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Published in: International Orthopaedics 11/2020

01-11-2020 | COVID-19 | Original Paper

Evaluation of containment measures’ effect on orthopaedic trauma surgery during the COVID-19 pandemic: a retrospective comparison between 2019 and 2020

Authors: Thibault Druel, Quentin Andeol, Frédéric Rongieras, Antoine Bertani, Maxence Bordes, Agathe Alvernhe

Published in: International Orthopaedics | Issue 11/2020

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Abstract

Background

There is no available information about the effect of containment measures on trauma surgery activity. The aim of this study was to analyse and report the containment measures’ impact on trauma surgery activity during the COVID-19 pandemic in order to quickly react and adjust in case of a new sanitary crisis and containment.

Methods

An original epidemiological study was performed in our trauma centre in France. Data from trauma surgeries performed during the pre-containment (from March 1 to March 16, 2020), containment (from March 17 to April 17, 2020) and reference (from March 1 to April 17, 2019) periods were compared. The primary outcome was the number of patients operated on daily and the daily operating room time. Clinical data, delay for surgery, mechanism of injury and injury pattern were also reviewed.

Results

There was a statistically significant decrease in the number of patients operated upon daily (− 39,8%, p value < 0.001) and daily operating room time (− 35.5%, p value < 0.001) between the reference and containment periods and between the pre-containment and containment periods (respectively, − 35.0%, p value < 0.001 and − 28.7%, p value 0.002). No differences were reported between the reference and pre-containment periods for daily-operated patients (p value 0.359).

Conclusion

Containment measures had a direct impact on trauma surgery activity with a decrease of a third of trauma surgery activity. Those results could be useful if a new containment occurred.
Literature
4.
Metadata
Title
Evaluation of containment measures’ effect on orthopaedic trauma surgery during the COVID-19 pandemic: a retrospective comparison between 2019 and 2020
Authors
Thibault Druel
Quentin Andeol
Frédéric Rongieras
Antoine Bertani
Maxence Bordes
Agathe Alvernhe
Publication date
01-11-2020
Publisher
Springer Berlin Heidelberg
Keyword
COVID-19
Published in
International Orthopaedics / Issue 11/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04712-9

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