Evidence map›Paper›PMID 32405089›Full record

Observational studyInjury2020

Impact of the COVID-19 Pandemic on an Emergency Traumatology Service: Experience at a Tertiary Trauma Centre in Spain.

Jorge H Nuñez, Andrea Sallent, Kushal Lakhani, Ernesto Guerra-Farfan, Nuria Vidal, Seper Ekhtiari, Joan Minguell

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Injury, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 179 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
179citing papers in PubMed, 8 pooled it
26.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

179 citing papers in PubMed, 8 syntheses or guidelines pooled it, 348 citations in OpenAlex.

  1. Pooled it
  2. Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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  5. Mortality among hip fracture patients infected with COVID-19 perioperatively.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
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119 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Jorge H NuñezDepartment of Traumatology and Orthopedic Surgery, University Hospital of Vall d'Hebron. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Universitat Autónoma de Barcelona. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Department of Traumatology and Orthopedic Surgery, Mutua de Terrassa Hospital. Terrassa, Plaça del Doctor Robert, 5, 08221 Terrassa, Barcelona, Spain. Electronic address: hassan2803med@gmail.com.
Andrea SallentDepartment of Traumatology and Orthopedic Surgery, University Hospital of Vall d'Hebron. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Universitat Autónoma de Barcelona. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain.
Kushal LakhaniDepartment of Traumatology and Orthopedic Surgery, University Hospital of Vall d'Hebron. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Universitat Autónoma de Barcelona. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain.
Ernesto Guerra-FarfanDepartment of Traumatology and Orthopedic Surgery, University Hospital of Vall d'Hebron. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Universitat Autónoma de Barcelona. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain.
Nuria VidalDepartment of Traumatology and Orthopedic Surgery, University Hospital of Vall d'Hebron. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Universitat Autónoma de Barcelona. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain.
Seper EkhtiariDivision of Orthopaedic Surgery, Department of Surgery, Mc Master University, Hamilton, Ontario, Canada.
Joan MinguellDepartment of Traumatology and Orthopedic Surgery, University Hospital of Vall d'Hebron. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain; Universitat Autónoma de Barcelona. Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain.
Hebron University · PSMcMaster University · CAUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe severe disruptions caused by the SARS-CoV-2 coronavirus have necessitated a redistribution of resources to meet hospitals' current service needs during this pandemic. The aim of this study was to provide an overview of the impact of the pandemic, and its corresponding State of Emergency, on a tertiary traumatology emergency service.

methodsAn observational study was performed at a tertiary hospital within the Spanish National Health System. Four different periods were studied, including the first 20 days of Spain's current State of Emergency, from March 14 to April 02, 2020 (Period 4). This period was compared to the 20-day period prior to the State of Emergency (Period 3), and to matching periods in the two previous years (Periods 1 and 2). A total of 6,565 patient visits were analyzed: 1909 in Period 1 (29.1%), 2161 in Period 2 (32.9%), 1983 in Period 3 (30.2%), and 512 in Period 4 (7.8%). Variables collected included patient age and sex, insurance type, discharge destination and reason for hospital admission.

resultsThe patients' mean age was 55.1 years old (Standard Deviation (SD): 22.1), and 51.8% were women (3495/6565). During the COVID-19 pandemic, there were significant reductions in total visits to the trauma emergency department, workplace accidents, traffic accidents and number of hospital admissions, particularly during Period 4. However, no statistically-significant differences were found in the number of osteoporotic hip fractures admitted between the four periods. The numbers of hospital admissions for osteoporotic hip fracture were 42 during Period 1, 41 during Period 2, 43 during Period 3 and 36 during Period 4.

conclusionsWhile most traumatological presentations decreased in frequency over the course of the outbreak, the number of osteoporotic hip fractures remained stable. Thus, contingency plans in times of crisis need to be carefully targeted, and to keep in mind certain public health issues that do not decrease, despite a State of Emergency, like osteoporotic hip fractures.

Indexed as

PandemicsBetacoronavirusCoronavirus InfectionsCOVID-19Critical PathwaysDelivery of Health CareEmergency Service, HospitalFemaleHealth Care RationingHealth Services ResearchHip FracturesHumansInfection ControlMaleMiddle AgedOsteoporotic FracturesCOVID-19hip fracturesPandemictrauma

Identifiers

PMID32405089
PMCPMC7219366
OpenAlexW3025113892

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.