and trauma surgery excluding femoral neck fractures up to 50%. The surgical treatment of femoral neck fractures showed a stable reduction from 15 to 20% without a significant variation during the timeframe. Covid-19 outbreak showed a tremendous impact on all orthopaedic trauma activities throughout the country except for the surgical treatment of femoral neck fractures, which, although reduced, did not change in percentage within the analysed timeframe.
Sections du résumé
BACKGROUND
From February 21, the day of hospitalisation in ICU of the first diagnosed case of Covid-19, the social situation and the hospitals' organisation throughout Italy dramatically changed.
METHODS
The CIO (Club Italiano dell'Osteosintesi) is an Italian society devoted to the study of traumatology that counts members spread in public and private hospitals throughout the country. Fifteen members of the CIO, Chairmen of 15 Orthopaedic and Trauma Units of level 1 or 2 trauma centres in Italy, have been involved in the study. They were asked to record data about surgical, outpatients clinics and ER activity from the 23rd of February to the 4th of April 2020. The data collected were compared with the data of the same timeframe of the previous year (2019).
RESULTS
Comparing with last year, overall outpatient activity reduced up to 75%, overall Emergency Room (ER) trauma consultations up to 71%, elective surgical activity reduced up to 100% within two weeks and trauma surgery excluding femoral neck fractures up to 50%. The surgical treatment of femoral neck fractures showed a stable reduction from 15 to 20% without a significant variation during the timeframe.
CONCLUSIONS
Covid-19 outbreak showed a tremendous impact on all orthopaedic trauma activities throughout the country except for the surgical treatment of femoral neck fractures, which, although reduced, did not change in percentage within the analysed timeframe.
Identifiants
pubmed: 32591960
doi: 10.1007/s00264-020-04637-3
pii: 10.1007/s00264-020-04637-3
pmc: PMC7319215
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1453-1459Commentaires et corrections
Type : CommentIn
Références
N Engl J Med. 2020 Mar 26;382(13):1199-1207
pubmed: 31995857
J Vasc Interv Radiol. 2020 Jun;31(6):869-875
pubmed: 32331919
J Orthop Trauma. 2020 Jul;34(7):333-340
pubmed: 32301767
J Arthroplasty. 2020 Jul;35(7S):S32-S36
pubmed: 32345566
J Arthroplasty. 2020 Jul;35(7S):S6-S9
pubmed: 32370923
J Clin Orthop Trauma. 2020 May-Jun;11(3):504-505
pubmed: 32292257
Arthrosc Sports Med Rehabil. 2020 Apr 11;2(3):e175-e176
pubmed: 32292914
J Arthroplasty. 2020 Jul;35(7S):S3-S5
pubmed: 32376169
Singapore Med J. 2020 Aug;61(8):396-398
pubmed: 32312024
J Am Acad Orthop Surg. 2020 Jun 1;28(11):436-450
pubmed: 32304401
J Am Acad Orthop Surg. 2020 Jun 1;28(11):e465-e468
pubmed: 32324709