Evidence map›Paper›PMID 32676778›Full record

ArticleInternational orthopaedics2020

Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic.

Erin Ohliger, Erica Umpierrez, Lauren Buehler, Andrew W Ohliger, Steven Magister, Heather Vallier, Adam G Hirschfeld

Abstract read
In one paragraph

Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  4. Recidivism after orthopaedic trauma has diminished over time.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
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  5. Review
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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.

Erin OhligerDepartment of Orthopaedic Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. ohligee@ccf.org.ORCID 0000-0001-5751-7914
Erica UmpierrezDepartment of Orthopaedic Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Lauren BuehlerDepartment of Endocrinology, Metabolism, and Diabetes, Cleveland Clinic, Cleveland, OH, USA.
Andrew W OhligerOhio University Heritage College of Osteopathic Medicine, Athens, OH, USA.
Steven MagisterDepartment of Orthopaedic Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA.
Heather VallierDepartment of Orthopaedic Surgery, MetroHealth Medical System, Cleveland, OH, USA.
Adam G HirschfeldDepartment of Orthopaedic Surgery, MetroHealth Medical System, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general population. The purpose of this study was to determine the prevalence of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 pandemic.

methodsThis retrospective cohort study evaluated orthopaedic trauma patients who received care at our institution between February through April of 2019 and February through April of 2020. Patient sex, age, mechanism of injury, associated injuries, fracture location, tobacco use, employment status, mental health diagnosis and presence of interpersonal violence were documented. Mental health diagnoses were defined based on International Classification of Diseases-10 classification.

resultsThe study included 553 orthopaedic patients evaluated at our institution during the defined time period. Patients in the 2020 cohort had a higher prevalence of mental health diagnoses (26% vs. 43%, p < 0.0001) compared with the 2019 group. The odds ratio for mental health disorder in the 2020 patients was 2.21 (95% CI 1.54, 3.18) compared with the 2019 cohort. The 2020 cohort had a higher percentage of patients who reported interpersonal violence (20% vs. 11%, p = 0.005).

conclusionOur study showed a higher prevalence of psychiatric disease among orthopaedic trauma patients during the COVID-19 pandemic when compared with those seen during the same time of the year in 2019. Stress induced by the coronavirus pandemic can place patients with mental illness at a higher risk for perilous behaviours and subsequent fractures.

Indexed as

BetacoronavirusCoronavirus InfectionsMusculoskeletal DiseasesPandemicsPneumonia, ViralAdolescentAdultAgedAged, 80 and overAnxietyChildChild, PreschoolCohort StudiesCOVID-19FemaleHumansCOVID-19Interpersonal violenceMental healthOrthopaedic trauma

Identifiers

PMID32676778
PMCPMC7365601

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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.