COVID-19 パンデミック前,期間,および後の義大利高等病院における足首骨折の流行病学と管理
PubMedで要約を見る
まとめ
この要約は機械生成です。COVID-19 パンデミックは足首骨折の発生率を低下させましたが,高齢女性では三角骨折が増加しました. 治療は外部の固定に移され,より長い入院期間が観察されました.
科学分野
- 整形外科
- 流行病学について
- トラウマ 手術
背景
- 足首の骨折は下肢の損傷で よく見られ 女性や高齢者に多発します
- COVID-19 パンデミックは,骨折の発生率と治療パターンに世界的な影響を及ぼしました.
- これらの変化を理解することは,医療戦略の適応に不可欠です.
研究 の 目的
- 2018年から2023年にかけての足首骨折の発生率,人口統計,治療の動向を分析する.
- パンデミック前,パンデミック後を比較する.
- 骨折の種類,手術,入院期間の変化を特定する.
主な方法
- 1010人の足首骨折症例 (2018-2023) の遡及的観察研究.
- ICD-9-CMコードとX線分類 (Danis-Weber, Lauge-Hansen, AO/OTA) を使用して医療記録から収集されたデータ.
- 統計分析には,tテスト,チ平方,および線形回帰 (p < 0. 05) が含まれていた.
主要な成果
- 2020年には足首骨折の発生率が 31.7%減少しました.
- トリマレオラ骨折は,特に高齢女性では,パンデミック期間中に増加しました.
- 外科治療の割合は上昇し,ORIFから外部の固定に移行し,入院期間が延びました.
結論
- COVID-19 パンデミックは足首骨折の流行病学と治療法を大幅に変更しました.
- 適応可能なケアモデルと予防戦略が必要であり,特に脆弱なグループには必要である.
- 発見は,整形外科のトラウマケアに 持続的な影響を与えていることを示しています.
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