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THE IMPACT OF COVID-19 ON THE EPIDEMIOLOGICAL PROFILE OF FRACTURES
Jonatas Brito DE Alencar Neto1, Erica Damasceno Oliveira2, Márcio Carvalho Castelo Branco2
1Instituto Doutor José Frota, Department of Orthopedic Surgery and Traumatology, Fortaleza, CE, Brazil.
Acta Ortopedica Brasileira
|December 1, 2022
Summary
The COVID-19 pandemic altered fracture treatment, leading to fewer surgeries and a shift towards high-energy trauma in older patients. Hospitalization times decreased significantly.
Area of Science:
- Orthopedics
- Traumatology
- Epidemiology
Background:
- The COVID-19 pandemic significantly impacted healthcare systems globally.
- Tertiary trauma centers experienced shifts in patient demographics and injury patterns.
Purpose of the Study:
- To analyze the epidemiological transition of fractures during the COVID-19 pandemic.
- To assess changes in trauma service at a reference traumatology hospital.
Main Methods:
- Retrospective and descriptive analysis of orthopedic lesions.
- Data collected from December 16, 2019, to June 16, 2020.
- Comparison of periods before and after the first COVID-19 case in Ceará.
Main Results:
- A significant reduction in operated female patients and an increase in mean patient age (35.4 to 38.48 years).
- Trauma mechanisms shifted, with a proportional increase in high-energy traumas and a decrease in falls.
- A 11.9% reduction in orthopedic surgeries was observed, alongside decreased mean hospitalization length and time to surgery.
Conclusions:
- The study highlights the impact of lockdown measures on trauma care.
- Observed changes include a reduced number of operated cases and altered patient profiles and trauma mechanisms.
- Evidence Level III, Retrospective Comparative Study.
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