سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Morgan, Catrin, Sugand, Kapil, Ashdown, Thomas, Nathoo, Nikita, Macfarlane, Robert, Dyke, Rory, Park, Chang, Aframian, Arash, Domos, Peter, Horwitz, Maxim, Sarraf, Khaled, Dattani, Rupen. (1400). Impact of the National Lockdown Due to the COVID-19 Pandemic On Upper Limb Trauma Workload in Central London: A Multi-Centre Longitudinal Observational Study During Implementation and Ease of National Lockdown. , 10(1), 23-31. doi: 10.22038/abjs.2021.53205.2639
Catrin Morgan; Kapil Sugand; Thomas Ashdown; Nikita Nathoo; Robert Macfarlane; Rory Dyke; Chang Park; Arash Aframian; Peter Domos; Maxim D. Horwitz; Khaled M. Sarraf; Rupen Dattani. "Impact of the National Lockdown Due to the COVID-19 Pandemic On Upper Limb Trauma Workload in Central London: A Multi-Centre Longitudinal Observational Study During Implementation and Ease of National Lockdown". , 10, 1, 1400, 23-31. doi: 10.22038/abjs.2021.53205.2639
Morgan, Catrin, Sugand, Kapil, Ashdown, Thomas, Nathoo, Nikita, Macfarlane, Robert, Dyke, Rory, Park, Chang, Aframian, Arash, Domos, Peter, Horwitz, Maxim, Sarraf, Khaled, Dattani, Rupen. (1400). 'Impact of the National Lockdown Due to the COVID-19 Pandemic On Upper Limb Trauma Workload in Central London: A Multi-Centre Longitudinal Observational Study During Implementation and Ease of National Lockdown', , 10(1), pp. 23-31. doi: 10.22038/abjs.2021.53205.2639
Morgan, Catrin, Sugand, Kapil, Ashdown, Thomas, Nathoo, Nikita, Macfarlane, Robert, Dyke, Rory, Park, Chang, Aframian, Arash, Domos, Peter, Horwitz, Maxim, Sarraf, Khaled, Dattani, Rupen. Impact of the National Lockdown Due to the COVID-19 Pandemic On Upper Limb Trauma Workload in Central London: A Multi-Centre Longitudinal Observational Study During Implementation and Ease of National Lockdown. , 1400; 10(1): 23-31. doi: 10.22038/abjs.2021.53205.2639

Impact of the National Lockdown Due to the COVID-19 Pandemic On Upper Limb Trauma Workload in Central London: A Multi-Centre Longitudinal Observational Study During Implementation and Ease of National Lockdown

The Archives of Bone and Joint Surgery
مقاله 4، دوره 10، شماره 1، فروردین 2022، صفحه 23-31    اصل مقاله (762.24 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2021.53205.2639
نویسندگان
Catrin Morgan* 1؛ Kapil Sugand2؛ Thomas Ashdown2؛ Nikita Nathoo1؛ Robert Macfarlane1؛ Rory Dyke2؛ Chang Park2؛ Arash Aframian1؛ Peter Domos3؛ Maxim D. Horwitz1؛ Khaled M. Sarraf2؛ Rupen Dattani1
1Chelsea and Westminster NHS Foundation Trust, London, England, UK
2Imperial College Healthcare NHS Trust, London, England, UK
3Barnet Hospital, Royal Free NHS Foundation Trust, London, England UK
چکیده
Background: This study assessed the impact of the COVID-19 pandemic on acute upper limb referrals and operative case-mix at the beginning and ease of British lockdown. Methods: A longitudinal multicentre observational cohort study was conducted for both upper limb trauma referrals and operative case-mix over a 12-week period (6 weeks from the beginning and 6 weeks from the ease of the national lockdown). Statistical analysis included median (± median absolute deviation), risk and odds ratios, and Fisher’s exact test to calculate the statistical significance, set at p ≤ 0.05. Results: There was a 158% (n = 456 vs. 177) increase in upper limb referrals and 133% (n = 91 vs. 39) increase in the operative trauma caseload at the ease of lockdown compared with its commencement. An increase in sporting injuries was demonstrated (p=0.02), specifically cycling (p=0.004, OR=2.58). A significant increase in COVID-19 testing was demonstrated during the ease of lockdown (p=0.0001) with more patients having their management changed during the early pandemic (9.6% vs. 0.7%, p=0.0001). Of these patients, 47% went on to have delayed surgery within 6 months. No patients who underwent surgery tested positive for COVID-19 infection within 14 days post-operatively and no mortalities were recorded at 30 days. Conclusion: The ease of lockdown has seen upper limb referrals and operations more than double compared to early lockdown. With no patients testing positive for COVID-19 within 14 days of the procedure, this demonstrates that having upper limb surgery during the current pandemic is safe. Level of evidence: III
کلیدواژه‌ها
Trauma؛ Coronavirus؛ COVID-19؛ Upper Limb؛ Lockdown
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